Sherman O. Canapp, Jr., DVM, MS, DACVS, DACVSMR, CCRT

Dr. Sherman O. Canapp, Jr. works with the Veterinary Orthopedic and Sports Medicine Group, Annapolis Junction, Md.

Articles by Sherman O. Canapp, Jr., DVM, MS, DACVS, DACVSMR, CCRT

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Identifying the cause of forelimb and hind limb lameness in dogs can be a challenge. Until recently, diagnostics in small animal orthopedics included visual gait analysis and radiographs. With advanced diagnostics becoming more readily available (objective gait analysis, CT scan, MRI, ultrasound, nuclear scintigraphy, arthroscopy, etc) clinicians can now obtain a definitive diagnosis to those challenging conditions.

Injuries to the carpus and tarsus are common in agility and sporting dogs. The carpal and tarsal joints act as sock absorbers for the limb during weight bearing. They are prone to injury due to their complexity and lack of muscular support. The complexity of these joints creates a diagnostic problem for many veterinarians. Many carpal and tarsal injuries, particularly those that go undiagnosed or untreated, can result in an increased risk of osteoarthritis and potential long-term lameness.

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There are numerous studies indicating the positive benefits of rehabilitation therapy following CCL surgery. In summary, rehabilitation therapy has been shown to improve muscle mass and attenuate muscle atrophy that occurs in the post-operative period, increase stifle joint ROM, especially extension, improve weight-bearing as measured by force plate analysis, and reduce the progression of osteoarthritis.

Similar to dogs, joint disorders of the cat are common. Despite this fact, the reported treatment options for cats with joint disease are limited. The object of this presentation is to describe the clinical findings, surgical / arthroscopic findings and post-operative management of cats with joint disorders including elbow osteoarthritis and medial compartment disease, shoulder osteoarthritis and medial shoulder instability, and cranial cruciate ligament insufficiency.

Diagnosing and treating forelimb conditions in dogs can be very challenging. Many dogs present with a similar history including minimal responsive to rest and non-steroidal anti-inflammatory drugs and increased lameness following exercise and heavy activity. It can be difficult to localize the lesion on palpation as many dogs may show increased sensitivity in the shoulder and elbow from referred pain and compensation.

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There are numerous studies indicating the positive benefits of rehabilitation therapy following CCL surgery. In summary, rehabilitation therapy has been shown to improve muscle mass and attenuate muscle atrophy that occurs in the post-operative period, increase stifle joint ROM, especially extension, improve weight-bearing as measured by force plate analysis, and reduce the progression of osteoarthritis.

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