Zoran Lončar Veterinary Clinic www.vetnovak.com loncarzor@yahoo.co.uk Belgrade, Serbia CONGRESS AMVAC/RoSAVA 11-13 September, 2014
ALL ABOUT THE KNEEE To become familiar with the EXAM To recognize most common DISEASES To GET an idea about TREATMENTS
CLINICAL EXAM
WALK
NORMAL WALK
CLINICAL EXAM
STANCE
CLINICAL EXAM
ORTHOPEDIC EXAM
ROM-RANGE OF MOTION
PALPATION
CLINICAL EXAM
SPECIAL TESTS
PATELLA COLLATERAL LIGAMENTS
DRAW TEST TC TEST
MOST COMMON DISEASES ADULT DOG CRANIAL CRUCIATE LIGAMENT RUPTURE CAUDAL CRUCIATE LIGAMENT RUPTURE EDPL LUXATION COLLATERAL LIGAMENT INJURIES DEGENERATIVE JOINT ARTHRITIS
MOST COMMON DISEASES YOUNG DOG OCD PATELLA LUXATION TIBIAL CREST AVULSION TENSION TRACTION PHYSITIS LIGAMENT/TENDON INJURIES
MOST COMMON DISEASES YOUNG DOG OCD PATELLA LUXATION TIBIAL CREST AVULSION TENSION TRACTION PHYSITIS LIGAMENT/TENDON INJURIES
OCD MICROTRAUMA INCONGRUENCY DIFFUSION
BILATERAL 4-9 months OCD
OCD LATERAL CONDYLE: MEDIAL CONDYLE:
CHRONIC OA PAIN-BILATERAL CCL RUPTURE PROGNOSIS
MOST COMMON DISEASES YOUNG DOG OCD PATELLA LUXATION TIBIAL CREST AVULSION TENSION TRACTION PHYSITIS LIGAMENT/TENDON INJURIES
PATELLA LUXATION BILATERAL COMMON 75% MEDIAL SMALL BREEDS COMMON
CAUSE: ANGULAR DEFORMITIES FORCES: TRACTION TO PATELLA TO MEDIAL OR LATERAL FROM TROCHLEA
CONSEQUENCES CARTILAGE EROSION OSTEOARTHRITIS CCL RUPTURE
GRADE II I IV III
TREATMENT CONSERVATIVE - I grade small breeds SURGERY - ALL BUT ( TTT, TP) - III i IV OSTEOTOMIES - OA: PATELLA GROOVE
PROGNOSIS 15-55% RECIDIVES PREOPERATIVE PLANNING OA
MOST COMMON DISEASES YOUNG DOG OCD PATELLA LUXATION TIBIAL CREST AVULSION TENSION TRACTION PHYSITIS LIGAMENT/TENDON INJURIES
TIBIAL CREST AVULSION
TERRIERS
TREATMENT
MOST COMMON DISEASES YOUNG DOG OCD PATELLA LUXATION TIBIAL CREST AVULSION TENSION TRACTION PHYSITIS LIGAMENT/TENDON INJURIES
TENSION TRACTION PHYSITIS R L
REPETITIVE FORCES CHONDRITIS LARGE BREEDS PAIN and SWELLING
6 months after CONSERVATIVE TREATMENT!!!
MOST COMMON DISEASES YOUNG DOG OCD PATELLA LUXATION TIBIAL CREST AVULSION TENSION TRACTION PHYSITIS LIGAMENT/TENDON INJURIES
TENDON/LIGAMENT AVULSIONS CCL EDPL CaCL FAST SURGICAL INTERVENTION
YOUNG DOG PATELLA LUXATION TRAUMA OCD
MOST COMMON DISEASES ADULT DOG CRANIAL CRUCIATE LIGAMENT RUPTURE CAUDAL CRUCIATE LIGAMENT RUPTURE EDPL LUXATION COLLATERAL LIGAMENT INJURIES DEGENERATIVE JOINT ARTHRITIS
CRANIAL CRUCIATE LIGAMENT RUPTURE PARTIAL/COMPLETE COMMON AT THE END-OA MENISCUS INJURY
CAUSE TRAUMA UNCOMMON NON TRAUMA BIOMECHANICAL STRESS DEGENERATIVE PROCESS
TREATMENT INTRAARTICULAR EXSTRAARTICULAR OSTEOTOMIES
TPLO TTA TT CROWN
PROGNOSIS FAST TREATMENT: -FULL RECOVERY -OA I had the surgery I was afraid
MOST COMMON DISEASES ADULT DOG CRANIAL CRUCIATE LIGAMENT RUPTURE CAUDAL CRUCIATE LIGAMENT RUPTURE EDPL LUXATION COLLATERAL LIGAMENT INJURIES DEGENERATIVE JOINT ARTHRITIS
CAUDAL CRUCIATE LIGAMENT RUPTURE
CAUDAL SUBLUXATION OF TIBIA STRESS ON MEDIAL COLLATERAL LIGAMENT STRESS ON CRANIO-MEDIAL PART OF THE MENISCUS
TRAUMA SPORT DOGS 1 / 150 CCL
NORMAL RCC L. RCaCL
EXTRACAPSULAR TREATMENT
TREATMENT
MOST COMMON DISEASES ADULT DOG CRANIAL CRUCIATE LIGAMENT RUPTURE CAUDAL CRUCIATE LIGAMENT RUPTURE EDPL LUXATION COLLATERAL LIGAMENT INJURIES DEGENERATIVE JOINT ARTHRITIS
COLLATERAL LIGAMENT RUPTURE UNCOMMON TRAUMA CONCURRENT INJURIES
TREATMENT
MOST COMMON DISEASES ADULT DOG CRANIAL CRUCIATE LIGAMENT RUPTURE CAUDAL CRUCIATE LIGAMENT RUPTURE EDPL LUXATION COLLATERAL LIGAMENT INJURIES DEGENERATIVE JOINT ARTHRITIS
SPORT DOGS FUNCTION DEFICITS EDPL LUXATION
TREATMENT
MOST COMMON DISEASES ADULT DOG CRANIAL CRUCIATE LIGAMENT RUPTURE CAUDAL CRUCIATE LIGAMENT RUPTURE EDPL LUXATION COLLATERAL LIGAMENT INJURIES DEGENERATIVE JOINT ARTHRITIS
DEGENERATIVE ARTHRITIS
DAMAGE vs. REPAIR
TREATMENT
FUTURE STEM CELLS PRP BIOMARKERS Y
ADULT DOG CCL RUPTURE D. ARTHRITIS
TO RECOGNIZE
MOST COMMON DISEASES