Skip to content
Customize Consent Preferences

We use cookies to help you navigate efficiently and perform certain functions. You will find detailed information about all cookies under each consent category below.

The cookies that are categorized as "Necessary" are stored on your browser as they are essential for enabling the basic functionalities of the site. ... 

Always Active

Necessary cookies are required to enable the basic features of this site, such as providing secure log-in or adjusting your consent preferences. These cookies do not store any personally identifiable data.

No cookies to display.

Functional cookies help perform certain functionalities like sharing the content of the website on social media platforms, collecting feedback, and other third-party features.

No cookies to display.

Analytical cookies are used to understand how visitors interact with the website. These cookies help provide information on metrics such as the number of visitors, bounce rate, traffic source, etc.

No cookies to display.

Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors.

No cookies to display.

Advertisement cookies are used to provide visitors with customized advertisements based on the pages you visited previously and to analyze the effectiveness of the ad campaigns.

No cookies to display.

ORTHO – Cranial Cruciate Ligament (CCL) rupture of the right stifle with degenerative joint disease (DJD) in a Labrador Retriever mixed dog

Case Study

ORTHO – Cranial Cruciate Ligament (CCL) rupture of the right stifle with degenerative joint disease (DJD) in a Labrador Retriever mixed dog

The patient is a Labrador Retriever mixed dog who has a history of a bilateral CCL injury. TTA surgery was performed on the left stifle July 2015. 2nd TTA on the right stifle is planned.

Physical exam: Positive cranial drawer, CTT, Medial buttress, no clicking

CBC/Chem wnl

The patient is a Labrador Retriever mixed dog who has a history of a bilateral CCL injury. TTA surgery was performed on the left stifle July 2015. 2nd TTA on the right stifle is planned.

Physical exam: Positive cranial drawer, CTT, Medial buttress, no clicking

CBC/Chem wnl

Image Interpretation

Right stifle joint: 
Both the supra- and infrapatellar recess of the right stifle joint contain a moderate and
mild amount of anechoic effusion respectively. The joint capsule reveals moderate
thickening. Moderate synovial proliferations are noted.
The cartilage layers as appreciated within the patellar sulcus and onto the femoral
condyles present uneven thickness, irregular surface and multifocal increase in
echogenicity. This is most pronounced at the periarticular margins but extends into the
joint surface oft he patellar sulcus as well as the femoral condyles. The subchondral
bone of the femoral condyles as appreciated is uneven in outline with subchodral bone
defects in the periphery oft he joint surface.
A severe amount of osteophytes is noted at the periarticular margins of the
femoropatellar and femorotibial joints.
The cranial cruciate ligament (CCL) presents is a discontinuous broad echogenic band
emerging from the intercondylar eminence of the tibia. Only scant periligamentous
effusion noted. Soft tissue proliferations and marked regional synovial thickening is
evident here.
The infrapatellar fat body is heterogenous and contains a mineralization as found
commonly in chronic degenerative joint disease (DJD).The view on the medial meniscus is restricted by a mineralization. As far as visible it is
in situ with regular outline and multifocal increase in echogenicity. The lateral
meniscus is in situ too but presents multifocal increase in echogenicity and mild
surface irregularity.

DX

The findings of the right stifle joint are compatible with moderate to severe generalized chronic degenerative joint disease with joint effusion, osteophytosis, capsular fibrosis, synovial proliferation and multifocal cartilage breakdown as well as subchondral bone sclerosis or rather defects. The right cranial cruciate ligament presents a full rupture.

Outcome

Both menisci show signs of advanced degeneration. A superficial meniscal tear is not
directly seen.
Surgical therapy is indicated to address the biomechanical failure and prevent
progression of the DJD & further damage.

Patient Information

Patient Name : Buddy MacDonald, Westview VH
Species : Canine
Type of Imaging : Ultrasound
Status : Complete
Liz Wuz Here : Yes

Clinical Signs

  • Lameness

History

  • Cruciate ligament injury

Exam Finding

  • Cranial drawer posiive

Images

bildschirmfoto_2016-01-20_um_12bildschirmfoto_2016-01-20_um_12bildschirmfoto_2016-01-20_um_12bildschirmfoto_2016-01-20_um_12bildschirmfoto_2016-01-20_um_12bildschirmfoto_2016-01-20_um_12bildschirmfoto_2016-01-20_um_12

Clinical Signs

  • Lameness