Author(s): Dr. John Mather, Greenbay Vets, Devon, United Kingdom
Signalment: Canine, 10 years old, F/S, Terrier cross, “Xeva”.
History: The patient presented with a one-year history of intermittent left foreleg lameness There was no improvement to robenacoxib. and other medication combinations.
Diagnostics and Exam Findings: Multiple diagnostics (CT, musculoskeletal ultrasound, radiographs) were normal. Arthroscopy showed a full thickness cartilage tear to the caudomedial humeral head. Arthrocentesis revealed degenerative mononuclear arthropathy.
PRP Treatment: Two milliliters (2ml) of PRP were injected into the left glenohumeral joint. NSAID was discontinued for two weeks post-PRP injection.
Stance Analysis: The stance analyzer was used to collect baseline readings on weight distribution. The left foreleg showed improvement in bearing weight from 20% to 28% (normal 30%).
Frequency of Treatment: A second injection of PRP was considered two months after the initial injection.
Other Treatments: Standard of care was applied, including gabapentin and Synovin EFA. Gabapentin was discontinued after the PRP injection, and robenacoxib was used for break-through episodes but has not been needed for ~ 4 months.
Comments: The patient continues to exercise freely with other dogs.
Initial radiograph: