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An anterior cruciate ligament injury occurs when the anterior cruciate ligament (ACL) is either stretched, partially torn, or completely torn. [1] The most common injury is a complete tear. [ 1 ] Symptoms include pain, an audible cracking sound during injury, instability of the knee, and joint swelling . [ 1 ]
It can be associated with damage to the anterior cruciate ligament. [1] Patellar luxation is a common condition in dogs, particularly small and miniature breeds. [2] The condition usually becomes evident between the ages of 4 and 6 months. It can occur in cats, as well, especially domestic short-haired cats. [3]
Anterior cruciate ligament surgery is a complex operation that requires expertise in the field of orthopedic and sports medicine. Many factors should be considered when discussing surgery, including the athlete's level of competition, age, previous knee injury, other injuries sustained, leg alignment, and graft choice.
Stifle injuries are one of the most common causes of lameness in rear limbs in dogs, and cruciate ligament injuries are the most common lesion in the stifle joint. A rupture of the cruciate ligament usually involves a rear leg to suddenly become so sore that the dog can barely bear weight on it. [7] How a rupture can occur:
Dog's titanium TPLO implant [1]. TPLO, or tibial-plateau-leveling osteotomy, is a surgery performed on dogs to stabilize the stifle joint after ruptures of the cranial cruciate ligament (analogous to the anterior cruciate ligament [ACL] in humans, and sometimes colloquially called the same).
Fracture of the neck of the fibula may also be found, and associated injury to the medial collateral ligament or cruciate ligaments occurs in about 10% of cases. [7] [8] However, most of these fractures occur from motor vehicle accidents or falls. Injury can be due to a fall from height in which knee forced into valgus or varus.
Injuries to the posterolateral corner can be debilitating to the person and require recognition and treatment to avoid long term consequences. [1] Injuries to the PLC often occur in combination with other ligamentous injuries to the knee; most commonly the anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL). [2]
The cranial cruciate also resists over-extension and inward rotation, and is the most commonly damaged stifle ligament in dogs. "Cushioning" of the joint is provided by two C-shaped pieces of cartilage called menisci which sit between the medial and lateral condyles of the distal femur and the tibial plateau.