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Elbow Dysplasia & Hip Dysplasia 

版主: doggydc, Jeff Wang, JLLinVET, 艾咪

Elbow Dysplasia & Hip Dysplasia

文章yiwing » 2011-04-11, 03:57

1.名字: Alpha
2.年齡: 1 year and 1 month
3.犬種: Golden Retriever
4.性別: Male
5.體重: 88 lbs
6.病史: Elbow Dysplasia & Hip Dysplasia
7.發病經過、症狀: When Alpha was about 7 months old, he started to show sign of limping. He was walking slowly, sometime even stopped and refused to walk anymore, when we took him out for walk. We took him to the vet and took some x-ray, soon we discovered that he has hip dysplasia and elbow dysplasia. We were referred to several specialists for opinions, and all of them suggested the bilateral elbow arthroscopy as soon as possible.
8.醫師的診斷: Arthoscopy procedure on elbows should to be performed as soon as possible. Hip dysplasia was in mild condition, no medication or procedure necessary for now.
9.醫師的治療方式: Bilateral elbow arthroscopy with medial coronoidectomy took place on 1/3/2011. This is what is stated on the specialist's report: Severe generative joint desease was found with cartilage erosion on the medical humeral condyles ("kissing lesions"). osteopthytosis and an approximately 7x5mm fragment at the lateral side of the left medial coronoid process. The fragment was removed and subtotal coronoidectomy was performed bilaterally using arthroscopic osteotome.
We've been given one 50mg of Tramadol per day to Alpha for a little less than 3 months after the procedure as instructed.
10.請儘量提供相關檢驗資料、x光片、Video檔:
11.欲詢問醫生之問題:Specialist suggested to give omega 3 fatty acid daily supplement and prescribed a supplement called "Dasuguiu". Are these supplements really helpful for Alpha's condition? Would there be any side effects? We heard that tramadol can cause kidney problem, is that true? If so, was the amount that we've been to Alpha considered as "a lot" already? Also for his hip, would it be worsen as he grow, which would require Triple Pelvic Osteotomy or Total Hip Replacement? How often we should take Alpha to the vet for check up on his hip?

Thank you in advance for your time and advice!
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0ALPHA.jpg
right elbow x-ray before procedure at 7 months old
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1ALPHA.jpg
left elbow x-ray before procedure at 7 months old
1ALPHA.jpg (104.86 KiB) 被瀏覽 2891 次
2ALPHA.jpg
hip x-ray at 7 months old
2ALPHA.jpg (299.82 KiB) 被瀏覽 2891 次
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yiwing
 
文章: 2
註冊時間: 2011-04-11, 02:37
性別: 未指定

Hip x-ray - Side - at 7 months old

文章yiwing » 2011-04-11, 04:00

Hip x-ray - Side - at 7 months old
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3ALPHA.jpg
3ALPHA.jpg (254.64 KiB) 被瀏覽 2888 次
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yiwing
 
文章: 2
註冊時間: 2011-04-11, 02:37
性別: 未指定

文章Jeff Wang » 2011-04-11, 11:06

I believe you are talking about dasuquin. It is Ok to with as long term. Same is fatty acid. Unless the patient is allergic to them. I am taking the similar products also. So, please don't worry. Tramadol actually is a safe pain killer. but it doesn't have the ability of anti-inflammtion like NSAID. Tramadol is ok to at that dosage. It is low dosage. The recommended dosage is 2-4mg per Kg of body weight.

I think you worry too much on the hips' condition. I didn't see the necessity of hip surgery from these radiographs. Of course, I need to evaluate the walking condition to make sure of that. However, I will try conservative management first and take another hip radiographs in 3 months. Thanks.

Jeff
Jeff Wang
 
文章: 739
註冊時間: 2004-11-04, 10:15
來自: USA
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