Zoran Lončar. CONGRESS AMVAC/RoSAVA September, 2014

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1 Zoran Lončar Veterinary Clinic Belgrade, Serbia CONGRESS AMVAC/RoSAVA September, 2014

2 ALL ABOUT THE KNEEE To become familiar with the EXAM To recognize most common DISEASES To GET an idea about TREATMENTS

3

4 CLINICAL EXAM

5 WALK

6 NORMAL WALK

7

8 CLINICAL EXAM

9 STANCE

10

11

12

13

14 CLINICAL EXAM

15 ORTHOPEDIC EXAM

16 ROM-RANGE OF MOTION

17 PALPATION

18

19 CLINICAL EXAM

20 SPECIAL TESTS

21 PATELLA COLLATERAL LIGAMENTS

22 DRAW TEST TC TEST

23

24 MOST COMMON DISEASES ADULT DOG CRANIAL CRUCIATE LIGAMENT RUPTURE CAUDAL CRUCIATE LIGAMENT RUPTURE EDPL LUXATION COLLATERAL LIGAMENT INJURIES DEGENERATIVE JOINT ARTHRITIS

25 MOST COMMON DISEASES YOUNG DOG OCD PATELLA LUXATION TIBIAL CREST AVULSION TENSION TRACTION PHYSITIS LIGAMENT/TENDON INJURIES

26 MOST COMMON DISEASES YOUNG DOG OCD PATELLA LUXATION TIBIAL CREST AVULSION TENSION TRACTION PHYSITIS LIGAMENT/TENDON INJURIES

27 OCD MICROTRAUMA INCONGRUENCY DIFFUSION

28

29

30 BILATERAL 4-9 months OCD

31 OCD LATERAL CONDYLE: MEDIAL CONDYLE:

32

33

34

35 CHRONIC OA PAIN-BILATERAL CCL RUPTURE PROGNOSIS

36 MOST COMMON DISEASES YOUNG DOG OCD PATELLA LUXATION TIBIAL CREST AVULSION TENSION TRACTION PHYSITIS LIGAMENT/TENDON INJURIES

37 PATELLA LUXATION BILATERAL COMMON 75% MEDIAL SMALL BREEDS COMMON

38 CAUSE: ANGULAR DEFORMITIES FORCES: TRACTION TO PATELLA TO MEDIAL OR LATERAL FROM TROCHLEA

39

40

41 CONSEQUENCES CARTILAGE EROSION OSTEOARTHRITIS CCL RUPTURE

42 GRADE II I IV III

43 TREATMENT CONSERVATIVE - I grade small breeds SURGERY - ALL BUT ( TTT, TP) - III i IV OSTEOTOMIES - OA: PATELLA GROOVE

44

45

46

47 PROGNOSIS 15-55% RECIDIVES PREOPERATIVE PLANNING OA

48 MOST COMMON DISEASES YOUNG DOG OCD PATELLA LUXATION TIBIAL CREST AVULSION TENSION TRACTION PHYSITIS LIGAMENT/TENDON INJURIES

49 TIBIAL CREST AVULSION

50 TERRIERS

51 TREATMENT

52 MOST COMMON DISEASES YOUNG DOG OCD PATELLA LUXATION TIBIAL CREST AVULSION TENSION TRACTION PHYSITIS LIGAMENT/TENDON INJURIES

53 TENSION TRACTION PHYSITIS R L

54 REPETITIVE FORCES CHONDRITIS LARGE BREEDS PAIN and SWELLING

55 6 months after CONSERVATIVE TREATMENT!!!

56

57 MOST COMMON DISEASES YOUNG DOG OCD PATELLA LUXATION TIBIAL CREST AVULSION TENSION TRACTION PHYSITIS LIGAMENT/TENDON INJURIES

58 TENDON/LIGAMENT AVULSIONS CCL EDPL CaCL FAST SURGICAL INTERVENTION

59 YOUNG DOG PATELLA LUXATION TRAUMA OCD

60 MOST COMMON DISEASES ADULT DOG CRANIAL CRUCIATE LIGAMENT RUPTURE CAUDAL CRUCIATE LIGAMENT RUPTURE EDPL LUXATION COLLATERAL LIGAMENT INJURIES DEGENERATIVE JOINT ARTHRITIS

61

62 CRANIAL CRUCIATE LIGAMENT RUPTURE PARTIAL/COMPLETE COMMON AT THE END-OA MENISCUS INJURY

63 CAUSE TRAUMA UNCOMMON NON TRAUMA BIOMECHANICAL STRESS DEGENERATIVE PROCESS

64

65

66

67 TREATMENT INTRAARTICULAR EXSTRAARTICULAR OSTEOTOMIES

68

69 TPLO TTA TT CROWN

70 PROGNOSIS FAST TREATMENT: -FULL RECOVERY -OA I had the surgery I was afraid

71 MOST COMMON DISEASES ADULT DOG CRANIAL CRUCIATE LIGAMENT RUPTURE CAUDAL CRUCIATE LIGAMENT RUPTURE EDPL LUXATION COLLATERAL LIGAMENT INJURIES DEGENERATIVE JOINT ARTHRITIS

72 CAUDAL CRUCIATE LIGAMENT RUPTURE

73 CAUDAL SUBLUXATION OF TIBIA STRESS ON MEDIAL COLLATERAL LIGAMENT STRESS ON CRANIO-MEDIAL PART OF THE MENISCUS

74 TRAUMA SPORT DOGS 1 / 150 CCL

75

76 NORMAL RCC L. RCaCL

77 EXTRACAPSULAR TREATMENT

78 TREATMENT

79 MOST COMMON DISEASES ADULT DOG CRANIAL CRUCIATE LIGAMENT RUPTURE CAUDAL CRUCIATE LIGAMENT RUPTURE EDPL LUXATION COLLATERAL LIGAMENT INJURIES DEGENERATIVE JOINT ARTHRITIS

80 COLLATERAL LIGAMENT RUPTURE UNCOMMON TRAUMA CONCURRENT INJURIES

81

82 TREATMENT

83 MOST COMMON DISEASES ADULT DOG CRANIAL CRUCIATE LIGAMENT RUPTURE CAUDAL CRUCIATE LIGAMENT RUPTURE EDPL LUXATION COLLATERAL LIGAMENT INJURIES DEGENERATIVE JOINT ARTHRITIS

84 SPORT DOGS FUNCTION DEFICITS EDPL LUXATION

85 TREATMENT

86 MOST COMMON DISEASES ADULT DOG CRANIAL CRUCIATE LIGAMENT RUPTURE CAUDAL CRUCIATE LIGAMENT RUPTURE EDPL LUXATION COLLATERAL LIGAMENT INJURIES DEGENERATIVE JOINT ARTHRITIS

87 DEGENERATIVE ARTHRITIS

88 DAMAGE vs. REPAIR

89

90

91 TREATMENT

92 FUTURE STEM CELLS PRP BIOMARKERS Y

93 ADULT DOG CCL RUPTURE D. ARTHRITIS

94 TO RECOGNIZE

95 MOST COMMON DISEASES

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