SHOULDER INJURIES
WHAT IS THE SHOULDER JOINT?
Just like in people, the shoulder joint is comprised of the lower portion of the scapula (shoulder blade) and the top of the humerus (upper arm bone). There are a number of ligaments, tendons, and muscle that help to keep the shoulder stable and functional.
WHAT ARE THE MOST COMMON CONDITIONS AFFECTING THE SHOULDER JOINT?
A condition called Osteochondritis dissecans (OCD) is the most common condition that affects the shoulder joint of young growing dogs. OCD occurs when there is a loss of blood flow to an area of the cartilage which causes a cartilage flap to form. A combination of the cartilage flap and exposed bone results in pain and lameness.
Other common conditions of the shoulder include biceps tendonitis, supraspinatus tendonitis, and shoulder instability. Traumatic injuries to the shoulder include fractures and dislocations.
WHAT ARE THE SIGNS OF A SHOULDER PROBLEM?
Limping on a front leg is the most common sign of a shoulder problem. Limping may be mild and only noticeable after high levels of activity or after getting up. A severe injury to the shoulder such as a fracture or dislocation will be painful and your pet will not put any weight on the leg. Swelling around the shoulder will also be seen with a traumatic injury.
HOW ARE SHOULDER CONDITIONS DIAGNOSED?
A thorough lameness and orthopedic examination is necessary to localize a shoulder problem. Pain can often be detected during palpation and putting the shoulder through a full range of motion. Sedation may be required to fully assess the shoulder.
X/rays of the shoulder are often needed and will help determine if a fracture, dislocation, or OCD lesion is present. If a tendon, ligament, or muscular condition of the shoulder is suspected, an ultrasound, CT, or MRI will likely be recommended.
WILL MY PET NEED SURGERY FOR A SHOULDER CONDITION?
Whether surgery is recommended will depend on the underlying condition. Surgical correction is not always needed for shoulder conditions. Certain shoulder conditions can be managed with a combination of medical and rehabilitation therapy. The VOMC surgical and rehabilitation team will provide all of the treatment options for your pet’s specific shoulder condition and help you decide on the most appropriate treatment option.