Problems with the musculoskeletal system bring a large number of patients of various types, sizes, breeds and ages into the clinic. These are problems that are most often manifested by limping, reluctance to move or play, difficulty to get up after rest. This is how your pet is letting you know that it is in pain, and sometimes also where. Sometimes, especially in cats, the symptoms can be very subtle and the owner may observe a lack of appetite or hiding.
An orthopedic examination consists of a basic clinical examination with a detailed anamnesis. This is followed by a demonstration of the animal in motion, both walking and trotting. During this examination, the orthopedist should locate the problem and then find out what is causing the problem through deep palpation.
Most diseases of the musculoskeletal system require subsequent diagnostic radiology. Depending on the location, the doctor will determine if analgesia is necessary. This will help the patient relax so we can perform the diagnostic radiology in positions that would be impossible when the patient is conscious due to pain or manipulation.
Some acquired diseases require the collection and examination of synovial fluid. This is performed aseptically with sterile instruments and it is usually an integral part of the diagnosis of arthritis (inflammation of the joints).
- Osteochondrosis (OCD)
- Dysplasia of the hip joint (HD) – Dr. Stehlík performs unofficial and official (for breeding exceptance) X-rays; the examination is performed under sedation.
- Elbow joint dysplasia (ED), ununited anconeal process, fragmented coronoid process – dtto
- Aseptic necrosis of the femoral head – Legg Calve Perthes
- Luxation (dislocation) and subluxation of joints – traumatic, e.g. after a car accident, fall from a window in the case of cats, congenital
- Patellar luxation
- Rupture of ligaments or their incomplete damage (cruciate, collateral ligaments of the knee, ankle, patellar ligament)
- Osteoarthritis (arthrosis)
- Arthritis (inflammatory disease of the joint) – septic, rheumatoid, immune mediated
- Hypertrophic osteopathy
- Hypertrophic osteodystrophy
- Bone fractures
- Bone neoplasms
Muscle and tendon diseases
- Trauma – contusions, strains, tears, contractures