狗狗右后腿跛行怎么回事

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患宠信息:博美/妹妹/5岁10个月

咨询描述:右后腿跛行 患病时长:三个月

问题大致一样,细节不同?

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你好?

曹力

执业兽医师

你好,狗狗家长,狗狗的片子,我刚看了一下,他右后腿的髌骨是有内脱,所以可能走路的时候会出现三腿蹦的情况,会有疼痛

为保护用户隐私不显示图片/视频

这个要咋办呢,只能手术吗

我是按压他的髋关节他会疼的叫,然后牵拉他腿的时候也会疼痛的叫

曹力

执业兽医师

因为这个片子不太清晰,不是原图,髋关节那块儿,我没有办法做评估,我只看到右侧髌骨脱位比较明显,左侧也有一点点,但没有右侧严重,髌骨内脱对于博美犬比较常见,当然最有效的办法就是去做手术治疗,保守就是去吃止痛药和营养关节的药物,但只能对症治疗

曹力

执业兽医师

狗狗应该是比较胖的,因为狗狗体重的75%是靠后腿去承重,所以体重越重这个疾病越严重,尤其是剧烈运动之后,疼痛比较明显,所以减肥也是要进行的,

髋关节的话,就目前的片子看,有脱位的可能吗

曹力

执业兽医师

目前的片子来看,右侧髋关节感觉关节间隙稍微大一点,这个需要定期去拍片评估,一次拍片不能说明什么,但是从现在开始减肥和给他吃营养关节类的药物是有必要的,髌骨的问题,如果暂时不想去做手术,也可以通过吃药来减缓他的疾病进程,

您说的是片子上的右侧吧

曹力

执业兽医师

就是这个位置,这个片子应该是狗狗平躺着拍的,所以这里就是狗狗的右腿

为保护用户隐私不显示图片/视频

他是另一根腿,片子右侧腿

曹力

执业兽医师

我画了一下他两侧髋臼窝都比较浅,不能完全包裹股骨头,导致两侧都有半脱,所以触碰按压的时候会有点疼痛

为保护用户隐私不显示图片/视频

曹力

执业兽医师

你看这个这个是一个正常的髋关节,他的股骨头和髋臼窝都贴合的比较紧

为保护用户隐私不显示图片/视频

他是几个月前,有一次他的这根腿踩到我拖鞋上了,我也没注意,一抬腿走路给他腿往上拧了一下,然后就有时候瘸有时候正常,最近越来越严重了

曹力

执业兽医师

那目前这个情况,可以先去给狗狗吃点止痛药和关节***来减轻症状,然后你再决定考虑要不要去给狗狗做这个髌骨的手术,髋关节需要定期去拍片评估,看看有没有加重,如果吃药可以维持的话最好,因为髋关节置换手术费用比较高,狗狗也受罪

我去附近宠物医院,那个医生说是这根腿的肱骨结节和髋臼窝的骨间隙太小了,导致摩擦痛。然后我在网上买了点***,送了个宠物问诊,我给他看了看片子,他说是髋关节脱位。我感觉是不是盂唇撕裂之类的软组织损伤啊

曹力

执业兽医师

那狗狗最近有吃过一些药吗?如果需要我这边也可以给狗狗开处方药,然后你根据情况可以买上给狗狗用,

买了个消炎的,没买其他药,我打算先给他减肥,然后实在不行就给他切股骨头去……

曹力

执业兽医师

他这两个腿的髋关节都属于半脱位,那么如果他的体重一直没有减下来,也没有再用药控制随着病情的发展,有可能会出现脱位,双侧的髌骨都是有内脱,右腿更为明显,用药主要就是修复关节止疼之类的,然后用药观察呗,一个月检查一次髋关节看看股骨头有没有坏死的迹象,如果有就需要做股骨头切除,或者做髋关节置换

好的,谢谢医生

曹力

执业兽医师

宝贝家长你好,考虑宝贝二级髌骨脱位的情况,我给宝贝开具了一个处方,你可以根据实际需求自行选择购买。 1、***是营养修复关节的 2、***是预防和改善关节问题的需要持续补充 3、***是缓解关节疼痛的 平时注意控制宝贝体重,不宜剧烈运动,跑动也尽量避免,一定要连续补充***和***,如果出现疼痛加重的表现就需要再给到止疼药,保持定期复查,建议每月复查一次。如果情况达到三级或者四级手术就是必须的了宝贝家长你好,考虑宝贝二级髌骨脱位的情况,我给宝贝开具了一个处方,你可以根据实际需求自行选择购买。 1、***是营养修复关节的 2、***是预防和改善关节问题的需要持续补充 3、***是缓解关节疼痛的 平时注意控制宝贝体重,不宜剧烈运动,跑动也尽量避免,一定要连续补充***和***,如果出现疼痛加重的表现就需要再给到止疼药,保持定期复查,建议每月复查一次。如果情况达到三级或者四级手术就是必须的了

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您好宠物家长,感谢您对我的信任!问题我已经看到,我需要 15 分钟左右时间进行分析,并编辑文字回复您的问题。您只有 5 次追问机会,请勿回复此条消息,以免浪费您的追问机会。

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