Wednesday, July 9, 2014

1404. Video script. Poodle has left hip subluxation



July 10, 2014

Case TP 43889

HOOK
7-year-old male poodle whines and can't stand on the left hind leg since last night. What's the problem?

BE KIND TO PETS


On Thursday, July 10, 2014, two young men brought in the poodle with a painful left hip area. He would not eat or drink.

1.  SYSTEMATIC EXAMINATION OF LEFT LEG started from the toe. This involves Extension, Flexion, Abduction and Adduction of the joints. (VIDEO)



1.1. Joint manipulation.  Very painful hip area (Dog cries - video).   See X-rays

1.2 Hips extension and comparison.   The dog's hips were extended to see whether the left limb is shorter or longer than the normal right limb. (VIDEO)

2.  Check for anterior cruciate ligament rupture. Nil as the lower tibia did not slide backwards. No pain on manipulation.

3.  Check for patellar luxation. Left hind has medial patellar luxation by feeling patellar medially when the left knee is extended.  See X-ray of Left knee too.

2. IMAGING.
Radiography
                     Subluxation of the left hip joint. Right hip (R) is normal.
                      VIDEO OF X-RAY ROOM and POSITIONING OF DOG FOR DEMONSTRATION ONLY. DOG HAD BEEN X-RAYED.



DIAGNOSIS
Left hip subluxation.



TREATMENT
1. I manipulated the femoral head into the hip joint.
2. Confined rest for 3 months. No more walking down steps of the staircase of the maisonette.
2. Surgery - femoral head excision if still painful. Very good results. Costs from $600.





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