1. EVERYONE WILL NOT UNDERSTAND YOU or YOUR CHOICES!
“When you are a giraffe and you are getting criticism from a turtle, understand that the turtle is speaking based on the level it’s on.
-T.D. Jakes

2. DISEASES OF THE MUSCULOSKELETAL SYSTEM
PART 2

3. TRAUMA: Ligament Injury – Anterior Cruciate Ligament Rupture
Anterior Cruciate Ligament and Posterior Cruciate Ligament
stabilize knee joint
Ruptured ACL – most common stifle injury and leads to Degenerative Joint Disease (DJD)
May be complete rupture or partial tear => unstable joint => DJD

4. TRAUMA: CRUCIATE LIGAMENT INJURY/RUPTURE

5. CLINICAL SIGNS OF CRANIAL CRUCIATE LIGAMENT INJURY/RUPTURE
Highly active, athletic animals
Middle-aged obese dog

6. CLINICAL SIGNS OF CRANIAL CRUCIATE LIGAMENT INJURY/RUPTURE
Animal is acutely non wt. bearing
on the rear leg after hyperextending
the stifle joint
Joint effusion

7. TRAUMA: CRANIAL CRUCIATE LIGAMENT RUPTURE
Cranial drawer test
Tibial compression test

9. CRANIAL CRUCIATE LIGAMENT RUPTURE REPAIR
Extra-articular Stabilization
*Most successful in patients less than 15kg

10. CRANIAL CRUCIATE LIGAMENT RUPTURE REPAIR
Intra-articular stabilization:
Over-the-top patellar tendon graft
or fascial graft

12. CRANIAL CRUCIATE LIGAMENT RUPTURE REPAIR
Intra-articular stabilization technique
TPLO – Tibial Plateau Leveling Osteotomy

14. CRANIAL CRUCIATE LIGAMENT RUPTURE – CLIENT INFO
Restrict activity 3-4 weeks post surgery
Cage rest
Leash walk only to urinate and defecate
Gradually increase exercise 4-8 wks post sx
Full activity 8-12 weeks
Opposite cruciate often tears within 1 yr
Weight loss helps
DJD of stifle joint is likely
If no surgery, joint thickens from new fibrous tissue formation in an attempt to stabilize itself