Guest guest Posted October 6, 2008 Report Share Posted October 6, 2008 Hi Group, I have ?s about a case, Lexie is a Chow Mix Katrina rescue who does dog agility and flyball. She presented with bilateral decreased ROM in her elbows, no changes in other joints and walks relatively straight legged in her front legs . Her radiographs were sent to our local radiologist Dr B Blevins and this is his report: FINDINGS: Radiographs of the elbows show an enthesiophyte on the non-articular portion of the anconeal process in both elbows. There is an enthesiophyte on the on the medial epicondyle of the left distal humerus. On the extended lateral view of the left elbow, there is a free fragment in the joint on the caudal aspect (proximal to the ulna). Both carpi show periarticular osteophytosis around the radiocarpal joint. The shoulders and cervical spinal column cannot be evaluated because of under exposure. IMPRESSIONS: Bilateral elbow arthrosis, bilateral carpal arthrosis. COMMENTS: I cannot assess if there is a cervical disc with root signature on these radiographs. You need to evaluate the elbows and carpi clinical to determine which joints may contain clinically significant disease. ____________________________________________ E. Blevins, DVM, MS Diplomate, American College of Veterinary Radiology I found no evidence of any problem on the wrists. I discussed the case with our local surgeon and he recommended trying intraarticular injections of steroids into the elbow joints. I started the dog on Dog Gone Pain, Glycoflex 3 and an omega 3 fatty acid. i picked DGP because owner doesn't want to use NSAIDS and I beleve I can use them with steroids? I am recommending icing, followed laser therapy and massage at this time. I suspect the owner will not be thrilled with the use of steroids. I am not a big fan of intraarticular steroids but have very limited experience. I would love feedback from y'all experts! Mona L. Gitter DVM If you give 110% you get back 1000%DrFASTTALK.com New MapQuest Local shows what's happening at your destination. Dining, Movies, Events, News more. Try it out! Quote Link to comment Share on other sites More sharing options...
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