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DOI: 10.1055/s-0038-1632962
Diagnosis and treatment of hind limb muscle strain injuries in 22 dogs
Publikationsverlauf
Received
18. Oktober 2004
Accepted
10. Juni 2005
Publikationsdatum:
22. Februar 2018 (online)
Summary
The anamnesis was obtained from the medical records of 22 dogs diagnosed with hind limb muscle strain injury over a four-year period. The signalment, history, diagnostic imaging and clinical findings, treatment and outcome are described. The affected dogs were primarily from large breeds. Although only a few clients reported a specific injury, 11 dogs were admitted for an acute onset of lameness of unknown origin. The hip adductor muscles were affected in 21 dogs, and 11 dogs had previously undergone orthopaedic surgery of the affected limb. The dogs were primarily diagnosed by physical examination, although the diagnosis was confirmed with ultrasound imaging in the two most recent cases. Neither concurrent orthopaedic nor neurological disease was found during the study period in four of 22 dogs, and another three dogs had only mild radiographic coxofemoral osteoarthritis that did not cause any clinical signs during the study period. All of the dogs were treated medically with some combination of rest, physical therapy, methocarbamol, and a non-steroidal anti-inflammatory drug (NSAID). The injury-associated lameness improved, or completely resolved, with conservative, non-surgical therapy in most dogs. Of the 15 dogs available for follow-up (mean 577 days), eight had complete resolution of their clinical signs, two showed significant improvement, and one showed some improvement. Muscle strain injury may be an under-diagnosed cause or contributor to acute hind limb lameness in large breed dogs, either alone or following orthopaedic surgery.
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References
- 1 Akermark C, Johansson C. Tenotomy of the adductor longus tendon in the treatment of chronic groin pain in athletes. Am J Sports Med 1992; 20: 640-3.
- 2 Almekinders LC, Gilbert JA. Healing of experimental muscle strains and the effects of nonsteroidal antiinflammatory medication. Am J Sports Med 1986; 14: 303-8.
- 3 Alvarez DJ, Rockwell PG. Trigger points: Diagnosis and management. Am Fam Physician 2002; 65: 653-60.
- 4 Baldry P. Management of myofascial trigger point pain. Acupunct Med 2002; 20: 2-10.
- 5 Boakes J, Peach JP, McGill SM. Does methocarbamol affect fatigue markers in the low-back electromyogram?. J Electromyogr Kinesiol 1998; 8: 423-7.
- 6 Boysen SR, Rozanski EA, Chan DL, et al. Tremorgenic mycotoxicosis in four dogs from a single household. J Am Vet Med Assoc 2002; 221: 1441-4. 1420.
- 7 Breur GJ, Blevins WE. Traumatic injury of the iliopsoas muscle in three dogs. J Am Vet Med Assoc 1997; 210: 1631-4.
- 8 Bruce RB, Turnbull LB, Newman JH. Metabolism of methocarbamol in the rat, dog, and human. J Pharm Sci 1971; 60: 104-6.
- 9 Eaton-Wells R. Surgical repair of acute gracilis muscle rupture in the racing greyhound. VCOT 1992; 5: 18-21.
- 10 Escobar PL, Ballesteros J. Myofascial pain syndrome. Orthop Rev 1987; 16: 708-13.
- 11 Fitch RB, Jaffe MH, Montgomery RD. Muscle injuries in dogs. Compend Contin Educ Pract Vet 1997; 19: 947-57.
- 12 Fountain JE. A practitioner's experience with me-thocarbamol in the treatment of strychnine poisoning in dogs. Vet Med Small Anim Clin 1970; 65: 718-9.
- 13 Garrett Jr. WE. Muscle strain injuries. Am J Sports Med 1996; 24: S2-8.
- 14 Imamura ST, Fischer AA, Imamura M. et al. Pain management using myofascial approach when other treatment failed. Phys Med Rehabil Clin North Am 1997; 8: 179-96.
- 15 Janssens LA. Trigger points in 48 dogs with myofascial pain syndromes. Vet Surg 1991; 20: 274-8.
- 16 Johnson JA, Austin C, Breur GJ. Incidence of canine appendicularmusculoskeletal disorders in 16 veterinary teaching hospitals from 1980 through 1989. VCOT 1994; 7: 56-69.
- 17 Kirkendall DT, Garrett Jr. WE. Clinical perspectives regarding eccentric muscle injury. Clin Orthop 2002; S81-9.
- 18 Kramer M, Gerwing M, Hach V. et al. Sonography of the musculoskeletal system in dogs and cats. Vet Radiol Ultrasound 1997; 38: 139-49.
- 19 Millis DL, Levine D, Taylor RA. Canine rehabilitation and physical therapy. St. Louis: Saunders; 2004
- 20 Montgomery RD, Fitch RB. Muscle and tendon disorders. In: Textbook of small animal surgery. Slatter D. (eds) Philadelphia: Elsevier Science; 2003: 2264-72.
- 21 Obremsky WT, Seaber AV, Ribbeck BM. et al. Biomechanical and histologic assessment of a controlled muscle strain injury treated with piroxicam. Am J Sports Med 1994; 22: 558-61.
- 22 Rowe ET, Christian CW. Clinical experiences with use of methocarbamol to control muscular spasms in treatment of spinal lesions in dogs. Veterinary Medicine 1970; 1082-6.
- 23 Sallay PI, Friedman RL, Coogan PG. et al. Hamstring muscle injuries among water skiers. Functional outcome and prevention. Am J Sports Med 1996; 24: 130-6.
- 24 Simons DG. Myofascial pain syndromes: Where are we? Where are we going?. Arch Phys Med Rehabil 1988; 69: 207-12.
- 25 Simons DG, Travell JG. Myofascial origins of low back pain. 1. Principles of diagnosis and treatment. Postgrad Med 1983; 73 66 8-70 3 passim.
- 26 Sola AE, Williams RL. Myofascial pain syndromes. Neurology 1956; 6: 91-5.
- 27 Steiss JE. Muscle disorders and rehabilitation in canine athletes. Vet Clin North Am Small Anim Pract 2002; 32: 267-85.
- 28 Tisdale SA, Ervin DK. A controlled study of me-thocarbamol (Robaxin) in acute painful musculoskeletal conditions. Curr Ther Res Clin Exp 1975; 17: 525-30.
- 29 Valtonen EJ. A double-blind trial of methocarbamol versus placebo in painful muscle spasm. CurrMedResOpin 1975; 3: 382-5.
- 30 Vaughan LC. Muscle and tendon injuries in dogs. J Small Anim Pract 1979; 20: 711-36.
- 31 Weiler JM. Medical modifiers of sports injury. The use of nonsteroidal anti-inflammatory drugs (NSAIDs) in sports soft-tissue injury. Clin Sports Med 1992; 11: 625-44.