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PAWSITIVE HAPPENINGS - June 2018 Veterinarian Newsletter

Posted June 3, 2018 in Articles

Veterinarian CE - Portsmouth or Manchester

Luxations... Not just for patellas anymore.
- Sean Kennedy

RACE-Approved Lecture (2 CE Credits)

The Acute abdomen: decision making factors.

Speaker:  
Stephanie Lister Grey, DVM, MSC, DACVS

&

Canine lymphoma - what are those lumps and bumps?

Speaker: 
Kim Johnson, DVM, DACVIM (ONCOLOGY)

 Date & Time: Wednesday August 1, 2018
6:30PM - 9:00PM

Location:
Tuscan Kitchen
581 Lafayette Rd
Portsmouth, NH 03801 

 OR

Date & Time:  Thursday August 2, 2018 
6:30PM - 9:00PM

Location:
Southern NH Veterinary Referral Hospital
336 Abby Road
Manchester, NH 03103

Dinner Provided / No Charge to Attend

RSVP Required to:
Register@VetCriticalCare.com with date preference and your full contact information

http://www.nhveterinaryspecialists.com/learn-more/vet-ce

 

Clinic Updates

VECCNH
We are happy to welcome Dr. Rachel Ross back to New Hampshire, after finishing her DVM from the College of Veterinary Medicine at the University of Missouri.  She will be joining our team of ER doctors - please wish her a warm welcome if talking to her!  Dr. Ross has a special interest in the areas of internal medicine, nutrition, and critical care.

MVER
MVER's hours of operation have changed! 

We are now open Monday - Thursday 5pm - 8am and 24 hours on weekends; 5pm Friday through 8am Monday

SNHVRH
We are very exited to introduce a new member to our team, Nate Deering, DVM. Cardiology. Nate will start seeing patients at the end of July. 

Specialty Services:

Critical care, Cardiopulmonary medicine:

Lee Garrod DVM, DACVECC

Nate Deering DVM 

(Cardiology Residency)

Medicine:

Chris Rollings, DVM, DACVIM

Neurology:

Heather Jones DVM, MS, DACVIM (neuro)

Ophthalmology:

Keith Montgomery DVM, DACVO

Oncology:

Kim Johnson DVM, DACVIM (onc)

Marlene Hauck DVM, PhD, DACVIM (onc)

Surgery:

Sean Kennedy DVM, DACVS

Stephanie Lister Grey DVM, MSc DACVS

Emergency:

April Chambers, DVM

Jessica Cioffi, DVM

Casey Cole, BVM

Gina Dinallo, DVM

Ashley Dunn, DVM

Ali Haghnazary, DVM 

Tricia Prine, DVM            

Amanda Profita, DVM

Rachel Ross, DVM

Luxations... Not just for patellas anymore.

We are all familiar with patella luxations of both large and small breed dogs as well as cats. But not as many of us will have seen a less frequently diagnosed luxation of the canine hind limb. It is commonly associated with herding breeds, specifically shelties and collies. The condition causes intermittent and often not dramatic lameness. However the lameness certainly interferes with exercise and work in these active breeds. The luxation is of the superficial digital flexor tendon, also known as Superficial Digital Flexor Displacement (SDFD).

Swollen hock... now what? An SDFD must be differentiated from an injury to the other components of the Achilles mechanism - specifically the Gastrocnemius and Common calcanean (Biceps Femoris, Gracillis and Semitendinosis) tendons. Whereas the Gastroc nemeus and CCT insert onto the tuber calcanei, the SDF tendon passes superficial to these tendons through a bursa with a sulcus or groove in the tuber that is similar to the sulcus of the distal femur (though less pronounced). Dysplasia resulting in an absence or a slant to the tuber groove may predispose some canines to this injury.

Injury to non SDF components of the Achilles (Gastrocnemius or CCT tears or avulsions) usually result in marked continuous lameness that may be accompanied by flexed toes (from pressure on the SDF from a dropped hock) and a plantigrade stance in the rear. Radiographs may show an avulsion at the tuber calcanei and moderate to marked soft tissue swelling at and proximal to the Achille's insertion. Chronic cases may show mineralization of the CCT proximal to its insertion.

SDFD on the other hand usually is unremarkable radiographically with the exception of mild ST swelling at and just distal to the tuber calcanei. Lameness is usually milder and intermittent. Standing angle of the hock is normal. The tendon can be usually be reduced by extending the hock (usually luxates laterally but medial can also occur) and often spontaneously luxates during flexion after reduction.

Rest, NSAIDS and physical therapy do not resolve the condition and surgical repair is recommended. At surgery the bursa is opened, excess retinaculum is removed or imbricated and the tendon is sutured to the retinaculum with non-absorbable suture. The wound is closed routinely and the hock is immobilized with a modified Robert jones bandage +/- lateral splint for 2 weeks. An additional 3-4 weeks of leash walking is followed by a gradual return to normal function. Prognosis is excellent with most canines achieving normal pain free use by 2 months post operatively.
-Sean Kennedy, DVM, DACVS (Surgery)