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dysplasia

Sent to Pet Experts September 27 2004 at 11:18 AM
   

Our 6 mo. old lab has been diagnost with dysplasia in her
front elbows. What is the procedure to fix this malady?

Customer (name blocked for privacy)
Answer
September 27 2004 at 11:34 AM (16 minutes and 10 seconds later)
         
REPLIEDCheck Mark
 What was done by your vet to diagnosis this...x-rays only or was an MRI done also?



Let me know if you have any other questions
Good Luck &
Best Fishes
Reply
September 28 2004 at 4:21 AM (16 hours and 47 minutes and 17 seconds later)
         
The vet took a series of x-rays on both front legs. He is sending us to a specialist on this thurs. I was shown the x-rays and my vet thinks he sees a hair-line fracture in the small piece of bone that is right in the middle of her elbow.
This bone is a small, pointy, and thin protrusion
in the back of the elbow and it appears to help hold the bone into the joint.
Answer
September 28 2004 at 5:15 AM (54 minutes and 5 seconds later)
         
ACCEPTEDCheck Mark
  It may be the growth plate that your wife is seeing. It sometimes looks like a fracture when its a younger dog. I would definately have a specialist consult and clarify that its not panosteitis. This disease usually occurs in dogs between the ages of 5 to 14 months, and affects males more often than females.  In most cases the lameness occurs suddenly, without a history of trauma.  Most often one or the other front leg is affected first, then without warning the symptoms will shift from leg to leg.  Symptoms may appear to improve and then worsen in a nearly cyclic manner.  Between spontaneous improvement and relocation "wandering" of discomfort areas, diagnosis can be difficult.  X-rays may reveal that the bones have a greater density than is normally found.
        In most cases, the pain subsides within one to two months, although it can "recycle" for up to one year.  Panosteitis will eventually end its cycle and go away, with or without treatment.  Pain relievers may be necessary to help make the dog more comfortable.
The specialist may have to take additional x-rays but they will definately be able to tell you. The surgery options for dysplasia are OCD and FCP require a single incision on the inside of the elbow to remove the defects. UAP requires two incisions; one on the outside for the known defect and one on the inside to identify and remove other defects which are present as much as 80% of the time. Arthroscopic surgery has reportedly been used in older dogs to remove arthritis.  I do not advocate or perform this procedure. Total Elbow Replacement may be available in the near future for older dogs with severe symptoms.  This procedure will require special training, equipment, and facilities.
Good luck with your consult!



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