ORTHO -Chronic degenerative joint disease (DJD) with cranial cruciate (CCL) rupture and meniscal pathology in a 7 year old mixed dog

Case Study

ORTHO -Chronic degenerative joint disease (DJD) with cranial cruciate (CCL) rupture and meniscal pathology in a 7 year old mixed dog

This 7 year old mixed dog presented with a history of lameness of the  left rear leg on and off 1 month, stiff upon rising. 

Physical Exam: Positive Cr drawer, positive CTT, pain left stifle, med buttress 

CBC/Chem Pending. 

Reason for Ultrasound Exam: Pre surgical scan

This 7 year old mixed dog presented with a history of lameness of the  left rear leg on and off 1 month, stiff upon rising. 

Physical Exam: Positive Cr drawer, positive CTT, pain left stifle, med buttress 

CBC/Chem Pending. 

Reason for Ultrasound Exam: Pre surgical scan

Image Interpretation

Ultrasound of the left stifle joint – Left stifle joint:
Both the supra- and infrapatellar recess of the left stifle joint reveal moderate anechoic effusion, capsular thickening and synovial proliferation.
The cartilage layers as appreciated onto the femoral trochlea and the femoral condyles are largely even and anechoic. Only at the periarticular margins cartilage layers present mildly uneven and roughened surface.
A large amount of small osteophytes is seen at the femoral trochlea/patella sulcus and at the periarticular margins of the femorotibial joint.
The cranial cruciate ligament (CCL) presents as an echogenic stump at the intercondylar eminence of the tibia with mild periligamentous effusion and mild regional thickening of the synovial membrane.
The infrapatellar fat body presents mild heterogeneity as found commonly in chronic degenerative joint disease (DJD).
The cranial and mid portion of the medial meniscus are well visible. It is in situ with uniform echogenicity, but undulating surface and an incomplete cleft between the medial collateral ligament and the medial meniscal surface is seen. The caudal horn is not seen.
The lateral meniscus is in situ with even surface, yet it reveals largely uniform increase in echogenicity. A mild amount of echogenic tissue proliferation is noted superficial to the lateral meniscus

DX

The findings of the left stifle joint are compatible with moderate generalized chronic degenerative joint disease (DJD) with capsular thickening and synovialitis as well as moderate joint effusion and marked osteophytosis.

Outcome

Cartilage breakdown is noted at the periarticular margins. There is evidence of full rupture with biomechanical failure of the CCL.
There are indirect signs of medial meniscal pathology although an actual tear is not seen. The lateral meniscus reveals signs of degeneration.ORTHO –

Patient Information

Patient Name : Kristi Morrison/westview
Gender : Female, Spayed
Species : Canine
Type of Imaging : Ultrasound
Status : Complete
Liz Wuz Here : Yes

Clinical Signs

  • Lameness

Exam Finding

  • Cranial drawer posiive
  • Pain

Images

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Clinical Signs

  • Lameness
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