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Definition
-bones united by cartilage or fibrous tissue -practically immovable -rarely associated with disease except for fractures |
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"movable joints" separated by a joint cavity with synovial fluid |
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tx for coxofemoral joint luxation |
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Definition
-anesthesize patient and manipulate femoral head back into the acetabulum -use Ehmer sling to rotate femoral head into joint and keep leg immobile |
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Sx tx for coxofemoral joint luxation |
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Stifle's six degrees of freedom |
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Definition
1. flexion 2. extension 3. varus angulation 4. valgus angulation 5. internal rotation 6. external rotation |
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A stifle's range of motion is limited by..... |
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Definition
joint capsules, ligamens, muscles, tendons |
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Definition
responsible for stifle extension |
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Long digital extensor muscle |
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Definition
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responsible for stilfle flexion |
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Definition
Responsible for stifle rotation |
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Definition
C-shaped wedge of fibrocartilage |
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Definition
primary stabilizer of the stifle |
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clinical signs of a CrCd rupture |
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Definition
-progressive limp -when palpating stifle joint, see: anterior-drawer sign cranial tibial thrust -radiographs: joint effusion |
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Selection of a Sx technique for CCL repair depends on: |
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Definition
-Animal size -Animal age -Function of animal -Chronicity of injury -Surgeon preferences -Client finances |
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Extra-articular repair techniques |
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Definition
Fascia Lata Fibular Head Transposition Lateral Reintinacular Imbrication |
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Term
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Definition
-tyypically used in conjunction with another technique -overlapping suture technique to decrease slack out of fascia lata and thereby tighten joint to stabilize it |
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Term
laterinal retircular imbrication |
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Definition
-placement of nonaborbsable suture abround lateral fabella to distal third of the patellar ligament -mimics the orientation of a normal CCL |
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fibular head transposition |
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Definition
-uses collateral and lateral ligament to stabilize joint |
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Intra-articular techniques for CrCd rupture |
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Definition
-more common -Over & Under, TPLO, TTA, TTO |
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Definition
-most common association with CrCd rupture -can sometimes hear a "clicking" sound int he stifle joint as the dog walks |
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Term
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Definition
-procedures that use ligament/graft pulled thru stifle joint to mimic CrCdL -joint closed routinely afterwards -graft will weaken 1st two weekes post-op and then strengthen therafter -support bandage for 6 weeks |
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Term
Tibial Plateau Levening Osteotomy |
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Definition
-aka TPLO -requires special equipment/ training -rotation of tibial plateau to make flatter |
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Tibial Tuberosity Advancement |
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Definition
-aka TTA -vertical cut through proximal tibia that allows the tuberosity to move forward cranially -changes the slant of the tibial plateau |
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Definition
-TTA/TPLO combo -drops plateau while pushing tuberosity forward |
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-lateral bowing of femur -internal tibia rotation -shallow trochlear groove -hypoplasia of medial femoral condyle -more common in cats and small breed dogs |
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Definition
-medial bowing of femur -external tibia rotation -deep trochlear groove -hypoplasia of laterial femoral condyle -more common in large breed dogs |
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Clinical signs of patella luxation |
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Definition
-displacement upon palpation -lameness -ambulate with skipping gait |
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Definition
-clinical signs mild/infrequent -patella returns easily to trochlear groove |
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Definition
-luxates during flexion -returns with extension -skipping gait |
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Definition
- more frequently luxated than not - palpation of bone deformities |
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Definition
-lameness -severe limb deformities |
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Term
Sx to repair patella luxation |
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Definition
-fascial releasing incisions on side of the luxation -joint capsule imbrication on opposite side of the luxation -deepening of the trochlear groove -tibial crest transposition -fabella to tibil tuberosity derotational sutures |
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Term
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Definition
-fixing a joint to make it immobile -involves eliminating articular cartilage between bones |
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