Interactive Case Tutorial

 Review the history and signalment for the client  Evaluate the radiographs provided  Explore the interactive images and compare the answers given with your own interpretations. When you’ve clicked on the image, click the same spot again to make the label disappear.  Answer the questions regarding a diagnosis and recommendations  Review the radiologist’s findings

 Signalment: 5 year old, FS, Labrador retriever  History: Has been limping on the right pelvic limb for several months; now is three legged hopping  Study: lateral and craniocaudal views of the right crus

Normal tarsus Osteophytes Enthesopathy at insertion of CCL Tibia is cranially displaced (intercondylar eminence is too cranial) Intracapsular soft tissue swelling

 Provide a diagnosis based on your findings. Submit Marked degenerative joint disease secondary to complete cranial cruciate ligament rupture Feedback Continue

 Provide your recommendation for this client. Submit Options include medical management, weight loss, controlled restricted exercise, anti-inflammatory medication, surgical treatments (Tibial plateau leveling osteotomy (TPLO), Tibial tuberosity advancement (TTA), Extracapsular repair) Feedback Continue

 The stifle has moderate intracapsular soft tissue swelling  Osteophytes are on the femoral trochlear ridges, medial and lateral femoral epicondyles, patella, fabellae and tibial condyle  Enthesopathy is present at the insertion of the cranial cruciate ligament  The tibia is cranial relative to the femur  The tarsus is normal

 The client elected to pursue TPLO surgery  She was doing very well at her 4 month recheck