More Elbows- Younger Male - Page 3

IPOguy, the x-rays were done in August 2012, he was on restricted activity since March and he is with me all the time. There was no jumping or running or anything like that. Unless him favoring the left leg would put that much more pressure on the right to cause a stress fracture? what I wonder though is why the ortho vets didn't mention it at all? I certainly would be tempted to send them an email and see what they would say...

The xray and that history seem quite different?. There is bridging bone across the site indicating it might not be symptomatic at this point but man it sure looks like a stress fracture. Also, they can take a long time to mature and disappear on xray, at least in people. If the dog weren't limping I would ignore it. Interesting situation.On the left elbow xray you can talk yourself into maybe an osteophyte off the tip of the olecranon but it is a pretty subtle finding? Fun stuff. Thanks for posting.
 

And here I was being all coy and secretive as to identity. Two ortho surgeons/sports and ortho specialists looked at those. We're not talking country vets around the corner. This is the email I got back about them (I get made fun of by this guy because I go to him with a diagnosis already and he just confirms it. He has done wonderful work for me- performed a miracle on a paralyzed Chihuahua. Excellent neuro capabilities as well. It won't be the first time two (or more) doctors disagree with each other, though. 
Hi Dr. Mom,
Yes I do see a very extensive panosteitis lesion at the right radius. It looks like there is a milder case of it in both humeri. The shoulders and elbows look good. As long as he has full ROM, especially full flexion at the elbows he will be fine. 

Botanica...is my memory failing or did you tell me of a time Chaos was screaming in pain? A fall of some sort?? I can't find it in my email, so maybe it was over the phone? I'm curious about this stress fracture idea. I may be getting him mixed up w/another dog, too. 

Jenni, She has mild pano in both femurs, xrays confirmed. The reason I had her checked out was because occassionally I'd see very brief limping on one of the rear legs after running around the yard like a crazy puppy or chasing a ball, toy, etc. Vet said hips are good and knees look good too, but the pano is evident.

What percentages of bone, organ and muscle meat do you feed your pups? Also, do you feed tripe?

Regarding the Great Dane Lady, on her website she states that she does not recommend a 100% raw diet for pups. Ugh, it is so frustrating to try and make the right decision.

Remember, she's talking about DANE puppies- far different than GSDs, and check dates on her pages. Many are outdated and she's changed them. Also, she is erring on the side of caution because people are morons about what they feed. I just like some of her info and always take it with a grain of salt because Danes are a whole 'nother can of worms. 

I never stressed about percentages, to be honest. I just kept in mind that I was trying to imitate a prey animal with my meals. Ask Botanica to share her nutritionist-formulated puppy raw diet plan if you want to feel like you're doing everything to the "T". She consulted w/a dietitian for Chaos' menu. 

i just wanted to say , i had a male that had classic Pano from 7 months till 2 years, he was fed low protein  good quality  dry kibble and its still did not help, he was checked at 14 month for his hips and elbows and all looked very good, when we did a xray at 8 months you could not even see it , but he sure was in major pain, i end on giving him ester C and that really helped, i think just some dogs grow way too fast and just not alot you can do till they get over it.

Thank you, Jenni. I really appreciate your help. I will PM Botanica. 

Trixx, Thank you for your input. Was the kibble also low in calcium? Based on what I've learned so far, high calcium can cause growth issues and sadly, many of the kibbles, both puppy and all life stages, have calcium that is much to high for a large breed pup.

Jen, that was another incident, can't recall when, but he jumped after a basket ball while on leash, I couldn't drop the leash fast enough so he twisted in mid air and landed flat on his side that knocked the air our of his lungs...he was so scared and screaming :( I am so glad that he is older and wiser now ;)

Slight retraction of what I said earlier after going back to look at the xrays. The left does not have any pano but the right does. However, I would still maintain that the more significant finding in the right radius is what appears to be a stress fracture. I am not aware that pano should predispose to something like that so I am assuming it is unrelated.
 

I just had another thought, would the stress fracture present better/differently on front view? They did take 3 x-rays on each leg. Here is the write up from the ortho vet

mild right forelimb lameness at a walk. When standing, he would slightly offload the right forelimb. Moderate discomfort was noted on direct palpation the right mid to distal radius. Mild discomfort was noted on palpation of both elbows, left worse than right.

Right elbow: panosteitis lesion mid-radius, mild blunting of the medial coronoid process, no osteoarthritis.
left elbow: mild blunting of the medial coronoid process, no osteoarthritis.