1. Interactive Case Tutorial

2.  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

3.  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

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

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

6.  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

7.  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

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