Comparison of Legg-Calve-Perthes and Hip Dysplasia

Wobbler syndrome is a disease of dogs that affects their spine in the neck region and is a very important and common cause of neurologic disability in large breed dogs. Wobblers disease is classified under a degenerative or idiopathic disease. Wobbler syndrome or wobblers is the most common name used but Veterinary literature has used multiple different names to describe this condition, this is in part due to the confusion regarding the mechanisms causing it. The name most commonly used in veterinary articles is cervical spondylomyelopathy (which means a disease of the neck vertebrae affecting the spinal cord). Other common names are CVI – cervical vertebral instability, CVM – cervical vertebral malformation, CVMM – cervical vertebral malformation-malarticulation,

This usually happens at the joints where two bones meet that create movement of body parts. This disorder is systemic and usually if it happens one side, it happens on the other side as well. A joint is where two bones meet, in between those two bones there is

Metabolic bone disease (MVB), is very serious and often comes from lack of UVB lighting or lack of diet, MVB can be diagnosed and treated with surgery at your local vet if it worsens.

PROCEDURE IN DETAIL: The patient was brought into the operating room, after satisfactory anesthesia, was placed in the left lateral dicubitis position. The right hip was prepped and draped. A previous made incision was reopened over the greater trochanter and carried down to Illiotibial (IT) band. The IT band was opened in the direction of the skin incision. The anterior 1/3 of the gluteus medius/minimus group was reflected off the trochanter over to the anterior brim of the pelvis. The hip was dislocated. The femoral component was easily removed. It was loose in the cement. The polyethylene was loose and easily removed. There was a lot of cement in and around the acetabulum. We debridement most of this. There was a wired mesh plug that went medially into the pelvis that was left in place. There was also one in the ishium that was quite stable and it was left in place. There was a large defect in the medial wall of the acetabulum about the size of a silver dollar.

I was able to search until I found his website regarding different types of hips. Then, I looked at the online databases through IPFW’s library and was able to find the article that gave a very detailed report on PAO’s. This article provided a variety of statistics and also three case studies that demonstrated recovery for a PAO. Lastly, I knew that there was an international hip dysplasia institute and thought that I would be able to find sufficient information regarding hip

02/12/16 Progress Report noted tat the patient is s/p left calcaneus fixation on 09/24/15. His current pain level ranges from 3/10 to 7/10 with standing up. There is sharp pain with stiffness and welling. Medication: Albuterol and Symbicort. Assessment/Plan: Gastrocnemius equinus, left and post-traumatic arthritis of the left lower leg. Surgery paperwork complete and the patient will follow-up after the surgery.

Caring for my Golden Retriever, Lucky, into his senior years has blessed me with the opportunity to work with orthopedics, dermatology, internal medicine, and oncology. These experiences have allowed me a unique perspective in the process of evaluation, diagnosis, and treatment. At a young age Lucky was diagnosed with bilateral hip dysplasia and elbow dysplasia. I have had the opportunity to nurse

The patient is a 72 year old female. She has been experiencing progressively worse pain and stiffness in her joints. She is reports that she is having decreased range of motion, redness, and swelling in her joints. She is reports symptoms occur in the same joints on both sides of her body. She is also reporting the symptoms are worse when she first wakes up in the morning.

As early as 2700BC in China, a form of manipulation, described by the Kung Fou Document was practiced. Centuries later, The Golden Mirror of Medicine had an illustration of a gravity traction technique, suggesting that the practice of spinal manipulation had continued. The patient was illustrated standing on two piles of tiles that were removed from under the patient as the practitioner applied force to the patient’s lumbar spine.

HPI: S.J. is a 67 y/o Caucasian male with a history of left hip pain for two years. He has difficulty walking due to left hip pain and utilizes a cane, can walk five blocks, climbs stairs leading with the right leg. He denies any surgeries on the left lower extremity. He sought physical therapy, but he does not feel that it is improving his pain but does believe it is improving his strength. He is scheduled for a left total hip arthroplasty due to the progression of severe osteoarthritis of the left hip as confirmed by a pelvic x-ray and MRI of the lower extremity without contrast. S.J. has taken various medications that are listed on the current medication section of this note.

Of note, anteroposterior and lateral views of the left foot taken on this visit reveal no evidence of fracture or dislocation. There is mild periarticular osteophyte formation, however, no Joint space narrowing is noted.

Previous research by Kaplan in the Skeleton in the closest devoted an article on Harry Eastlack living with the disease. Harry Eastlack is the perfect example of unnecessary biopsies and surgical procedures that greatly exacerbated his condition. During Harry’s lifetime, he experienced eleven operations because doctors failed to focus on the connections between the heterotopic ossification and the malformation of the toes (Kaplan, 2013). He was born with malformed toes, yet it wasn’t until his leg was struck by a car at the age of five that caused the progression of the disease. After the car accident, the flare-ups began and formed heterotopic bone in his lower limb. As the disease advanced Harry was unable to function with normal daily activities and was moved to a nursing home. Figure 4 illustrates the progression of Harry Eastlack fibrodysplasia ossificans progressiva throughout his life. Prior to his death he made a noble decision to bequeath his body and medical records to The Mutter Museum of The College of Physicians in Philadelphia for future generations to learn and study his disease (Kaplan 2013). Till this day, scientific researchers refer to his medical records as a guide to the disease. Although, Harry was never diagnosed with fibrodysplasia ossificans progressiva during his life, his contribution has made a significate impact with the members of the fibrodysplasia ossificans progressiva

Slipped capital femoral epiphysis, is a disease that slithers upon you like a snake. The pain begins in your lower leg, usually in the knee or ankle. However, that is not where the pain is truly located, the pain is located at the hip. The pain is caused by the displacement of the proximal femoral epiphysis from the metaphysis. A study of the disease in Germany, “with 411 overweight children in the study, 196 of them being males, the investigation showed 18.2% experienced reduced range of motion for hip flexing” (Wabitsch et al 2-3). The results from the German study showed that “eleven out of 54, showed signs of an abnormal head-neck ratio, this is a sign of prior silent slipped capital femoral epiphysis”

Fibrodysplasia ossificans progressiva (FOP) is a disorder in which skeletal muscle and connective tissue, such as tendons and ligaments, are gradually replaced by bone. This condition leads to bone formation outside the skeleton that prevents movement. This process generally becomes noticeable in early childhood, starting at neck and shoulders and moving down the body and into the limbs. Patients with FOP are born with abnormal big toes or known as hallux valgus, which can be helpful in making the diagnosis. Trauma, such as a fall or invasive medical procedure, or a viral illness may trigger muscle swelling and inflammation. Some episodes can last for several days to months and often result in permanent bone growth in the injured area. This condition occurs in about 1 in 1,600,000 newborns

Conclusions: Averaging the SL and the PCA intraoperatively leads to decreased femoral component malrotation compared to the use of either landmark individually. The compensatory changes between the SL and PCA suggests that trochlear condylar divergence may be an anatomical