Rottweiler Discussion Forums

Go Back   Rottweiler Discussion Forums > Rottweiler > Vets Corner
Did you forget your password? Reset it here


Vets Corner This area is designated to the health and welfare of our pets.

Reply
 
LinkBack Thread Tools Search this Thread Display Modes
  #1  
Old 05-11-2009, 09:16 PM
Member
 
Join Date: May 2009
Location: North Reading, MA
Images: 1
Sesamoid Bone Fracture

Hi:
I have a 10 year old Rottie that was just diagnosed with a fracture of the 4th digit by an ortho doctor after going through off and on limping episodes since last July. I always thought it was a fractiured sesamoid bone but my vet kept telling me everything looked normal in the x-rays. I had x-rays done last July and last December by my regular vet with no findings and when the limping got worse I decided to see a specialist last week. The ortho picked up on the fracture right away.

I have surgery scheduled for this Wednesday to remove the fracture bone and wanted to know if any other members have had the surgery done? I can't really find anything on the internet regarding this type of surgery and wanted input for other members.

Thank you,
Jane Hewitt
North Reading, MA
Reply With Quote
 
  #2  
Old 05-19-2009, 01:50 PM
Member
 
Join Date: Jun 2002
Location: Dover NH
Images: 11
Re: Sesamoid Bone Fracture

Jane, I wanted to re pull this up as my dog Cam has 2 sesamoid fractures, with a third looking questionable. He's been battling lameness for 3 months now which waxes and wanes. What drew us to check the sesamoids was a winging out of his leg that he was doing when he was appearing to be "sound" (he's trying to keep the weight off of his inner toe), a persistent shoulder injury that we believe is related to the incorrect travel, a hypersensitivity to walking on any rocks or gravel (pressure on the broken sesamoid), and a worn inner toe and pad due again to what we think is incorrect travel. He also has a splayed outer toe due to the pressure of him trying to stay off of that sore inner toe.

Two of the breaks are obliterated... multiple peices scattered about. :( He has sx planned for the 28th by an orthropedist. Do share with me what you find.... Short of what my vet has told me, I too am having a hard time finding information. We have a consult with the orthropedist prior to sx, so I plan to have my questions answered then...
__________________
Jessica Newcomb (Jess)

^U-CD Max ^ CDX, RE CGC

^Cam^ CDX RE OA OAJ NF
3x HIT winner

Ci-Ci Rider Von Der Aunkst CDX

VP-2 Zirk Creek All that Flash

^Mac^- 10y/o rottie rescue
Reply With Quote


  #3  
Old 05-19-2009, 02:11 PM
Member
 
Join Date: May 2009
Location: North Reading, MA
Images: 1
Re: Sesamoid Bone Fracture

Hi Jessica:
Linus' surgery was post-phoned until Friday, May 22nd. From what the ortho surgeon told me it's not that common of a surgery, but that Rotties are prone. Linus actually fractured the 2nd sesamoid bone in the 4th digit.

My surgeon has actually only done one other, but said that the odds of having problems after the surgery are very low once they remove the bone. The success rate is between 90-100%, I'm hoping we have 100% but I'm concerned that it's gone on for so long. I too have been battling off and on lameness since last July and though it was a sesamoid bone fracture.

The recovery time is a month after surgery, you should see inprovement in gait after 3-4 weeks. He will have some sort of cast or soft bandage up to his knee that will protect toes and pad and to relieve pressure on the foot. The cast will stay on for five days and stitches will be removed in two weeks. I guess they go in through the pad and remove the fractured bone and any fragments and then suture through the ligaments to close the area where the bone was removed. He will need short controlled walks and no running or jumping during that time.

The only other alternative would have been was an amputation of that digit. The cost is between $1,800 - $1,900. Not concerned about the cost, just want my dog better and not limping or in pain anymore. I was also charged a separate $250.00 for the consult with the surgeon as well.

I'll let you know how it goes, please keep me informed on what you find out after you're consult as well.
Jane Hewitt
Reply With Quote


  #4  
Old 05-19-2009, 03:42 PM
Member
 
Join Date: Jun 2002
Location: Dover NH
Images: 11
Re: Sesamoid Bone Fracture

Yuck. It sounds painful from a recovery standpoint too. :(

Cam actually has 1 fracture/foot with another sesamoid in question, so my big question will be can we do two surgeries at once, or do we have to do one at a time.

All the best to you and Linus. I will keep in touch
__________________
Jessica Newcomb (Jess)

^U-CD Max ^ CDX, RE CGC

^Cam^ CDX RE OA OAJ NF
3x HIT winner

Ci-Ci Rider Von Der Aunkst CDX

VP-2 Zirk Creek All that Flash

^Mac^- 10y/o rottie rescue
Reply With Quote


  #5  
Old 05-19-2009, 03:53 PM
Member
 
Join Date: May 2009
Location: North Reading, MA
Images: 1
Re: Sesamoid Bone Fracture

Hopefully they can do fix both at the same time so you won't have to go through two separate surgeries. I'll keep you posted on Linus' recovery
Reply With Quote


  #6  
Old 05-22-2009, 06:06 PM
Member
 
Join Date: Jun 2002
Location: Dover NH
Images: 11
Re: Sesamoid Bone Fracture

Jane, How is Linus doing?
Cam had nuclear scintigraphy done today to further confirm the diagnosis of the lameness was the sesamoid bones. Nuclear Medicine - Myhre Equine Clinic (where we went and what they did)

My vet was concerned that we may have missed something on the x-rays, and before we proceeded with surgery wanted to be certain that the sesamoids were infact the cause of the lamness. The results came back, and we are still questioning things. :( His sesamoids lit up as bone hot spots as did his L shoulder :( Soft tissue hot spots were on both sides toes, wrist, shoulders and one elbow. Thankfully, a neck injury that he sustained this winter appears to be all cleared up. So.....it looks like the othropedist will be doing an awake eval of movement, testing range of motion and muscle/tendon/ligament sensitivity. I'm still hoping that everything is related to these blasted sesamoids. It breaks my heart not to let him run and work....
__________________
Jessica Newcomb (Jess)

^U-CD Max ^ CDX, RE CGC

^Cam^ CDX RE OA OAJ NF
3x HIT winner

Ci-Ci Rider Von Der Aunkst CDX

VP-2 Zirk Creek All that Flash

^Mac^- 10y/o rottie rescue
Reply With Quote


  #7  
Old 05-22-2009, 07:33 PM
Member
 
Join Date: May 2009
Location: North Reading, MA
Images: 1
Re: Sesamoid Bone Fracture

Hi Jessica:
I just got home from picking Linus up; he actually had fractured the sesamoid bone in 5 pieces; the surgeon had actually saved the fragments for me. It's amazing something so small can cause so many problems. I live on the top floor of a condo, try lifting a 95 lb. dead weight rottie I'll probably lift him up and down the stairs for the next few days so I don't put extra pressure on that toe. He's still pretty out of it, he actually was crying a few times and then fell back to sleep again. They have him on antibiotics, tramadol for pain, and rimadyl for inflammation. Soft bandage up to just below his elbow to come off in 7 days, and stitches out in 2 weeks.

I hope things go well with your pup, keep me posted on what the next steps are. Do you have Dr. Geoffrey Clarke from Veterinary Surgery of New England doing your surgery? In speaking with Dr. Clark today he said his first sesamoid bone surgery was 20 years ago.
Take care,
Jane
Reply With Quote


  #8  
Old 05-22-2009, 07:39 PM
Member
 
Join Date: May 2009
Location: North Reading, MA
Images: 1
Re: Sesamoid Bone Fracture

Hi Jessica:
I actually had Grant M do a nuclear scintigraphy on my horse a few years ago; I was very pleased with them. I researched and Dr. Clark is the best ortho in the area, I hope he's the one you have a consult with, he's actually located right in Durham, NH. If you'd like his info let me know.
Jane
Reply With Quote


  #9  
Old 05-22-2009, 11:38 PM
Member
 
Join Date: May 2009
Location: North Reading, MA
Images: 1
Re: Sesamoid Bone Fracture

Jessica:
I don't think you'll be able to have both feet done at the same time; I'm pretty sure you'll have to have one done and then the other. The soft bandage cast comes off in a week, stitches in two weeks and controlled walks and rest for one month. Activity can be restarted in about 6 weeks. I can't imagine a dog having both feet done at the same time now looking at Linus.
Talk soon,
Jane
Reply With Quote


  #10  
Old 05-23-2009, 08:49 AM
Member
 
Join Date: Jun 2002
Location: Dover NH
Images: 11
Re: Sesamoid Bone Fracture

Jane, It is Geoff Clark doing the surgery. He said we could do both feet at once, and actually prefers it as there won't be unessesary concussion on the foot that hasn't been done yet. I'm waiting for a call from my vet....He wanted to go to his office and pick up the results of the scintigraphy...We'll make a plan from there.
Cam is still at Mhyre Equine clinic as he is radioactive...I pick him up in a few hrs.
__________________
Jessica Newcomb (Jess)

^U-CD Max ^ CDX, RE CGC

^Cam^ CDX RE OA OAJ NF
3x HIT winner

Ci-Ci Rider Von Der Aunkst CDX

VP-2 Zirk Creek All that Flash

^Mac^- 10y/o rottie rescue
Reply With Quote


  #11  
Old 05-23-2009, 09:47 AM
Member
 
Join Date: May 2009
Location: North Reading, MA
Images: 1
Re: Sesamoid Bone Fracture

Jessica:
That's great that Dr. Clark is doing the surgery; he very nice and takes the time to answer all your questions. That's good that both feet can be done at once, that was a good idea having the scintigraphy done with Grant to make sure. Keep me posted and please tell Dr. Clark that Jane and Linus from North Reading Vet Clinic say hi.
Talk soon,
Jane
Reply With Quote


  #12  
Old 06-01-2009, 03:55 PM
Member
 
Join Date: May 2009
Location: North Reading, MA
Images: 1
Re: Sesamoid Bone Fracture

Jessica:
Have you had your consult with Dr. Clark yet?
Jane
Reply With Quote


  #13  
Old 06-02-2009, 03:41 PM
Member
 
Join Date: Jun 2002
Location: Dover NH
Images: 11
Re: Sesamoid Bone Fracture

Jane, I have, I apologize though, Cam is in the hospital for vomiting that after 18 hrs wouldn't quit... he is on fluids and doing OK, but I have been caring for him and got little sleep last night, then overworked myself today as one of my employees blew a head gasket and couldn't work. The vet isn't quite sure what is wrong, only that his white cell count is up.

Anyhoo's Dr. Clarke was very fond of you and Linus and said you did your homework. He said it was very evident that Linus had a sesamoid that needed to be removed as he had a real strong pain response upon him touching the broken one.

So Cam and I met with Dr. Clarke and came back with little answers. Dr. Clarke was very very thorough. He did a full exam manipulating each limb, back and neck doing full ROM exercises. He we did some lameness tests outside, he checked for pressure sensitivity, crepitus, looked at x-rays and scintigraphy. Basically he found nothing. Cam was a little vocal on full extension of his R shoulder (the one he's been lame on). The doctor felt this could be a soft tissue injury that is on it's last legs???? Upon full extension a few minutes later, he got no response..... In response to the sesamoids... He did a white knuckle test. Pressed them as hard as he could with absolutely no response. They could have been inflammed last time, but look great right now, and although broken, aren't weight bearing bones, so for now we will leave them as they are...We have the option of giving him a steroid injection if they become inflamed as it is the inflammation that causes the soreness.... He felt unless they were bothering him we should leave them be. He even feels that they shouldn't pose issue with him running or jumping??? !!! He said he sees many dogs with broken sesamoids that continue very normal lives with the sesamoids broken (lots of greyhounds and agility dogs).
He was very complimentary of his lovely formed joints and the fact that he had not a stitch of DJD anywhere! As for the calcification on the biceps tendon and the calcification on the elbow tendon (deep digital flexor?) he said they are most likely old injuries (R sided lameness could have been from that elbow tendon)... he said at this point, they aren't causing him trouble, so not to worry...He told me that while he respects x-rays and the other technology we have, he much prefers to put his hands on the dog to get a feeling for how the muscles, tendons etc are put together, how the dog moves and work from there. He did mention with Cam being straighter in the shoulder, he is at disadvantage for front end injuries and to be mindful of him jumping correctly.... which we "taught" him how to jump, so hopefully he will continue to jump correctly. He did say that despite his straightness, he has a lovely ground covering trot and is very light and elasticy on his feet.

So plan is to do what I am doing for the next month 3-4 1/2 hr leash walks/day. He said we can do some heeling. No running though. In two weeks we can start some swimming and rehab with a PT if we'd like... In a month, we can start off leash running, and begin to retrieve. He put emphasis on slowly bringing him back to work....So, after this leash walking is up, he will have gone since Easter, or 10 weeks on leash.....Perhaps I just didn't give him enough time to heal? I am very hopeful...

So, while I am very guarded as I've been burnt a few too many times with this injury. I am hopeful that things will continue to look up. Cam is at this point sound and has a nice free floating trot. At times he looks slightly stiff getting up, the vet concurs that this should get better with time. He did suggest I start him on some Cosequin and we are doing a series of Adequan shots which I guess, and this is new to me, a study was done where an inflammatory agent was injected into dogs and then Adequan was given.... the Adequan helped the soft tissue swelling as well as everything else it does?!
Still wondering just how this is going to all work, but I am being hopeful.
__________________
Jessica Newcomb (Jess)

^U-CD Max ^ CDX, RE CGC

^Cam^ CDX RE OA OAJ NF
3x HIT winner

Ci-Ci Rider Von Der Aunkst CDX

VP-2 Zirk Creek All that Flash

^Mac^- 10y/o rottie rescue
Reply With Quote


  #14  
Old 06-02-2009, 11:29 PM
Member
 
Join Date: May 2009
Location: North Reading, MA
Images: 1
Re: Sesamoid Bone Fracture

Jessica:
I'm happy that Cam doesn't at this point need to go through with surgery; but am very concerned about his current status. Do you think he could have eaten something? Just not sure about the high cell count?

Regarding the Adequan injections, I've had Linus on monthly Adequan injections since he was 1 1/2 years old he turned 10 last December. I started him back when he was younger due to hip dyplasia in right hind, to date he hasn't had any trouble. I also have him on DS Cosequin once daily as well.

Please keep me posted on his progress, I'll say a prayer for him tonight!
Take care,
Jane
Reply With Quote


  #15  
Old 06-03-2009, 06:05 PM
Member
 
Join Date: Jun 2002
Location: Dover NH
Images: 11
Re: Sesamoid Bone Fracture

Oh Jane, This whole thing has turned into such a mess. My vet suspects this whole vomiting thing was caused by a reaction to the adequan shot Cam had on Monday. After speaking with the head vet over at Novartis concerning what was happening, the time frame etc, the vet at Novartis concurred stating that 1 in about 100,000 has a vomiting reaction. We essentially have just been providing supportive therapy to help Cam get through this. It is unfortunate as I was excited about using the adequan, but for obvious reasons, it has been suggested that we don't continue it!

Essentially what happened is about 8 hrs after the injection, Cam started projectile vomiting..Despite witholding water and food, the vomiting continued, and continued. I tried to give him a little fluid with a spoon as he refused water. He vomited that up. I called my vet, asked him how much longer I should wait before bringing him in. He suggested waiting a few more hours, trying to give him water again and if he vomited it up, take him in. He actually did take some water a few hours later, but was shaking while he was panting, his eyesockets were sunken in, his skin had lost elasticity, and his gums were sticky... So, obviously he was dehydrated. I brought him in and he got 3 Liters of fluids and stayed until 9:30PM.. Thankfully, my vet swung by the hospital to open it up so that I could bring him home ( :) I love my vet! ) This morning, Cam was obviously in a ton of joint pain walking very stiff legged with a hunched back. A call into my vet revealed that this was to be expected due to both his dehydration and the adverse reaction to the adequan. He suggested we just give it some time and let him rest. So, today, Cam has had 3 very slow and light walks and he looks much brighter. He is not quite as stiff and sore tonight, but still very stiff upon getting up. I am hopeful that the stiffness will continue to subside. The vomiting has gone, but Cam has diarrhea, so not quite out of the woods yet.

In terms of getting into something, I am self employed and Cam is with me all day...He was only leash walked, and was with me from the time he got the shot until he started vomiting.

How is Linus doing?????
__________________
Jessica Newcomb (Jess)

^U-CD Max ^ CDX, RE CGC

^Cam^ CDX RE OA OAJ NF
3x HIT winner

Ci-Ci Rider Von Der Aunkst CDX

VP-2 Zirk Creek All that Flash

^Mac^- 10y/o rottie rescue
Reply With Quote


Reply

Bookmarks

Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off


Similar Threads
Thread Thread Starter Forum Replies Last Post
Teen suffers skull fracture after running from rottweiler Shane Rottweiler News Forum 12 07-03-2008 06:23 PM
slab fracture! pitz96 Vets Corner 3 03-07-2007 11:03 AM
Hairline Hip Fracture rencook Vets Corner 0 10-04-2006 09:23 AM
Bone and Bone Meal Boo29Baby30 Nutrition and Grooming 1 04-01-2000 11:14 PM
healed fracture? abelmanalo Vets Corner 3 09-01-1999 07:25 AM


All times are GMT -4. The time now is 03:47 AM.


Powered by: vBulletin
Copyright ©2000 - 2014, Jelsoft Enterprises Ltd.
SEO by vBSEO 3.6.0 ©2011, Crawlability, Inc.

The thoughts expressed in the interviews and/or commentary contained within these forums are solely those of the individual(s) providing them and do not represent and/or reflect the opinions of Rottweiler Dot Net, it's parent site or it's affiliates.

Copyright © 1998 - 2014 Rottweiler Discussion Forums-All Rights Reserved - No part of this site may be reproduced without permission.