Clean Run - November 2016 - 52


passive range of motion (PROM), therapeutic ultrasound to the FCU tendon,
and class III-b laser therapy. See Figures
4 and 5. Underwater treadmill therapy
and therapeutic ultrasound can usually
be incorporated into rehabilitation therapy. Rehabilitation therapy should be
performed weekly in conjunction with
an at-home exercise program.

4

5

Case Treatment
Since Shazam was found to have a grade
I-II FCU strain, recommendations were
made for a 16-week rehabilitation therapy program with low level laser therapy
and therapeutic exercises to strengthen
and condition for gradual return to
sport. Once Shazam was cleared to initiate the strengthening and conditioning phase of his recovery, a strengthening program for the carpus, consisting
of wobble board/BOSU ball activities,
digging, and deep-water swimming
was initiated. A heavy carpal support
wrap was recommended to be used
for training and contact work, and a
lighter carpal support wrap was recommended to be used everyday activity.
During agility retraining, a light support
wrap was recommended to be used
until the left carpus was strengthened.

Return to Function
Once the tissue has healed, as confirmed
via diagnostic ultrasound, the rehabilitation program focuses on strengthening
and conditioning. Once a normal fiber
pattern and muscle mass have been
attained, dogs are then cleared for retraining and return to sport. On average,
patients treated with surgery and/or regenerative medicine therapy typically
return to competition within six months
of treatment completion.

Therapeutic ultrasound of the FCU
tendon is often incorporated into a
rehabilitation therapy program if
regenerative medicine therapy has
not been used.

Initially, a home exercise program
with standard isometric exercises for
the FCU is recommended to be
performed twice daily between
rehabilitation therapy sessions.

presentation Shazam showed no signs of lameness. On palpation and manipulation
no discomfort or swelling were noted in either carpus. The left elbow and shoulder
were within normal limits. A diagnostic ultrasound of the carpi was performed and
showed both flexor carpi ulnaris appeared normal and the previous grade I-II left flexor
carpi ulnaris strain had resolved. At that time, Shazam was cleared to return to agility.
Since his return to sport, he has been actively competing in agility winning many local
events. He has also been a USDAA Steeplechase and Grand Prix national finalist, UKI
U.S. Open finalist, Multi Westminster Agility finalist, and has earned his AKC MACH2. 

Summary
Flexor carpi ulnaris tendinopathy can be acute or chronic and involve either part
of the tendon or the entire tendon. Surgical repair, regenerative medicine therapy,
custom hinged braces, and/or rehabilitation therapy may be used to treat FCU tendon injuries. Following treatment, patients are gradually returned to agility over six
months and often return to competition.

References
Kuan SY, Smith BA, Fearnside SM, Black AP, Allan GS. Flexor carpi ulnaris tendonopathy in a
Weimaraner. Australian Vet J. 2007;85(10):401-404.

Case Follow-Up

Carmichael S, Marshall W. Muscle and Tendon Disorders: Small Animal, 1ed., Tobias KM, Johnston SA (eds.). 2012, St. Louis, MO. Elsevier Saunders.

Shazam presented for a re-evaluation 16
weeks following his initial diagnosis. At

The Skeletal and Musclar Systems: Guide to the Dissection of the Dog, 6th ed., Evans HE,
deLahunta A (eds.). 2014. Philadelphia, PA. Elsevier Saunders.

D

Dr. Brittany Jean Carr is currently a rehabilitation therapist and American College of Veterinary Sports Medicine and Rehabilitation resident at Veterinary Orthopedic
and Sports Medicine Group (VOSM) in Annapolis Junction, Maryland. She earned her B.S. in biology from Furman University in Greenville, South Carolina. She
then attended the Virginia-Maryland Regional College of Veterinary Medicine at Virginia Tech in Blacksburg, Virginia. During her time in veterinary school, she
served as president of the student chapter of the American Veterinary Medical Association and was honored with the College of Veterinary Medicine Outstanding
Senior Award. After earning her DVM, Dr. Carr completed a small animal rotating internship at the Animal Specialty Group in Los Angeles, California and surgical
internship at VOSM. Dr. Carr's research studies include objective gait analysis, regenerative medicine, and return to sport following cranial cruciate ligament injuries.
Sherman O. Canapp, Jr., DVM, MS, CCRT, DACVS-SA, DACVSMR, originally from Maryland, completed a combined Doctor of Veterinary Medicine/Master of
Science at Kansas State University, an internship in small animal medicine and surgery at the University of Missouri, and a three-year residency in small animal
surgery at the University of Florida. Dr. Canapp currently practices orthopedic surgery and sports medicine at Veterinary Orthopedic & Sports Medicine Group
in Annapolis Junction, Maryland, where he is chief of staff. Dr. Canapp has earned diplomate status from both the American College of Veterinary Surgeons
and the American College of Veterinary Sports Medicine and Rehabilitation. His primary focus and research is in arthroscopy, regenerative medicine, and
sports medicine. Dr. Canapp lectures nationally and internationally, and is a consultant for numerous organizations and medical companies. Dr. Canapp is also the
president of Orthobiologic Innovations, LLC, which is dedicated to research and development in sports medicine and regenerative medicine.
52

Clean Run | November 16



Table of Contents for the Digital Edition of Clean Run - November 2016

Table of Contents
Clean Run - November 2016 - Cover1
Clean Run - November 2016 - Cover2
Clean Run - November 2016 - Table of Contents
Clean Run - November 2016 - 4
Clean Run - November 2016 - 5
Clean Run - November 2016 - 6
Clean Run - November 2016 - 7
Clean Run - November 2016 - 8
Clean Run - November 2016 - 9
Clean Run - November 2016 - 10
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Clean Run - November 2016 - 18
Clean Run - November 2016 - 19
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Clean Run - November 2016 - 21
Clean Run - November 2016 - 22
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Clean Run - November 2016 - 25
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Clean Run - November 2016 - 27
Clean Run - November 2016 - 28
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Clean Run - November 2016 - 31
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Clean Run - November 2016 - 34
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Clean Run - November 2016 - 37
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Clean Run - November 2016 - Cover3
Clean Run - November 2016 - Cover4
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