Nonsurgical perspectives on CCL diseaseOctober 24, 2018Part one of this series discussed managing owner expectations, strategies to protect the sound cruciate, diagnosing ligament and meniscal damage, and joint irrigation/visualization. In this continuing series on nonsurgical management of the injured cruciate, I will begin by discussing joint injectates.
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Nonsurgical perspectives on CCL diseaseSeptember 14, 2018Cranial cruciate ligament (CCL) disease is a multifactorial process: the consequence of slow loading injury, ligamentous inflammation, neuromuscular joint/thigh musculature imbalance, and cartilage and collagen fiber degeneration, all compounded by genetic/conformational/weight-altered factors and dynamics.