Burton on Trent01543 41424807944 105501
Refer a case
Sky, an active young lurcher, luxated (dislocated) her right shoulder.
Hips can dislocate (luxate) because of trauma, or sometimes because of underlying pathology (hip dysplasia).
Harvey, a gentle, elderly crossbred male, who had serious elbow degenerative joint disease (DJD) – “osteoarthritis” was bought to us at West Midlands Referrals in Burton-Upon-Trent.
A Spinone Louis was unlucky enough to get an osteosarcoma aggressive bone tumour in a hind limb in 2012. He had a hind limb amputation with us, and his likely survival time with this and chemotherapy was about a year. There is an information sheet on osteosarcoma on our West Midlands Referrals website under the section for owners (and the one for vets), in the subsection of “fact sheets”.
Jagger was a 3 year old, 65kg, gentle giant of a Mastiff. When his cruciate ligament ruptured in his left stifle (knee) joint, he needed surgery which was done at West Midlands Referrals.
Rupture of the cranial cruciate ligament is one of the commonest problems that is referred to us. The rupture of this ligament can be partial or complete and the cartilage in the knee can be damaged because of the instability that results.
Poppy, a 6-month-old Labrador puppy, sustained a fractured radius and ulna, bones in the forelimb. These were already healing by the time we saw her. As well as healing to themselves, they also unfortunately healed to each other as well. So the two bones were now linked in a “synostosis”.
Flexor tendon contraction in pups is reasonably common and can be pretty upsetting for owners as the pups look “crippled”.
Bailey is an 8-year-old Labrador. He has had chronic right elbow degenerative joint disease and lameness, but a left elbow lameness was recently evident. A mobile blob of cartilage and bone was visible on x-ray and palpable in the joint when he was under GA.
Total hip replacements are going from strength to strength at West Midlands Referrals. We use a cementless system (Kyon and Biometrix). Doing plenty and getting a slick system and team in place is the key to minimising complications with this procedure. We are doing one a week. THRs take a lot of preparation – infection prevention is critical for success – but the results can be really satisfying.
We’ve done arthroscopy for some time at West Midlands Referrals in Burton-Upon-Trent, but in early 2016 we revamped and upgraded our kit. We now have 2.4mm and 1.9mm Storz arthroscopes and are seeing many elbows and shoulders for arthroscopic diagnosis and treatment. Maciej leads these procedures. Cases to be considered for arthroscopy are first seen by him in as an outpatient consultation.
Placement of a “camera” into joints – most commonly the elbow or the shoulder – allows for inspection with magnification and for some procedures to be minimally invasive without a fully open surgical procedure.
Arthroscopy is an alternative to CT scan for diagnosing humeral intercondylar fissure (incomplete ossification of the humeral condyle), typically seen in Spaniels. This is a line of weakness in the lower end of the humeral condyle that can propagate into a fracture (see separate articles on condylar fracture and Y fracture, in the case study section on fractures).
Tula, a 10 y Cross bred dog presented to us at West Midlands Referrals with right hind limb lameness asscoaited with cruciate ligament rupture in the right stifle (knee) and patella (knee cap) luxation (dislocation).
Roxy, and enthusiastic 34kg 8-month-old Labrador bitch, presented to us at West Midlands Referrals with hind limb lameness associated with instability of the medial collateral tibiotalar ligament (the ligaments that run down the inside of the ankle). Ligaments exist to prevent the motion of joints in directions that is not desirable – in this case, preventing side-to-side motion of the hock.
Floki, an 11-month-old Cane Corso, presented to us at West Midlands Referrals with right forelimb lameness and an un-united anconeal process. The left elbow anconeal process was united as normal. This large free mass of bone, loose in the elbow joint, was removed through a modest incision.
Harvey, a 7-year active male Labrador, presented to us at West Midlands Referrals lame with degenerative joint disease (DJD) affecting digits 2, 3 and 5 of the left forelimb. The metacaro-phalangeal joint of the 3rd digit seemed the most painful on palpation, and this joint was one of the three that involved a principal weight-bearing digit.
Fusion of the tarsal joints is often indicated when there is irrevocable traumatic damage to the joint(s) often involving ligament damage. Some breeds like Shelties are especially prone to spontaneous collapse of the tarsal (and carpal) joints under normal loading.
An 8-month-old Shi Tzu pup presented at West Midlands Referrals with right forelimb lameness and elbow incongruity with short ulna syndrome. This occurs because the ulna stops growing earlier than the radius, so that the ulna acts like the taught straight string of a bow and arrow, while the radius keeps growing and becomes the curved “bow”.
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Errisbeg House, Barton Turn,Barton Under Needwood,Burton On Trent,Staffordshire,DE13 8EB
01543 414248 / 07944 105501
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