Plan of Action


1. Repeat orthopedic exam under sedation to check ROM and cranial drawer.

 2. Lateral and VD/DV radiographs of both hips, stifle joints and tibia should be done 
under sedation. Oblique and flexed lateral views of the stifle joint can facilitate the early 
detection of degenerative changes such as ostephytosis.  Bilateral radiographs should be 
done because of the pain response elicited when patella luxation was attempted on left 
side. The entire hind limb, not just the stifle joint, should be radiographed because medial 
patellar luxations are associated with medial displacement of the quadriceps, dysplasia of 
the femoral epiphyses, coxa vera (reduced inclinaton of the femoral head and neck to the 
long axis of femoral shaft),  degenerative joint disease and tibial deformities.

3. Preliminary bloodwork should be performed to check for any indication of infectious 
causes.