Step 3: Dog Knee Proper Diagnosis
Step 3: Proper Diagnosis
There are multiple tests your veterinarian can perform to help diagnose a cranial cruciate ligament tear. One of the first signs present prior to instability may be pain with full extension (hyperextension) of the knee. This pain is likely due to stretching of the intact or strained fibers of the cruciate ligament. Once the ligament tears to a certain degree the tibia can be manually manipulated to show instability in what is called the “cranial drawer test” in which the tibia can be moved forward in relation to the femur. Another sign referred to as tibial thrust, may be elicited as well. With this test, weight bearing is mimicked and the front of the tibia can be noted to be pushing forward in relation to the femur. It is important to keep in mind that many patients with clinical signs of pain and lameness may have a partial tear of the CCL. In these cases, there may not be any obvious instability (cranial drawer or tibial thrust) on the exam, however, the patient has a torn CCL that will likely progress to a complete tear.
Other signs that may be noted on the physical exam include loss of muscle mass (atrophy), detection of effusion (excess fluid in the stifle) within the joint, and scar tissue formation around the knee (buttress). This scar tissue is the body’s natural response to try and stabilize an unstable joint. Long-term this scar tissue leads to a decreased range of motion in the knee. Finally, a “clicking” sound may be noted in a small percentage of patients with meniscal tears.
Though the cranial cruciate ligament is not visible on an x-ray, radiographs can help confirm a diagnosis of a CCLR by detection of changes that occur in the joint following CCL injury. These changes may include effusion, arthritis, and forward movement of the tibia relative to the femur. Radiographs can also help rule out other concurrent injuries.
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