Shoulder issue post craniotomy

[Guest guest]

Hi. Any help is appreciated.

Kendall is an 11 yo F/S German Shepherd dog who had a transfrontal craniotomy to

remove what turned out to be an oligodendroglioma in her left frontal lobe on

July 26. After surgery she had a gait abnormality in her right fore limb. Her

right elbow rotates outward. The neurologic exam was normal on presentation.

Radiographs of the right shoulder and elbow were unremarkable. She has a

history of bilateral hip DJD and shows a mild lameness on the right rear limb.

On palpation there may be a focal area of atrophy near the origin of the deltoid

muscle. I say " maybe " because the dog is very active and hard to palpate.

Range of motion in all joints of the fore limbs is normal, and the end feel for

each motion was normal. I did not try flexion and extension with the shoulder

rotated internally and externally because I did not think of it until I did some

refresher reading on the shoulder the next day.

I welcome suggestions as to what to do next to try to identify the problem, and

to treat the gait abnormality.

Grant, DVM, CCRP

rehabdvm@...

[Guest guest]

Hi .

Does she have excessive shoulder abduction? Many times dogs will internally

rotate the shoulder ( " externally rotate " at the elbow) to " seat " the

glenohumeral joint more stably. No surprise with hip OA that this dog might

more cranially weight shift and put more stress on her shoulders. I would

expect diagonal limbs to be involved, however (right front, left back).

Amie

Amie Lamoreaux Hesbach, MSPT, CCRP, CCRT

Physical Therapist

Massachusetts Veterinary Referral Hospital

20 Cabot Road

Woburn, MA 01801

Phone:

Fax:

E-mail: ahesbach@...

Website: www.IVGMassVet.com

> Hi. Any help is appreciated.

>

> Kendall is an 11 yo F/S German Shepherd dog who had a transfrontal craniotomy

to remove what turned out to be an oligodendroglioma in her left frontal lobe on

July 26. After surgery she had a gait abnormality in her right fore limb. Her

right elbow rotates outward. The neurologic exam was normal on presentation.

Radiographs of the right shoulder and elbow were unremarkable. She has a history

of bilateral hip DJD and shows a mild lameness on the right rear limb.

>

> On palpation there may be a focal area of atrophy near the origin of the

deltoid muscle. I say " maybe " because the dog is very active and hard to

palpate.

>

> Range of motion in all joints of the fore limbs is normal, and the end feel

for each motion was normal. I did not try flexion and extension with the

shoulder rotated internally and externally because I did not think of it until I

did some refresher reading on the shoulder the next day.

>

> I welcome suggestions as to what to do next to try to identify the problem,

and to treat the gait abnormality.

>

> Grant, DVM, CCRP

> rehabdvm@...

>

>

[Guest guest]

Sent on the TELUS Mobility network with BlackBerry

Re: Shoulder issue post craniotomy

Hi .

Does she have excessive shoulder abduction? Many times dogs will internally

rotate the shoulder ( " externally rotate " at the elbow) to " seat " the

glenohumeral joint more stably. No surprise with hip OA that this dog might

more cranially weight shift and put more stress on her shoulders. I would

expect diagonal limbs to be involved, however (right front, left back).

Amie

Amie Lamoreaux Hesbach, MSPT, CCRP, CCRT

Physical Therapist

Massachusetts Veterinary Referral Hospital

20 Cabot Road

Woburn, MA 01801

Phone:

Fax:

E-mail: ahesbach@...

Website: www.IVGMassVet.com

> Hi. Any help is appreciated.

>

> Kendall is an 11 yo F/S German Shepherd dog who had a transfrontal craniotomy

to remove what turned out to be an oligodendroglioma in her left frontal lobe on

July 26. After surgery she had a gait abnormality in her right fore limb. Her

right elbow rotates outward. The neurologic exam was normal on presentation.

Radiographs of the right shoulder and elbow were unremarkable. She has a history

of bilateral hip DJD and shows a mild lameness on the right rear limb.

>

> On palpation there may be a focal area of atrophy near the origin of the

deltoid muscle. I say " maybe " because the dog is very active and hard to

palpate.

>

> Range of motion in all joints of the fore limbs is normal, and the end feel

for each motion was normal. I did not try flexion and extension with the

shoulder rotated internally and externally because I did not think of it until I

did some refresher reading on the shoulder the next day.

>

> I welcome suggestions as to what to do next to try to identify the problem,

and to treat the gait abnormality.

>

> Grant, DVM, CCRP

> rehabdvm@...

>

>

------------------------------------

[Guest guest]

I am going to have the owner schedule a follow up exam and I will pay more

attention to the position of the glenohumeral joint. If she does have excessive

abduction at that joint, what type of treatment modalities or products would you

suggest?

>

> > Hi. Any help is appreciated.

> >

> > Kendall is an 11 yo F/S German Shepherd dog who had a transfrontal

craniotomy to remove what turned out to be an oligodendroglioma in her left

frontal lobe on July 26. After surgery she had a gait abnormality in her right

fore limb. Her right elbow rotates outward. The neurologic exam was normal on

presentation. Radiographs of the right shoulder and elbow were unremarkable. She

has a history of bilateral hip DJD and shows a mild lameness on the right rear

limb.

> >

> > On palpation there may be a focal area of atrophy near the origin of the

deltoid muscle. I say " maybe " because the dog is very active and hard to

palpate.

> >

> > Range of motion in all joints of the fore limbs is normal, and the end feel

for each motion was normal. I did not try flexion and extension with the

shoulder rotated internally and externally because I did not think of it until I

did some refresher reading on the shoulder the next day.

> >

> > I welcome suggestions as to what to do next to try to identify the problem,

and to treat the gait abnormality.

> >

> > Grant, DVM, CCRP

> > rehabdvm@...

> >

> >

>

>

>

> ------------------------------------

>

>

[Guest guest]

Hi .

I'm sure that our colleagues at VOSM may be better versed, but I've had success with the DogLeggs Hobbles.  As for treatments, be sure that the other joints are mobile-- elbow, cervical spine; the scapula is positioned appropriately; the hind limbs are flexible and strong.

Good luck.  Keep us in the loop.Amie

 

 

I am going to have the owner schedule a follow up exam and I will pay more attention to the position of the glenohumeral joint. If she does have excessive abduction at that joint, what type of treatment modalities or products would you suggest? >

> > Hi. Any help is appreciated.> > > > Kendall is an 11 yo F/S German Shepherd dog who had a transfrontal craniotomy to remove what turned out to be an oligodendroglioma in her left frontal lobe on July 26. After surgery she had a gait abnormality in her right fore limb. Her right elbow rotates outward. The neurologic exam was normal on presentation. Radiographs of the right shoulder and elbow were unremarkable. She has a history of bilateral hip DJD and shows a mild lameness on the right rear limb.

> > > > On palpation there may be a focal area of atrophy near the origin of the deltoid muscle. I say " maybe " because the dog is very active and hard to palpate.> > > > Range of motion in all joints of the fore limbs is normal, and the end feel for each motion was normal. I did not try flexion and extension with the shoulder rotated internally and externally because I did not think of it until I did some refresher reading on the shoulder the next day.

> > > > I welcome suggestions as to what to do next to try to identify the problem, and to treat the gait abnormality.> > > > Grant, DVM, CCRP> > rehabdvm@...> >

> > > > > > ------------------------------------> >

[Guest guest]

I will try that. Thanks.

> > >

> > > > Hi. Any help is appreciated.

> > > >

> > > > Kendall is an 11 yo F/S German Shepherd dog who had a transfrontal

> > craniotomy to remove what turned out to be an oligodendroglioma in her left

> > frontal lobe on July 26. After surgery she had a gait abnormality in her

> > right fore limb. Her right elbow rotates outward. The neurologic exam was

> > normal on presentation. Radiographs of the right shoulder and elbow were

> > unremarkable. She has a history of bilateral hip DJD and shows a mild

> > lameness on the right rear limb.

> > > >

> > > > On palpation there may be a focal area of atrophy near the origin of

> > the deltoid muscle. I say " maybe " because the dog is very active and hard to

> > palpate.

> > > >

> > > > Range of motion in all joints of the fore limbs is normal, and the end

> > feel for each motion was normal. I did not try flexion and extension with

> > the shoulder rotated internally and externally because I did not think of it

> > until I did some refresher reading on the shoulder the next day.

> > > >

> > > > I welcome suggestions as to what to do next to try to identify the

> > problem, and to treat the gait abnormality.

> > > >

> > > > Grant, DVM, CCRP

> > > > rehabdvm@

> > > >

> > > >

> > >

> > >

> > >

> > > ------------------------------------

> > >

> > >