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Review
. 2021 Sep 6;8(9):186.
doi: 10.3390/vetsci8090186.

Cranial Cruciate Ligament Rupture in Dogs: Review on Biomechanics, Etiopathogenetic Factors and Rehabilitation

Giuseppe Spinella  1 , Giulia Arcamone  1 , Simona Valentini  1
Affiliations
Review

Cranial Cruciate Ligament Rupture in Dogs: Review on Biomechanics, Etiopathogenetic Factors and Rehabilitation

Giuseppe Spinella et al. Vet Sci. .

Abstract

Cranial cruciate ligament (CrCL) rupture is one of the most common orthopaedic conditions in veterinary medicine. CrCL plays a fundamental role in the stability and biomechanics of the femoral-tibio-patellar joint, and its incorrect functionality severely impacts on the quality of life of patients. In dogs, the structural weakening of this joint due to the progressive degeneration of the ligament is the most accredited etiopathogenetic hypothesis in relation to the dog signalment (breed, sex and age) and the stifle joint conformation. In humans, this injury is often traumatic and generally occurs during sporting activities. CrCL rupture can be managed conservatively or surgically, and decisions regarding treatment are due to numerous factors: the patient's age and health, the degree of stifle instability, and cost. Physiotherapy protocols play an important role in rehabilitation, with similar goals in humans and dogs: pain management, physiological articular range of motion recovery, periarticular and core muscle strengthening, and proprioceptive deficit correction. Physiotherapy, even if often neglected in veterinary medicine, is mandatory for the recovery of the correct functionality of the injured limb and for the return to normal daily and sporting activities.

Keywords: biomechanics; cranial cruciate ligament; etiopathogenesis; rehabilitation; rupture.

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Conflict of interest statement

The authors declare no conflict of interest.

References

    1. Johnson J.A., Austin C., Breur G.J. Incidence of canine appendicular musculoskeletal disorders in 16 veterinary teaching hospitals from 1980 through 1989. Vet. Comp. Orthop. Traumatol. 1994;7:56–69. doi: 10.1055/s-0038-1633097. - DOI
    1. Nečas A., Zatloukal J., Kecová H., Dvořák M. Predisposition of dog breeds to rupture of the cranial cruciate ligament. Acta Vet. Brno. 2000;69:305–310. doi: 10.2754/avb200069040305. - DOI
    1. Vasseur P.B. Stifle Joint. In: Slatter D., editor. Textbook of Small Animal Surgery. 3rd ed. Volume 2. Elsevier Science Saunders; Philadelphia, PA, USA: 2003. pp. 2090–2116.
    1. Taylor-Brown F.E., Meeson R.L., Brodbelt D.C., Church D.B., McGreevy P.D., Thomson P.C., O’Neill D.G. Epidemiology of cranial cruciate ligament disease, diagnosis in dogs attending primary-care veterinary practices in England. Vet. Surg. 2015;44:777–783. doi: 10.1111/vsu.12349. - DOI - PubMed
    1. De Camp C.E., Johnston S.A., Déjardin L.M., Schaefer S.L., editors. Brinker, Piermattei & Flo’s Handbook of Small Animal Orthopaedics and Fracture Repair. 5th ed. Elsevier; St. Louis, MO, USA: 2016. The stifle joint; pp. 616–643.

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