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#29204 - 04/07/10 11:54 AM Carpal chip fracture- Sasha needs surgery
Natalie559 Offline
Veteran

Registered: 03/02/10
Posts: 1529
Loc: Tallahassee, FL
Likes: 23
I got news on Sasha yesterday that she has a carpal chip fracture (right 'wrist') and will need surgery to either remove the chip(s) or pin it/them in place.

I have mixed feeling as of now. I am happy to get a diagnosis and to be able to have her fixed, but I feel bad about this having been an ongoing problem for her that we are just now getting a handle on plus her having surgery is a bit intimidating.

To sum up what's been going on- Sasha started having problems back around Thanksgiving. The PT examined her and said she had a hyperextension in her toes. We did various things for her including a lot of rest and she improved. But it would be aggravated again after times where she'd been more active, causing her to limp.

The vet examined her again and found a lump on her toe, said she had ingrown hairs from one toe rubbing the other, and so she thought the limping was from the lump hurting every time she used her foot. I used a shampoo that flushed the hair follicles and removed a lot of hair with tweezers. Since hairs came out we thought again that we had a handle on the problem- figured the hyperextension had caused her to shift her weight which caused the lump on her toe.

She improved only to start limping again so I took her in for an adjustment thinking maybe she limped and rubbed her toes b/c something was off from the hyperextension impact. They found a sublaxation in her right elbow so once again we thought we had a handle on the problem.

She improved for a few days and then became very lame after a 2 hr trail walk. We did xrays yesterday and found the problem. The vet thought that it looked relatively fresh and did not think that this had been the problem the entire time. I am not so sure and feel bad for not having done xrays sooner. So I wonder if multiple things happened here, or she just fractured months ago and has been dealing and compensating with it since frown

Here's Sasha and her injury:





The xrays have been sent out to 3 ortho vets for their opinions on the best surgical route to take. I'll update when we here from them.
_________________________
Natalie

enjoying life with Penny 6/04 & Blaze 11/12
while Sasha 1/05-11/12 watches over us

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#29207 - 04/07/10 11:57 AM Re: Carpal chip fracture- Sasha needs surgery [Re: Natalie559]
jarn Offline
Enthusiast

Registered: 02/19/10
Posts: 249
Loc: Toronto, ON
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I'm sorry Sasha is going through this. I hope whatever route you end up taking that it goes well.

I wouldn't feel guilty - you were working with the vet and taking all reasonable steps to help her.
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#29226 - 04/07/10 12:44 PM Re: Carpal chip fracture- Sasha needs surgery [Re: jarn]
Bradyddr Offline
Pooh-Bah

Registered: 02/16/10
Posts: 1829
Loc: Massachusetts
Likes: 7
So sorry but at least you know what the problem is and it can be fixed!!
here is to a speedy recovery
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#29239 - 04/07/10 01:24 PM Re: Carpal chip fracture- Sasha needs surgery [Re: Natalie559]
Barb E Offline
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Registered: 02/11/10
Posts: 2275
Loc: Portland, Oregon
Likes: 152
Sorry to hear about Sasha - I'll keep my fingers crossed for a smooth and least complicated surgery.
hugging
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#29259 - 04/07/10 02:05 PM Re: Carpal chip fracture- Sasha needs surgery [Re: Barb E]
LJsMom Offline
Old Hand

Registered: 02/10/10
Posts: 1083
Loc: Rhode Island
Likes: 20
I'm sorry Natalie, but happy that you have an answer and that it's fixable. hugging
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Kryska's Ironwill Steel Train SD (Siberian Husky) 8-6-99
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#29295 - 04/07/10 03:58 PM Re: Carpal chip fracture- Sasha needs surgery [Re: LJsMom]
GSDTrain Offline
Carpal Tunnel

Registered: 02/20/10
Posts: 6713
Loc: NY
Likes: 13
Sorry to hear about Sasha.
Sending positive thoughts that the surgery and recovery go smooth
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#29349 - 04/07/10 06:09 PM Re: Carpal chip fracture- Sasha needs surgery [Re: GSDTrain]
Koda's Mom Offline
Addict

Registered: 02/25/10
Posts: 443
Loc: Tallahassee/ Sarasota FL
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Poor Sasha girl. Koda and I send our love. I hope the ortho vets find an easy solution.
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Fur Family:
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#29374 - 04/07/10 08:06 PM Re: Carpal chip fracture- Sasha needs surgery [Re: Koda's Mom]
MaxaLisa Offline

Global Moderator

Registered: 01/26/10
Posts: 19428
Loc: Northern CA
Likes: 254
Aw crumb, I'm sorry it's been so difficult to get this figured out! I'm glad you guys are on the right path now, even though this stuff is never easy, nor is it fun frown
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Jazmine, mini-mix, 10/18/2011
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#31614 - 04/13/10 12:47 PM Re: Carpal chip fracture- Sasha needs surgery [Re: Natalie559]
Natalie559 Offline
Veteran

Registered: 03/02/10
Posts: 1529
Loc: Tallahassee, FL
Likes: 23
Thank you all so much for your support, I really appreciate it!

My vet consulted with the surgeons and they all thought that the fracture was cause by a carpal hyper extension injury, which I agree with. Basically there are ligaments and tendons running over the joint and if enough forced is placed in the wrong direction the tendons and ligaments chip the piece of bone off while also completely to partially shredding the tendons/ligaments at the same time, in Sasha's case they think partial as she still uses her foot and is not down in the carpal joint.

Since you have all these dynamics going on with this injury two of the surgeons said to fuse the entire joint (!) which is not a desired surgery as it is very invasive and a fused carpal is not want you want at all!

The third surgeon suggested aggressive conservative management to try and stabilize or heal the tendons/ligaments which in his opinion is where the pain comes from- not the bone chip, he thought that was high enough above the joint capsule to where it wasn't the primary problem. His opinion was that surgery to remove the chip might not fix the problem, as we would still be left with damage to the supporting structures.

So we are going to try CM and hope that it heals Sasha. She is ordering an othro vet carpal support brace that Sasha is to wear anytime she is not resting in the house, she will receive twice weekly laser therapy and will get the supplement ligaplex II. She will be on the anti inflammatory rimadyl for 3 weeks and on tramadol which they say is a safe pain reliever. We will reevaluate in 4 weeks or so.

Surgery was scary, but I thought we had a fix, so it is upsetting that we are in the trial and see phase again, once again putting more time and more money into the problem. But if a surgeon has an opinion other than surgery how can you not try it first. So we will try this and hope like heck it works! I am just so ready for my dogs to not be injured!
_________________________
Natalie

enjoying life with Penny 6/04 & Blaze 11/12
while Sasha 1/05-11/12 watches over us

Swing Sets By Design
Read Allen Carr's The Easy Way to Quit Smoking

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#31659 - 04/13/10 03:05 PM Re: Carpal chip fracture- Sasha needs surgery [Re: Natalie559]
MaxaLisa Offline

Global Moderator

Registered: 01/26/10
Posts: 19428
Loc: Northern CA
Likes: 254
Wow, that all sucks. And you're right, when a surgeon suggests something other than surgery...I would be trying it too.

I was going to suggest Ligaplex II also. Wondering, have you tried that on Penny with the knee? I think Max would be allergic to it.

These darn dogs, they just can't give us or themselves a break!!
_________________________
MaxaL (aka LisaT)

Jazmine, mini-mix, 10/18/2011
Max-n-Indy
Max, 5/2001-2/2012, RIP my partner, my Regal Boy
Indy, 5/1997-10/2010, RIP my friend, my teacher

Health Index
K9 TBD info and Tick List Links
http://www.rabieschallengefund.org/

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