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Angular limb deformity

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Carpal valgus
Other namesCrooked legs, Angular Limb Deviation, Angular Limb Deformity, Angular Valgus Deformity, Angular Varus Deformity, Carpal valgus, Carpal varus
A chihuahua with a carpal valgus deformity in the front left limb.
SpecialtyOrthopedics
CausesBlunt force trauma, unbalanced nutrition, or excessive exercise before the closure of the growth plate
TreatmentSurgery, weight management

Angular limb deformity is a deformity of the carpal joint in quadrupedal animals. It causes the limb to point outward (carpal valgus) or inward (carpal varus), deviating from normal development.[1][2]

Causes

Angular limb deformity usually occurs due to outside factors during developmental years, including blunt force trauma, unbalanced nutrition, or excessive exercise.[3] They are less likely to develop in hind limbs, except in certain animals, such as daschunds.[4] Rarely, they can also occur from a genetic predisposition to premature growth plate closure.[5][6]

Symptoms and Diagnosis

Significant angular limb deformity is often apparent visually from looking at the limbs in front of, behind, or from the side of the animal.[7] Diagnosis is usually made through physical examination, which can include manipulation of the limbs.[8]

Affected limbs bay show lameness or joint swelling, resulting in limps of varying degree to the animal.[9]

Radiographs can be used to assess the location of the deviation, the degree of deviation from normal, the condition of the bones within the affected joint, the appearance of the growth plates, and response to treatment over time.[10]

Treatment

Surgical correction may be used to treat significant angular limb deformity, usually carpal valgus, that is causing discomfort and impaired limb use.[11] The animal's weight should be managed carefully to avoid exacerbating lameness or pain. In addition, activities that incur trauma upon the joint, such as jumping, should be discouraged.

References