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      CASE 41

      SIGNALMENT:

      6 year old male Brittany Spaniel
     
    HISTORY:

    The owner reported a 2 month history of progressive front limb lameness, with no history of trauma to the limb being noted.  On examination, the forelimb is abducted and externally rotated.  When the dog walks, he is unable to flex the shoulder joint normally and “flips” the limb forward in the swing phase of the gait.

    PHYSICAL EXAMINATION:

    At rest, the limb appears externally rotated and abducted. (Figure 1) Flexion of the shoulder joint is abnormal when the limb is manipulated, and range of motion is limited.  Radiographs of the shoulder were not remarkable.


    Figure 1
    Abnormal positioning of the left forelimb at rest - combined with the physical findings and the abnormal gait motion, a diagnosis of infraspinatus muscle contracture can be made.
    DIAGNOSIS:

    Contracture of the infraspinatus tendon.

    TREATMENT:

    Surgical transection of the infraspinatus muscle tendon was done.  Adhesions to the underlying joint capsule were also present, requiring surgical resection to obtain unrestricted joint motion.

    FOLLOW-UP:

    Three weeks postop, the owner reported the dog was markedly improved.  Return to full exercise was encouraged.

    ACKNOWLEDGMENT:

    Thank you to Dr. Steve Seidenberger, Eastside Veterinary Hospital - Collinsville, OK for this referral.

    CASE ARCHIVES:

    Click on Case Archives to access a list of past case features.