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Help!! - CCL injury

Discussion in 'Diseases & Illnesses' started by Roberta, Feb 6, 2019.

  1. Roberta

    Roberta Premium Member

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    Five days ago I let my 3 shelties into the back yard to do their business. It is a fenced yard so I wasn't really paying much attention to them. When my Avery came back in he was limping badly - he was holding his back left leg up and he couldn't seem to put any weight on it. Up until then I hadn't noticed any problems.

    I rushed him to the vet. They did X-Rays but didn't find anything broken. They did find a bone spur and some arthritis. They put him on pain meds, told me to not to let him play roughly with the other dogs (keep him quite). They did a "drawer test" and said the indication was that he had injured his CCL. They took a video of him limping and consulted with an orthopedic specialist. I spoke with the orthopedic specialist and scheduled surgery for this Friday 2/8 (2 days from now). He will re-examine Avery and take more X-Rays that morning. I will meet with him before the surgery.

    Starting today, I noticed a lot of improvement in Avery. The first few days after this happened he couldn't put weight on that leg. he held it up. Now he seems to walk normally a lot of time. When he as been resting for a while it seems to bother him again, but then it seems to be OK.

    If this really is a CCL injury, could it improve in 5 days? Maybe its just a pulled muscle? I didn't think this type of injury showed up on an X-Ray. I've got another day before the surgery is scheduled. I will definitely discuss this with the surgeon, but I would really appreciate knowing about any of your experiences. He will be 11 years old tomorrow (its his birthday) - so I really worry about surgery. I don't want to put him through any unnecessary procedures, but don't want to delay if he really needs it. Any advice would be appreciated.
     
  2. Piper's mom

    Piper's mom Forums Enthusiast

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    Awww poor Avery! Not something you want to have happen just before his birthday! I'm afraid I don't have any advice as I've (fortunately) never experienced this with my dogs but I wanted to wish him a speedy recovery and fingers crossed that all goes well. I'll keep you guys in my prayers!
     
    KarenCurtis and Roberta like this.
  3. Caro

    Caro Moderator

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    I'm so sorry, what a bugger.

    Fortunately none of my dogs have ever done their cruciate, however I know many dogs who have had one of the replacement surgeries. When Tully's hip went I was in the Yahoo group 'Ortho dogs' and there were so many discussions on CCL - partial vs complete tear, brace vs surgery, materials used. Your questions are definitely the sort of questions many ask, it is a real shame you can't have another consult. Can you phone and have a list of questions - often they have an associate who can answer if they aren't available.

    And yes you can see soft tissue injury on an xray, although sometimes it requires a specialist.

    They can still function with a CCL injury - it makes the joint unstable, it doesn't completely prevent walking, although it may be painful. The problem is the long term impact of bone grinding on bone. So if he's already got arthritis leaving it will make it worse. And it's a partial, CCLs don't repair so there is a risk of a complete tear, and if that happens when he's even older what do you do? Given his age, it may be a chronic problem (hence the arthritis), and as we age our ligaments lose elasticity so it may have been building to this point.

    Honestly, call again, tell them your concerns, never book anything if you have doubt; it can always be delayed as it's not life threatening. If you can't see the surgeon they may have briefed your vet and your vet can explain what's going on (I've done this before)
     
    Sandy in CT and Roberta like this.
  4. ghggp

    ghggp Moderator

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    I am so sorry to hear Avery is hurting. My Mr Chance had an injury where he could no longer use his back leg and I also rushed him to the vet. My vet did xrays and could not find anything broken either!

    He recommended before we jumped to surgery that he wanted Mr Chance to be on a total restriction of movement. I had to keep him on a leash to go out to do his business and keep him in a small xpen. This went on for two full weeks! The first week he put no weight on it. The beginning of the second he would put it down slightly.

    At the end of the two weeks he was totally normal using his leg again! My vet usually ops for less invasive if at all possible! I was glad for that!

    Just my experience but my gut tells me to get a second opinion like Caro suggests. Or maybe give it a bit more time with total restriction. Good luck... keep us posted on your progress!
     
  5. Roberta

    Roberta Premium Member

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    Avery update - I talked to the orthopedic specialist today via phone and explained that Avery's limping has much improved from earlier this week when he first injured his leg. He said that this type of injury causes bleeding into the joint when it first happens causing pressure. After a few days this blood gets absorbed so it is not unusual for the dog to feel better after a few days. Avery's X-Rays showed a fairly significant bone misalignment which evidently is typical of this type of injury.

    I am meeting with him tomorrow morning when he will do another examination and take more X-Rays. He will re-evaluate the results but for now it is most likely that Avery will have his surgery tomorrow.

    Today is Avery's 11th Birthday. We celebrated (he missed being able to play tug-of-war with his baby sister). Here is a picture of the Birthday Boy.

    avery-bday-2019.jpg

    Thanks for letting me vent. Thanks to everyone for the advice and moral support. Sheltie Nation is AWESOME.
     
  6. Chris

    Chris Premium Member

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    Looks like Avery had a whale of a time at his birthday party! Please keep us posted on CCL developments!
     
    KarenCurtis likes this.
  7. KarenCurtis

    KarenCurtis Premium Member

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    ADORABLE !!!!! And I wish Avery the best! Good luck!
     
  8. Piper's mom

    Piper's mom Forums Enthusiast

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    Happy Birthday Avery!!!
    What a lucky boy, so many toys!
    Good luck with the surgery, keep us posted!
     
  9. Caro

    Caro Moderator

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    Happy birthday Avery! Have a great day - you never know what tomorrow will bring (tho your mum knows:muted:)

    That's interesting what the surgeon said, thanks for the update. What method is he using? I know a lot of labs with titanium but I also have a friend with a smaller, older dog they used stuff like fishing line. Will he have to stay overnight?

    Will be thinking of you tomorrow (well tonight my time).
     
    Roberta likes this.
  10. Calliesmom

    Calliesmom Moderator

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    Happy Birthday Avery:yes:
    hope that everything works out:fl
     

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