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 – Degenerative joint disease (DJD) with complete and partial cranial cruciate ligament (CCL) ruptures in both stifles in a 10 year old FS Poodle/ Shih Txu mix dog

Case Study

ORTHO – Degenerative joint disease (DJD) with complete and partial cranial cruciate ligament (CCL) ruptures in both stifles in a 10 year old FS Poodle/ Shih Txu mix dog

This 10 year old FS Poodle/Shih Tzu mix had CCL surgery left stifle in 2010. Fober wire and bone anchors. Presented today with acute onset right hind lameness.

Physical exam: left stifle crepitus, thickened joint, clicks with flexion/extension, slight cranial drawer. Right stifle positive cranial drawer and CTT.

This 10 year old FS Poodle/Shih Tzu mix had CCL surgery left stifle in 2010. Fober wire and bone anchors. Presented today with acute onset right hind lameness.

Physical exam: left stifle crepitus, thickened joint, clicks with flexion/extension, slight cranial drawer. Right stifle positive cranial drawer and CTT.

Image Interpretation

Ultrasound of the left and right stifle joints – Left:
Mild to moderate anechoic effusion is noted within the suprapatellar and infrapatellar recess of the left stifle joint. The synovium & joint capsule reveal marked thickening.
A moderate amount of osteophytes is seen at the periarticular margins of the femoropatellar and a mild amount at the margins of the femorotibial joint. Mild subchondral bone irregularity is noted.
The cranial cruciate ligament presents as a short & smoothly delineated echogenic stump at the intercondylar eminence of the tibia. Scant periligamentous effusion is seen.
The caudal horn of the medial meniscus is not directly seen. The visible portion of the medial meniscus is in situ, but reveals non-uniform echogenicity and uneven outline with a possible hypoechoic interruption. The lateral meniscus is in situ and within normal limits except for a mild overall increase in echogenicity.
Right:
Moderate anechoic effusion is noted within the suprapatellar recess and infrapatellar recess of the right stifle joint. The synovial membranes are moderately thickened.
A moderate amount of osteophytes is seen at the periarticular margins of the femoropatellar and a mild amount at the margins of the femorotibial joint.
A small portion of the cranial cruciate ligament is continuous but reveals uneven surface and width with irregular echogenicity. Echogenic tissue is seen next to the tibial eminence. There is a mild amount of periligamentous effusion.
The caudal horn of the medial meniscus is not directly seen. The visible portion of the medial meniscus is in situ, uniform in echogenicity and smooth in outline. The lateral meniscus is in situ, uniform in echogenicity and smooth in outline.

DX

The ultrasonographic examination of the left stifle joint is compatible with a moderate chronic degenerative joint disease and a chronic full rupture of the cranial cruciate ligament. Moreover the findings are suggestive for a medial meniscal injury. The ultrasonographic examination of the right stifle joint is compatible with a moderate chronic degenerative joint disease and a partial rupture of the cranial cruciate ligament with biomechanical failure. A medial meniscal pathology was not seen.

Patient Information

Patient Name : Maggie Swanson/Westview
Gender : Female, Spayed
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_2016-04-20_um_09bildschirmfoto_2016-04-20_um_09bildschirmfoto_2016-04-20_um_09bildschirmfoto_2016-04-20_um_10bildschirmfoto_2016-04-20_um_10

Clinical Signs

  • Lameness