ORTHO – Degenerative joint disease (DJD) with partial cranial cruciate (CCL) rupture in a 3 year old FS Ridgeback mix dog

Case Study

ORTHO – Degenerative joint disease (DJD) with partial cranial cruciate (CCL) rupture in a 3 year old FS Ridgeback mix dog

This FS Ridgeback mix dog has a history of bilateral medial luxating patella surgery. Was doing great then suddenly lame. Moderate cranial drawer sign left stifle

Physical Exam: WNL except for lameness LH leg

This FS Ridgeback mix dog has a history of bilateral medial luxating patella surgery. Was doing great then suddenly lame. Moderate cranial drawer sign left stifle

Physical Exam: WNL except for lameness LH leg

Image Interpretation

Ultrasound of the left stifle – Left stifle joint: 
Both the supra- and infrapatellar recess of the left stifle joint reveal moderate capsular
thickening and synovial proliferation. A moderate amount of anechoic effusion is
noted within the suprapatellar joint recess. The degree of infrapatellar effusion is only
mild. There is moderate periarticular soft tissue fibrosis noted mainly within the
suprapatellar region.
The cartilage layer onto the femoral trochlea is mildly uneven in thickness and outline.
Within the patellar sulcus a thin layer of cartilage is appreciated. The position oft he
patella is in situ.
A large amount of small osteophytes is seen at the femoral trochlea/patella sulcus. A
mild to moderate amount of osteophytes is present at the periarticular margins of the
femorotibial joint.
The cranial cruciate ligament (CCL) is difficult to recognize within the depth of the
femorotibial joint space because of the increased sound beam attenuation owing to the
periarticular fibrotic changes (these are likely secondary to the prior surgery). As far as
seen the CCL appears to be continuous but uneven in thickness and irregular in
echotexture, There is a mild amount of periligamentous effusion and regional
thickening of the synovial membrane.
The infrapatellar fat body presents moderate heterogeneity as found commonly in chronic degenerative joint disease (DJD). 
The medial meniscus is in situ with even surface and uniform echogenicity.
The lateral meniscus reveals marked non-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 marked pericapsular and capsular thickening and synovitis as well as moderate joint effusion and osteophytosis.

Outcome

The findings are suggestive for partial rupture of the CCL, which is likely progressing
to biomechanical failure.
There is no evidence of medial and lateral meniscal injury. The lateral meniscus
reveals signs of degeneration.

Patient Information

Patient Name : Marley Rivera/ridgewood
Gender : Female, Spayed
Species : Canine
Type of Imaging : Ultrasound
Status : Complete
Liz Wuz Here : Yes

Clinical Signs

  • Lameness

Images

bildschirmfoto_2016-02-24_um_11bildschirmfoto_2016-02-24_um_13bildschirmfoto_2016-02-24_um_13bildschirmfoto_2016-02-24_um_13bildschirmfoto_2016-02-24_um_13bildschirmfoto_2016-02-24_um_13bildschirmfoto_2016-02-24_um_13

Clinical Signs

  • Lameness
Skip to content