A simple and successful osteoarthritis (OA) exam can be accomplished by following a 3-stage approach that includes owner assessment (see Feline OA Checklist), in-clinic observations (see 4 ways to spot feline OA in the clinic), and an orthopedic evaluation/exam.
Keys to a successful OA Exam of cats
In this first video, Dr. Lascelles describes how these stages work together (2:55 mins.)
Brief description of key strategies to identify OA in your feline patients
The remaining 10 videos on this webpage focus on the approach to the orthopedic exam in specific joints, either standing or lateral recumbency. The orthopedic examination is where you’ll put the final pieces of the puzzle together. During this evaluation, you’ll focus on:
- Identifying any hypersensitivities
- Evaluating muscle mass, looking for muscle atrophy that may indicate individual joint issues
- Manipulating major joints with the cat in different positions
Assessment of the Cat Prior to Exam
In this video, Dr. Lascelles demonstrates how to assess for hypersensitivity and muscle atrophy, and look for clues as to where joint pain could be located. (4:50 min.)
Key questions and observations prior to physically approaching the cat
Approach to Starting the Evaluation of Joints
Next, Dr. Lascelles explains how to use your observations up to this point to determine the sequence for the rest of the orthopedic exam, along with general feline-friendly handling skills in order to minimize stress and pain during the exam. (3:17 min.)
Discusses handling of the cat and minimizing stress during the exam
The remaining 8 videos demonstrate how to manipulate specific major joints using a feline-friendly approach. The technique is shown with the cat standing or in lateral recumbency, dependent upon the catís comfort and acceptance.
Lateral Recumbency - The Stifle Joint
Proper hand placement and skeletal landmarks to assess the stifle
Lateral Recumbency - The Elbow Joint
Proper hand placement and skeletal landmarks to assess the elbow
Lateral Recumbency - The Shoulder Joint
Proper hand placement and skeletal landmarks to assess the stifle
Lateral Recumbency - Lumbosacral Space
Proper hand placement and skeletal landmarks to assess the lumbosacral space
Lateral Recumbency - The Hip Joint
Proper hand placement and skeletal landmarks to assess the hip
Standing- The Lumbosacral Space
Proper hand placement and skeletal landmarks to assess the lumbosacral space while the cat is standing
Standing - The Forelimb Joint
Proper hand placement and skeletal landmarks to assess the forelimb while the cat is standing
Standing - The Hip Joint
Proper hand placement and skeletal landmarks to assess the hindlimb while the cat is standing