ORTHO – Chronic degenerative joint disease (DJD) with full rupture of cranial cruciate ligament (CCL) in a 5 year old FS Labrador dog

Case Study

ORTHO – Chronic degenerative joint disease (DJD) with full rupture of cranial cruciate ligament (CCL) in a 5 year old FS Labrador dog

This 5 year old FS Labrador dog presented with lameness after a run in the woods. Siblings have all had TTA surgeries.

Physical exam: positive cranial drawer, positive CTT, pain left stifle, medial buttress

CBC/Chem: WNL

This 5 year old FS Labrador dog presented with lameness after a run in the woods. Siblings have all had TTA surgeries.

Physical exam: positive cranial drawer, positive CTT, pain left stifle, medial buttress

CBC/Chem: WNL

Image Interpretation

Ultrasound of the left stifle joint – Both the supra- and infrapatellar recess of the left stifle joint reveal marked capsular
thickening and synovial proliferation.
The cartilage layers as appreciated onto the femoral trochlea and the femoral condyles
are largely even and anechoic. At the femoral trochea the thickness and surface of the
cartilage layer are mildly uneven.
A large amount of small osteophytes is seen at the femoral trochlea/patella sulcus. A
moderate amount of osteophytes is present 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 periligamentous effusion and marked regional
thickening of the synovial membrane.
The infrapatellar fat body presents mild heterogeneity with emerging mineralizations
as found commonly in chronic degenerative joint disease (DJD). 
The medial meniscus is well visible. It 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 capsular thickening and synovitis as well as moderate joint effusion and osteophytosis. There is evidence of full rupture with biomechanical failure of the CCL.

Outcome

There is no evidence of medial and lateral meniscal injury. The lateral meniscus
reveals signs of degeneration.

Patient Information

Patient Name : Molly Jukes
Gender : Female, Spayed
Species : Canine
Type of Imaging : Ultrasound
Status : Complete
Liz Wuz Here : Yes

Clinical Signs

  • Lameness

Exam Finding

  • Pain

Images

bildschirmfoto_2016-02-13_um_13

Clinical Signs

  • Lameness
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