This 6 year old MN Shepherd mix had left CCL repair 1.5 years ago, now lame right hind. Positive cranial drawer, CTT.
This 6 year old MN Shepherd mix had left CCL repair 1.5 years ago, now lame right hind. Positive cranial drawer, CTT.
Case Study
ORTHO – Cranial cruciate ligament (CCL) rupture post-surgical repair in a 6 year old MN Shepherd mix
Image Interpretation
ultrasound of the right stifle –
A mild to moderate amount of osteophytes is seen at the periarticular margins. The femoropatellar joint cartilage presents mild irregularity at the most proximal extent of the femoral trochlea. The infrapatellar fat pad presents an irregular echo pattern. The cranial cruciate ligament (CCL) presents as a stump of echogenic fibres at the intercondylar eminence of the tibia. However, there is a trace of undulating but continuous fibres next to the stump.
DX
The ultrasonographic examination of the right stifle joint reveals mild to moderate chronic degenerative joint disease with synovialitis, effusion and osteoarthritis. Cranial cruciate ligament failure is identified
Outcome
The findings suggest cranial cruciate ligament rupture. The continuous trace of fibres next to the fibre stump may represent an elongated part of the cranial or caudal cruciate ligament either. However, my impression is that this is rather a maintained but elongated part of the cranial cruciate ligament.
Patient Information
Patient Name :
Smokey Forrest
Gender :
Male, Neutered
Species :
Canine
Type of Imaging : Ultrasound
Status :
Complete
Liz Wuz Here :
Yes
Code :
18_00037
Clinical Signs
- Lameness
History
- Cruciate ligament injury
Exam Finding
- Cranial drawer posiive
Images
Clinical Signs
- Lameness