Companion Publications

Canine, Shoulder OCD with OA, "Moss"

Written by Companion | Nov 20, 2022 2:45:00 PM

Case courtesy of
Dr. John Mather, Greenbay Vets, Devon, United Kingdom

Signalment
Canine, one year old, m/i, Border Collie, "Moss"

History

There was a history of intermittent lameness to the left foreleg for three months.
 

Diagnostics and Exam Findings
Radiographs of elbows appeared normal, and there was no positive response to exercise restriction. However, radiographs of the left shoulder revealed an OCD fragment of the caudal humeral head.

PRP Treatment
The left shoulder joint was injected with 1 ml of PRP after OCD fragment removal.

Frequency of Treatment
After the initial PRP injection, a second PRP injection was repeated one month later as the patient showed slow improvement.

Other Treatments
Meloxicam was initially utilized

Comments
Originally, the client wished to avoid surgery. The OCD fragment was removed arthroscopically. The client was adamant on avoiding "just giving tablets," making the use of PRP a perfect candidate to treat the affected area locally where the problem existed. The use of PRP also avoided potential side effects and proved to be more cost-effective than pharmaceuticals. Additionally, the use of regenerative medicine allowed for adjunctive services to be utilized (laser therapy, stance analysis, and physiotherapy). This case provided the patients with the best clinical response and gave the clinical team more job satisfaction by implementing allied modalities to standard of care.