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Small Animal Joint Disease
N/A
36
Veterinary Medicine
Not Applicable
11/14/2011

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Cards

Term
synarthrosis
Definition
-bones united by cartilage or fibrous tissue
-practically immovable
-rarely associated with disease except for fractures
Term
diarthroses
Definition
"movable joints"
separated by a joint cavity with synovial fluid
Term
subluxation
Definition
partial dislocation
Term
luxation
Definition
full dislocation
Term
tx for coxofemoral joint luxation
Definition
-anesthesize patient and manipulate femoral head back into the acetabulum
-use Ehmer sling to rotate femoral head into joint and keep leg immobile
Term
Sx tx for coxofemoral joint luxation
Definition
Toggle/button repair
Term
Tx for shoulder luxation
Definition
Velpeau sling
Term
Stifle's six degrees of freedom
Definition
1. flexion
2. extension
3. varus angulation
4. valgus angulation
5. internal rotation
6. external rotation
Term
A stifle's range of motion is limited by.....
Definition
joint capsules, ligamens, muscles, tendons
Term
Quadriceps
Definition
responsible for stifle extension
Term
Long digital extensor muscle
Definition
aids in stifle extension
Term
Semi group
Definition
responsible for stilfle flexion
Term
Popliteal muscle
Definition
Responsible for stifle rotation
Term
medial/lateral menisci
Definition
C-shaped wedge of fibrocartilage
Term
CrCd ligament
Definition
primary stabilizer of the stifle
Term
clinical signs of a CrCd rupture
Definition
-progressive limp
-when palpating stifle joint, see:
anterior-drawer sign
cranial tibial thrust
-radiographs: joint effusion
Term
Selection of a Sx technique for CCL repair depends on:
Definition
-Animal size
-Animal age
-Function of animal
-Chronicity of injury
-Surgeon preferences
-Client finances
Term
Extra-articular repair techniques
Definition
Fascia Lata
Fibular Head Transposition
Lateral Reintinacular Imbrication
Term
fascia lata imbrication
Definition
-tyypically used in conjunction with another technique
-overlapping suture technique to decrease slack out of fascia lata and thereby tighten joint to stabilize it
Term
laterinal retircular imbrication
Definition
-placement of nonaborbsable suture abround lateral fabella to distal third of the patellar ligament
-mimics the orientation of a normal CCL
Term
fibular head transposition
Definition
-uses collateral and lateral ligament to stabilize joint
Term
Intra-articular techniques for CrCd rupture
Definition
-more common
-Over & Under, TPLO, TTA, TTO
Term
meniscal tear
Definition
-most common association with CrCd rupture
-can sometimes hear a "clicking" sound int he stifle joint as the dog walks
Term
Over&Under Technique
Definition
-procedures that use ligament/graft pulled thru stifle joint to mimic CrCdL
-joint closed routinely afterwards
-graft will weaken 1st two weekes post-op and then strengthen therafter
-support bandage for 6 weeks
Term
Tibial Plateau Levening Osteotomy
Definition
-aka TPLO
-requires special equipment/ training
-rotation of tibial plateau to make flatter
Term
Tibial Tuberosity Advancement
Definition
-aka TTA
-vertical cut through proximal tibia that allows the tuberosity to move forward cranially
-changes the slant of the tibial plateau
Term
Triple Tibial Osteotomy
Definition
-TTA/TPLO combo
-drops plateau while pushing tuberosity forward
Term
medial patella luxation
Definition
-lateral bowing of femur
-internal tibia rotation
-shallow trochlear groove
-hypoplasia of medial femoral condyle
-more common in cats and small breed dogs
Term
lateral patella luxation
Definition
-medial bowing of femur
-external tibia rotation
-deep trochlear groove
-hypoplasia of laterial femoral condyle
-more common in large breed dogs
Term
Clinical signs of patella luxation
Definition
-displacement upon palpation
-lameness
-ambulate with skipping gait
Term
Grade I Patella Luxation
Definition
-clinical signs mild/infrequent
-patella returns easily to trochlear groove
Term
Grade II luxation
Definition
-luxates during flexion
-returns with extension
-skipping gait
Term
Grade III luxation
Definition
- more frequently luxated than not
- palpation of bone deformities
Term
Grade IV luxation
Definition
-lameness
-severe limb deformities
Term
Sx to repair patella luxation
Definition
-fascial releasing incisions on side of the luxation
-joint capsule imbrication on opposite side of the luxation
-deepening of the trochlear groove
-tibial crest transposition
-fabella to tibil tuberosity derotational sutures
Term
arthrodesis
Definition
-fixing a joint to make it immobile
-involves eliminating articular cartilage between bones
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