Othopädische Untersuchung

08.01.2021#

Hund lahmt? Was kann alles sein?

Hindlimb Lameness in Large-Breed, Skeletally Mature Dogs

Forelimb Lameness in Small-Breed, Skeletally Immature Dogs

General/Multiple

• Trauma—fracture, luxation

• Atlantoaxial luxation

Shoulder Region

• Congenital luxation

Elbow Region

• Congenital luxation

• Subluxation caused by premature physeal closure

Carpal Region

• Subluxation caused by premature physeal closure

Forelimb Lameness in Small-Breed, Skeletally Mature Dogs

General/Multiple

• Trauma—fracture, luxation, muscle and nerve injuries

• Cervical spinal cord lesion—intervertebral disk disease, tumor

• Brachial plexus tumor

• Hypertrophic osteodystrophy

• Synovial chondrometaplasia

Shoulder Region

• Degenerative joint disease

• Recurrent medial luxation, nontraumatic

Elbow Region

• Degenerative joint disease

• Subluxation caused by physeal injury

Carpal Region

• Degenerative joint disease

• Inflammatory joint disease

• Subluxation caused by prior physeal injury

Hindlimb Lameness in Small-Breed, Skeletally Immature Dogs

General/Multiple

• Trauma—fracture, luxation

Hip Region

• Avascular necrosis/Legg-Calvé-Perthes disease

• Hip dysplasia

Stifle Region

• Patellar luxation

Tarsal Region

• Varus deformity caused by premature physeal closure of distal tibia (especially in

dachshunds)

Hindlimb Lameness in Small-Breed, Skeletally Mature Dogs

General/Multiple

• Trauma—fracture; luxation; ligament, muscle, and nerve injuries

• Spinal cord lesion—disk, tumor

• Immune-mediated arthropathies

• Synovial chondrometaplasia

Hip Region

• DJD, primary or secondary

• Luxation

Stifle Region

• DJD, primary or secondary

• Rupture of cruciate ligaments with or without meniscal damage

• Patellar luxation

• Luxation of long digital extensor tendon

Tarsal Region

• Luxation of tendon of superficial digital flexor muscle

• DJD, primary or secondary

• Inflammatory joint disease

Forelimb Lameness in Large-Breed, Skeletally Immature Dogs

General/Multiple

• Trauma—fracture, luxation

• Panosteitis

• Hypertrophic osteodystrophy

• Cervical cord lesion—vertebral instability

Shoulder Region

• Osteochondritis dissecans (OCD) of the humeral head

Elbow Region

• Osteochondritis dissecans of the medial aspect of the humeral condyle (trochlea)

• Ununited anconeal process (UAP)

• Fragmentation of the medial coronoid process (FCP)

• Avulsion and calcification of the flexor tendons of the medial epicondyle or ununited

medial epicondyle

• Subluxation caused by premature physeal closure

• Synovial chondrometaplasia

Carpal Region

• Subluxation/valgus or varus deformity caused by premature physeal closure

• Valgus deformity caused by retained cartilage cores in the ulna

Paw Region

• Fragmentation of the sesamoids

Forelimb Lameness in Large-Breed, Skeletally Mature Dogs

General/Multiple

• Trauma—fracture, luxation, muscle and nerve injuries

• Panosteitis

• Cervical spinal cord lesion—intervertebral disk disease, tumor, vertebral instability

• Brachial plexus tumor

• Bone, cartilage, or synovial tumor

• Hypertrophic osteodystrophy

• Synovial chondrometaplasia

Shoulder Region

• OCD of humeral head

• Degenerative joint disease

• Contracture of infraspinatus muscle

• Tenosynovitis of biceps brachii tendon

• Calcification of the supraspinatus muscle

• Luxation/Instability

Elbow Region

• Degenerative joint disease

• Fragmentation of the medial coronoid process

• Calcification of the flexor tendons or ununited medial epicondyle

• Subluxation caused by prior physeal injury or breed (chondrodystrophic) predisposition

• Subluxation caused by premature physeal closure

• Luxation

Carpal Region

• Ligamentous instability/hyperextension

• Subluxation caused by premature physeal closure

• Degenerative joint disease

• Inflammatory joint disease, with or without instability

Hindlimb Lameness in Large-Breed, Skeletally Immature Dogs

General/Multiple

• Trauma-fracture, luxation

• Panosteitis

• Hypertrophic osteodystrophy

Hip Region

• Hip dysplasia

• Luxation

Stifle Region

• Osteochondritis dissecans (OCD) of femoral condyle

• Patellar luxation

• Avulsion of origin of long digital extensor muscle

• Partial tear of cranial cruciate ligament

• Full tear of cranial cruciate ligament

• Avulsion of cranial cruciate ligament

• Valgus or varus deformity caused by premature physeal closure

Tarsal Region

• Valgus or varus deformity caused by premature physeal closure

• OCD of talus

Hindlimb Lameness in Large-Breed, Skeletally Mature Dogs

General/Multiple

• Trauma—fracture, luxation, muscle and nerve injuries

• Spinal cord lesion

• Cauda equina lesion

• Bone, cartilage, or synovial tumor

• Hypertrophic osteopathy

• Immune-mediated arthropathies

• Synovial osteochondromatosis

Hip Region

• Degenerative joint disease (DJD), secondary to hip dysplasia

• Luxation

Stifle Region

• DJD, primary or secondary

• Rupture of cruciate and collateral ligaments, meniscal injury

• Patellar luxation

• Long digital extensor luxation

Tarsal Region

• Ligamentous instabilities/hyperextension

• Avulsion, rupture, or partial rupture of common calcaneal tendon

• Luxation of tendon of superficial digital flexor muscle

• DJD, primary or secondary

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