Knee injury!?!

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IloveBlu
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Knee injury!?!

Postby IloveBlu » Thu Mar 17, 2011 4:56 pm

This dog is seriously trying to give me a heart attack.

He is having intradermal skin testing and staph lysate injection #1 at the derm next Tuesday. We've been dealing with insane atopy/bacterial skin infections pretty much since we got him in 2009 but they have worsened this past season.

This week, I sent him to his doggy daycare for three days (Mon/Tue/today). He loves it there, and frankly I enjoy giving him some kind of pleasure amidst his misery.

Anyway, I got a call today at 3:30pm from daycare stating that Blu had been hobbling earlier in the day so he went to nap time (crate/kong) for two hours. When they got him out, it seemed he was worse and then eventually he began not putting any weight on it at all. They said there was no incident or crazy behavior from him or anyone in his small group. He was watched the whole time unless he was in a crate.

So I went to pick him up and see if he needed to go to the vet. When I got there, he was laying down in the reception area and ran to me when I saw him. He picked up his back leg to run, but to walk he used it (hobbily). His paw is fine and nothing is sore to the touch. Although when I extended his knee, he seemed reluctant to let it bend?

He's resting now and will for the rest of the night. I'll call the vet in the am if it's not better, but does this sound like a knee injury? ACL? He's never had any problems in this area that I've noticed before. However, he's not a sporting/working dog, just gets average exercise/walks/fetch time.

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IloveBlu
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Re: Knee injury!?!

Postby IloveBlu » Fri Mar 18, 2011 6:23 am

He's better after a night of rest but still babying it. Of course he flew down the stairs before I could catch him and carry him down. He ran down the stairs holding it up but is otherwise putting weight on it. I will call the vet when they open....would you xray him anyway or continue to watch over the weekend?

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kaytenmags
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Re: Knee injury!?!

Postby kaytenmags » Fri Mar 18, 2011 9:44 am

sounds like my dog's first knee that blew.
i'd talk to your vet, maybe get some anti-inflamitories, and try some serious crate rest for a little bit. see if things improve. maybe (fingers crossed) he just tweaked something or pulled a muscle. but there's no way it'll have a chance to heal unless you're really strict with the down time! no stairs, no jumping, leashed potty breaks only, etc.
*thinks happy non-crutiate thoughts*

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IloveBlu
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Re: Knee injury!?!

Postby IloveBlu » Fri Mar 18, 2011 4:50 pm

He had both knees x-rayed. The vet could not feel any drawer effect upon exam, but did feel a lot of swelling at the knee. His xrays are inconclusive at best. His symptomatic knee is suspicious toward a partial or old cruciate tear. There is some arthritis in that knee as well. Also some calcification and rough edges around the bone.
My head is spinning and I don't know what any of this means. I'll probably call back on Monday with questions but this is obviously a specialist issue. I just can't afford another specialist for him this month. He is resting it for now and we'll be starting glucosamine for the arthritis. Still spinning right now.

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IloveBlu
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Re: Knee injury!?!

Postby IloveBlu » Fri Mar 18, 2011 5:52 pm

Also, is it bizarre that the vet couldn't see an actual tear, was just suspicious of one? All he *saw* was arthritis, calcification and roughness at the joint.

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mtlu
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Re: Knee injury!?!

Postby mtlu » Fri Mar 18, 2011 11:28 pm

From what was explained to me by the orthopedic specialist who did Molly's second set of x-rays, the x-rays won't show tears but will show things like buildup of meniscal fluid which can indicate a tear and calcification/bone irregularities. The initial set of x-rays done by our regular vet of Molly's left knee were not conclusive enough for the orthopedic specialist so he did a set during our consult without sedation. He checked for drawer signs, other manipulations and also her gait. He could not say for certain how much of a tear there was but that everything he checked out confirmed a tear. By the time we went in to do the repair, the surgeon (a different one from the first ortho specialist) told us that it was about 75% torn or something like that.

If the x-rays made by your vet are clear enough, an orthopedic surgeon may be able to do a consult without having to make another set so that would lessen the cost of the consult.

Good luck and I hope Blu is ok.

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IloveBlu
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Re: Knee injury!?!

Postby IloveBlu » Sat Mar 19, 2011 8:51 am

The consult fee is probably doable right now but the surgery would not be. I've been trying hard to restrict his activity but it's really hard. The vet mentioned he needed anti-inflammatories but couldn't prescribe them until he spoke to the derm because we are scheduled for allergy testing on Tuesday.

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Kingsgurl
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Re: Knee injury!?!

Postby Kingsgurl » Sat Mar 19, 2011 3:24 pm

Uhg! So sorry to hear this. Was Blu awake during the drawer sign test? As mentioned, the soft tissue doesn't show up on the rads, though arthritic changes, pockets of fluid etc. do. Martin was diagnosed by multiple doctors as having probable partial tears in both knees, though when they went in for his actual surgery, both tears were complete ruptures and there was tearing in both meniscus as well.
I wish you the best of luck

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IloveBlu
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Re: Knee injury!?!

Postby IloveBlu » Sat Mar 19, 2011 4:50 pm

Yes, he was awake for the exam and the xrays, actually.

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IloveBlu
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Re: Knee injury!?!

Postby IloveBlu » Mon Mar 21, 2011 12:09 pm

Does anyone have a reccommendation for an orthopedic surgeon in NJ? I know of Garden State and Red Bank, but was hoping for some personal reccs. My baby is still hobbling :crybaby:


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