Author Topic: Birth Defect  (Read 1399 times)

0 Members and 1 Guest are viewing this topic.

Offline Xensgirl

  • Site Member
  • Sr. Member
  • ****
  • Posts: 252
  • Gender: Female
Birth Defect
« on: January 08, 2019, 07:21:55 PM »
Hi, not been on here for a while, but thought I would put a post on as it may be useful for future reference.  If any other members have had a birth defect in their dogs, I would be very interested to know how they dealt with it.

My puppy (9 months) arrived at my house at 15 weeks old. He had quite splayed front feet which were far too big for him, and they gave him a bit of a strange gait. His feet have tightened nicely now but it was obviously a gradual process. Somewhere during this I  noticed he was lame on his left leg,  no pain, just a limp. I initially thought he'd simply pulled something and rested him for a few days.

Limp still there so took him to my Vet, who thought it was his elbow. X-ray taken and his left elbow was fine, as was the right.  Vet didn't think it was anything too serious but I asked if Cooper could be referred for a CT Scan,  he was still limping and I wanted to know why.

Specialist appointment 11th December, ECVS Resident Vet also thought elbow. He was as shocked as I was by the results of the scan. As the Scan image shows, Cooper has a serious birth defect. His left shoulder socket is not properly formed, nor is the ball and it's dislocated.  Poor little guy!  Specialist immediately recommended surgery,  but did tell me they had never seen this condition before; it would take 2 weeks to plan the surgery; bone grafts/pins and plates to fuse his shoulder; risk of failure; high risk of infection. If one bone graft or plate moved infection would set in, possible sepsis of the joint. 

I initially leant towards surgery, though risky, I thought it would give Cooper the best chance of a normal life. However, I also knew I needed more information before I made a final decision. It's not about money, Cooper's welfare comes first...but even though he has Lifetime Cover with Pet Plan,  and is insured for a good amount, the whole thing would cost £2k more than his Insurance, £1k just for planning it.

So I spent almost 2 hours with the Head Vet at my practice who deals with Orthopaedics and has for many years.  His advice was do nothing, certainly not surgery. He said Cooper had been born like this, it's not Genetic it's a birth defect.  His body may adapt to it and he could feel new bone growth. He again explained the high risks of surgery and even greater risk of infection, Cooper could well need more surgery if anything went wrong. He asked where the bone grafts would be taken from (I wasn't told) but another wound that would need to heal. He said if the surgery went ahead and was successful, Cooper's left shoulder would be fused, he would have more of a limp than he has now and it would have a knock on effect on his spine and other joints. He said he's not in pain, monitor and see how he is over time....If it reaches a stage where he's in constant pain, it's far safer to amputate his Left leg.  I would rather he kept all four, but I know dogs adapt well to 3 legs.

This Vet seem to make sense,  so that's what I'm doing, careful exercise and monitor him. I have ramps everywhere which were purchased for my last boy who had IVDD...outside back door to cut out the high step, one to the sofa and one to my bed, so Cooper doesn't jump about at all. So far he's fine, happy, lively and into every thing. I hope it stays that way. 😊

Here's a photo of Cooper and a scan image of his shoulder. 






 

Offline phoenix

  • Donator
  • Hero Member
  • *
  • Posts: 1400
Re: Birth Defect
« Reply #1 on: January 08, 2019, 07:59:32 PM »
Oh my goodness!
In short, your vet makes sense,  who cares if your dog doesn’t look perfect so long as he’s not in pain. My daughter has a Brittany  spaniel who was dumped in a ditch  as a pup with a rear leg problem . Vets felt it had been broken and set itself wonky. Surgery would be expensive and problematic. They opted for leave it and see. He’s six years old , lifts the wonky one when he’s racing around, and copes fine.
I too, would have thought that bone surgery on a growing bouncy pup is a long term job, and fusing it still causing other movement problems.   What no digging?...
I would be concerned that it is unstable and he may have it dropping out.  In humans you can pull it it get it back in place
I’ve had surgery for a recurring dislocated shoulder.  It kept dropping out ( a Labrador injury) For me the surgery is fine, , it restricts the arm rotation in humans. In a dog, that shoulder will be weight bearing, and liable to crazy playful leaping and rolling.
 
 He’s a beauty, so give him a chance. Maybe swimming/hydrotherapy would help strengthen the ligaments and tendons supporting the joint.
RIP Marti  the EPI springer age 12,  and beloved black cocker Bobby, 8 yrs old, too soon, from PLN.
Now owned by TInker, tiny hairy grey poodle/terrier rescue from Greece and Jack, local rescue,   scruffy ginger terrier mutt.

Offline ejp

  • Donator
  • Hero Member
  • *
  • Posts: 6895
  • Gender: Female
Re: Birth Defect
« Reply #2 on: January 08, 2019, 08:31:06 PM »
What an absolute stunner  :luv: Those eyes are going to buy him out of a lifetime of mischief!  :005:
Personally, I would wait.  The vet is spot on, lots of risk involved, and I would be inclined to try hydrotherapy to help build good muscle in that area.  You might be pleasantly surprised by what that can be achieved.  Good luck.

Offline Xensgirl

  • Site Member
  • Sr. Member
  • ****
  • Posts: 252
  • Gender: Female
Re: Birth Defect
« Reply #3 on: January 08, 2019, 09:26:16 PM »
Thanks for your replies.. I know I'm doing the right thing for Cooper in "monitor, wait and see" but it's lovely to hear other people agree  😊
I've already thought hydrotherapy would help, the stronger his muscles the more support his shoulder will have.  I've printed off the referral form and just need my Vet to agree and sign it.

I really hope Cooper will adapt (though he already is doing really)
and as long as he's not in pain we will continue as we are. Its certainly not holding him back, while I was in the kitchen washing up he's dragged everything off the sofa onto the floor and was about to chew up the TV remote!! Lol

Many thanks to you both for your replies, Julie and Cooper x

Offline vixen

  • Hero Member
  • *****
  • Posts: 2101
  • Stevie and Marley
Re: Birth Defect
« Reply #4 on: January 08, 2019, 10:13:45 PM »
Although this doesn't relate to Cooper's injury, I thought my experience may give you hope.
When Marley was 5 she started limping and after being taken to the vets, they thought it was her cruciate  ligament.  Xrays showed this wasn't the case and that she had arthritis in her hip joint that has been degenerating for quite a while.  I was shocked as she had not shown any signs at all.  The vets suggested Marley going to a specialist hospital where they would cut though her hip joint, rotate it and then pin it all back together. Lots of medication to help with the pain. The money was not a problem as she has a very good insurance policy.  However I was very unsure.  It was a big operation, no guarantee of success and I felt it could aggrevate her arthritis. I decided I would try a more natural approach.  At first she went to hydrotherapy which I felt did help but I had to stop it as she absolutely hated it.  I now only exercise her on soft ground, never over exercise, give her turmeric paste, make sure she doesn't stay damp and she is doing really well. She is now eleven, walks for an hour every day and only very very occasionally does she show any sign of her arthritis. I am so pleased I didn't put her through the operation.
I feel your vet has given you good advice.  Just because the specialists have the ability and knowledge to do the operation,  doesn't mean that it is the best option for your dog.
Good luck Cooper, I am sure he will benefit from the hydrotherapy as it did help Marley (she just didn't like it, crying all the time she was in the pool  :005:)
Max (GSP)  always in my heart