Sprains and Ligament Injuries in Dogs
A sprain is an injury caused by sudden stretching or tearing of the ligaments in and around the joint, or the joint capsule itself. Signs are pain over the joint, swelling of the tissues, and temporary lameness.
Treatment: If the dog is unable to put weight on the leg, seek veterinary consultation to rule out a fracture or dislocation. This is true for any injury that fails to improve in 24 hours. X-rays should be taken.
It is most important to prevent further injury by resting the affected part. Restrict activity by confining the dog in a small area. Apply cold packs to the injured joint for 15 to 30 minutes, three or four times a day for the first 24 hours. Use a chemical cold pack or put crushed ice in a plastic bag. Wrap the pack in a towel and secure it in place over the injured joint with a loose gauze wrap. An alternative method is to run cold water over the affected leg for 5 to 10 minutes, three or four times a day.
After the first 24 hours, switch to warm, moist compresses for 15 to 30 minutes, three times a day for the next two to three days. Apply as described for cold packs. Avoid hot compresses, which can burn the skin.
Analgesics may be prescribed by your veterinarian to relieve pain. One disadvantage of pain relievers is that they may allow the dog to begin using the leg while the injury is still fresh. This can delay healing, but if the dog's activity is restricted this is not a problem. Anti-inflammatories may hasten healing by reducing swelling and inflammation around the area. Keep the dog off the leg by confining him in a small, closed area. Take him out on a leash only to eliminate. Allow at least three weeks for successful healing. Incomplete healing is associated with prolonged lameness and the later development of degenerative arthritis in the joint.
Tendons can be stretched, partly torn, or ruptured. Strained tendons follow sudden wrenching or twisting injuries. The tendons of the forepaws (front and back) are strained most often. The signs of tendon injury are lameness, pain on bearing weight, and painful swelling over the course of the tendon.
Rupture of the Achilles tendon at the hock joint can be caused by sudden and extreme flexion of the hock. This injury tends to occur in Greyhounds and sporting and performance breeds. The Achilles tendon is the one most often severed in dog fights and car accidents. Rupture of the Achilles tendon causes a dropped hock.
Treatment: This is the same as described for sprains. A ruptured Achilles tendon should be surgically repaired. Surgery will be followed by a long course of rest and rehabilitation.
The stifle joint is stabilized by a number of ligaments. The two large ligaments that cross in the middle of the joint are the cranial and caudal cruciates. The ligaments that stabilize the sides of the joints are the medial and lateral collaterals. The meniscus is a cushion of cartilage between the femur and the tibia and fibula.
Rupture of the cranial cruciate is a common and serious injury of the stifle. It occurs in all breeds at all ages, but is more likely to occur in younger, active dogs. There may be a congenital or developmental predisposition in some dogs (see Osteochondrosis). If one tears, unless it is repaired, the ligament in the other knee also eventually tears.
The sudden onset of rear leg lameness suggests a rupture. The lameness may disappear with rest, then recur with exercise. In some cases the presenting sign is persistent lameness in one or both hind legs. The diagnosis is confirmed by palpating the stifle joint. In many cases the medial collateral ligament is also damaged.
Rupture of the medial or lateral collateral ligament usually is caused by a severe blow to the side of the joint or a twisting motion, especially at speed. The affected ligament may be stretched, partially torn, or completely severed. Diagnosis is made by manipulating the joint and looking for a degree of looseness. Severe blows to the stifle may also cause joint fractures. Dogs may need to be anesthetized for a thorough evaluation of the stifle.
Injuries to the meniscus are associated with injuries to the cruciates. If a cruciate injury goes untreated, secondary damage to the meniscus occurs in the weeks and months that follow. The end result is degenerative arthritis and permanent lameness. Isolated meniscus injuries are rare in dogs.
Treatment: The treatment of choice for ruptured cruciate ligaments is surgical repair. If this is not done, the joint becomes unstable and is subject to further damage. Following surgical repair, physical therapy and restricted exercise are important for successful recovery. The complete rehabilitation program may take months for dogs to return to near full athletic performance levels.
Collateral ligaments that have been stretched but not torn usually heal satisfactorily with rest and restricted activity.
This article is excerpted from “Dog Owner’s Home Veterinary Handbook” with permission from Wiley Publishing, Inc.
Copyright © 2007 by Howell Book House. All rights reserved.