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Radiology Package 23

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Cartilaginous flap is visible in the left shoulder. 10-month old ... This is the cartilage flap that has elevated from the bone and undergone mineralization. ... – PowerPoint PPT presentation

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Title: Radiology Package 23


1
Radiology Package 23
  • OCD

2
16-month old Labrador RetrieverNipper
  • Hx 2 week history of lameness in the left hind.
    The tarsus is swollen and there is crepitation
    and pain on palpation of the joint.

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4
16-month old Labrador RetrieverNipper
  • RF
  • The right tarsus is normal and is provided for
    comparison.
  • In the left stifle there is evidence of capsular
    distension of the tibiotarsal joint.
  • There is widening of the medial aspect of the
    tibiotarsal joint and the medial trochlear ridge
    appears shorter than that in the right tarsus.
  • In the lateral view careful evaluation shows
    subtle flattening of mid-to plantar surface of
    one of the trochlear ridges.
  • The articular surface of the distal tibia is
    subtly flattened, an indication of early
    osteoarthritis.
  • RD
  • Osteochondrosis of the medial trochlear ridge of
    the talus

5
14-month old Old English Sheepdog
  • Hx Presented with left forelimb lameness of
    one-months duration. Initially the dog was lam
    after rest but now the lameness is almost
    constant. The lameness is worse after exercise.
    PE reveals pain when the left shoulder is
    manipulated.

6
14-month old Old English Sheepdog
  • RF
  • There is an irregular radiolucent defect in the
    subchondral bone on the caudal aspect of the left
    humeral head.
  • Faint sclerosis is preset surrounding the defect.
  • Immediately adjacent to the defect is a thin,
    linear radiopacity within the joint space.
  • The articular margins of the caudal aspect of the
    humeral head and glenoid cavity of the scapula
    are irregular.
  • The right shoulder has a radiolucent defect in
    the subchondral bone on the caudal aspect of the
    humeral head.
  • RD
  • Bilateral osteochondritis dissecans of the
    shoulders
  • Cartilaginous flap is visible in the left shoulder

7
10-month old KuvaszMariuska
  • Hx Bilateral forelimb lameness and shoulder pain.

8
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9
10-month old KuvaszMariuska
  • RF
  • Flattening of the subchondral bone of the caudal
    surface of both humeral head is present.
  • RD
  • Osteochondrosis of both humeral heads

10
7-month old Newfoundland
  • Hx Presented for evaluation of an OCD lesion in
    the right shoulder. On PE it is noted that there
    is mild joint effusion in both stifles.

11
7-month old Newfoundland
  • RF
  • The infrapatellar fat pad is displaced cranially
    and decreased in size.
  • Increase in size of the joint capsule has caused
    displacement of the fascial plane of the
    gastrocnemius muscle.
  • In the lateral biew there is an ill-defined area
    of lucency in one of the femoral condyles. The
    lucent area is dome-shaped with the base of the
    dome at the articular surface of the bone.
  • In the CC view the area of lucency is visible in
    the lateral femoral condyle. In this view it
    appears round and is surrounded by a rim of
    sclerotic bone.
  • RD
  • Capsular distension (joint effusion and/or
    synovial thickening)
  • Osteochondrosis of the lateral femoral condyle
  • Subchondral bone cyst

12
4-month old German Shepherd
  • Hx Lame in the left hind limb for 4 days.

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14
4-month old German Shepherd
  • RF
  • There is evidence of moderate capsular
    distension.
  • In the lateral view there is irregular and
    fimbriated pattern of mineralization in the
    femoral condyles. This gives a flattened
    appearance to the condyles.
  • In the CC view this change in appearance of the
    condyles is difficult to appreciate but is
    present in the lateral femoral condyle.
  • RD
  • Mineralization of the femoral condyles

15
11-month old MN German Shepherd Cisco
  • Hx Intermittent lameness of right forelimb.
    Resists palpation of elbow.

16
11-month old MN German Shepherd Cisco
  • RF
  • In the right elbow there is a defect in the
    medial humeral condyle.
  • In the left elbow a faint area of lucency is
    present in the medial humeral condyle.
  • Careful inspection of the left elbow reveals the
    presence of a tiny linear mineral opacity
    structure in the lucent area. This is the
    cartilage flap that has elevated from the bone
    and undergone mineralization.
  • RD
  • Bilateral OCD of the medial humeral condyle

17
1-year old RottweilerRuko
  • Hx Left hind limb lameness. Mild swelling of the
    tarsus is present.

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20
1-year old RottweilerRuko
  • RF
  • There is mild soft tissue swelling surrounding
    the tarsus.
  • The subchondral bone of the medial ridge of the
    talus is abnormal.
  • The DP view of the right tarsus is normal.
  • RD
  • Osteochondrosis of the medial ridge of the left
    talus
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