Orthopedics

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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.

Cranial cruciate ligament injuries are some of the most common orthopedic conditions seen in small animal practice. Even so, the optimal treatment modality is hotly debated within the profession. Each new surgery is introduced with great fanfare but, in most clinical studies, the fabellar suture technique in one iteration or another has been found to be superior or equal to other methods.

Canine hip dysplasia is a very common orthopedic condition and every small- or mixed-animal practitioner will see cases. Despite this, the management of this syndrome can be frustrating and confusing to the clinician as well as the client. Questions about prognosis, what surgery to recommend (and when), various aspects of medical management and more are difficult to answer definitively.

Just as in the human population, the incidence of osteoarthritis in veterinary patients is very high. Many of the developmental diseases as well as traumatic injuries ultimately become cases of osteoarthritis management. As with any chronic progressive (and largely incurable) disease, the treatment can be frustrating. In fact, treatment of arthritis is easy when the client is patient, willing, and has a lot of money.

Canine hip dysplasia is a very common orthopedic condition and every small- or mixed-animal practitioner will see cases. Despite this, the management of this syndrome can be frustrating and confusing to the clinician as well as the client. Questions about prognosis, what surgery to recommend (and when), various aspects of medical management and more are difficult to answer definitively.

Osteoarthritis can result from direct trauma to the joint or cartilage, injury to ligaments or soft tissues resulting in joint instability, obesity or developmental disease. The effect of osteoarthritis varies, with a wide range of severity and associated radiographic and clinical signs; however, resultant discomfort and activity restrictions can have a profound effect on quality of life.

Elbow dysplasia is a collective term for the developmental orthopedic diseases of the canine elbow. Traditionally, it refers to ununited anconeal process (UAP), osteochondrosis of the humeral condyle (OCD), and fragmentation of the medial coronoid process (FCP).

Hip dysplasia is the most common developmental orthopedic disease in dogs. First described in the 1930's, it continues to affect millions of dogs worldwide. Large breed dogs are most commonly diagnosed, however small breed dogs and cats also are affected.

Gunshot wounds can be a common injury in veterinary medicine varying from shotgun and rifle injuries in rural areas to handguns and air powered weapons in cosmopolitan areas. The severity of injury resulting from gunshots is variable as well based on the type and composition of the bullet, the projectile (flight) characteristics, kinetic energy absorbed on impact and tissues involved.