╨╧рб▒с>■  $&■   #                                                                                                                                                                                                                                                                                                                                                                                                                                                ье┴ ┐█ jbjbjкjк ╚╚█      ]ввввввв╥╥╥╥╥ ▐ ╥ ъЎЎЎЎЎЎЎЎ╩╠╠╠╠╠╠,ўЇыВ°вЎЎЎЎЎ° ввЎЎЎ   Ў вЎвЎ╩╢─ввввЎ╩ └ ╩вв╩ъ ╥ ╡╢╥╥ ╩Group 11 Diagnosis Considering the results of the specialty orthopedic and radiographic exams, ideally we would like to rule out a congenitally shallow femoral trochlear groove through skyline radiographs. At this point in time, we are suspicious that this is the underlying etiology of the patientТs condition. As a small breed female dog, the patient is predisposed to this congenital malformation of the stifle joint. Thus, the mild trauma suffered from jumping off the bed would most likely be sufficient to cause a Grade I/II patellar luxation. Therefore, our diagnosis would be a combination of Hypotheses 1 and 3, with 3 being primary. Normally, the patella should remain within the femoral trochlear groove throughout range of motion. In cases where this groove is more shallow than normal, logically the patella is more apt to luxate. When Titan landed, thus exerting excess force on the already compromised joint, the injury occurred. In addition, damage to lateral supporting soft tissue structures and subsequent repair that occurred can account for the chronically instable joint. As a result, Titan has shown a recurring lameness without additional notable trauma. Radiographically, no arthritic changes were seen most likely as a result of the mild and intermittent nature of the injury. Throughout the course of this problem, there are periods when the stifle is functionally normal, thus decreasing the amount of abnormal forces being placed on the joint. Furthermore, since Titan is a small breed dog, the joints are not required to support a large amount of weight. Orthopedic exam under sedation indicates that pain responses elicited from manipulations of left leg and tail were artifacts of patientТs temperament. █ <Ки@ ┘ █ ¤¤∙∙∙¤¤Д╨<Ки@ ┘ █ ░╨/ ░р=!░"░#Ра$Ра%░ [4@ё 4NormalCJOJPJQJmH <A@Є б<Default Paragraph Font█       ██ █ █ ▌▌   Math EmporiumKMacintosh HD:Desktop Folder:Student's Folder:AutoRecovery save of Document1 Math EmporiumEMacintosh HD:Desktop Folder:Student's Folder:Group 11 Diagnosis-2.txt Math EmporiumLMacintosh HD:Desktop Folder:Student's Folder:AutoRecovery save of Group 11 D Math EmporiumEMacintosh HD:Desktop Folder:Student's Folder:Group 11 Diagnosis-2.txt @АNN░ ЇЦЦNN5█p@GРTimes New Roman5РАSymbol3Р Arial3РTimes"ёИ╨h#ФRhФR3!е└┤┤Аr0d ╨  Group 11 Diagnosis Math Emporium Math Emporium■  рЕЯЄ∙OhлС+'│┘0pИРм╕╨▄ь  , 8 DPX`h'Group 11 DiagnosisdrouMath EmporiumosathNormalpMath Emporiumos2thMicrosoft Word 8.0d@Єц@┌@еЄЩ└@а╒╣√Щ└■  ╒═╒Ь.УЧ+,∙о0 hpИРШа и░╕└ ╚ ч'Virginia Techaм Group 11 Diagnosis Title ■    ■   ■    !"■   ¤   %■   ■   ■                                                                                                                                                                                                                                                                                                                                                                   Root Entry         └F-║█╤Щ└'А1Table         WordDocument        SummaryInformation(    DocumentSummaryInformation8            CompObj            X                        ■                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           ■      └FMicrosoft Word Document■   NB6WWord.Document.8