538 Canine Sports Medicine and Rehabilitation
Herding
While herding as a competitive sport is com-
mon through the United States and the United
Kingdom, many ranches and farms actively use
dogs in day-to-day herding operations with
sheep and cattle (Figure 21.19). Herding can be
broken down to two distinct activities: either
gathering and moving animals in and around a
property, or guarding sheep or cattle (mostly
sheep) from predators such as coyotes, feral
dogs, and wolves. Dogs performing the latter
Ultrasonography: Ultrasound of left shoulder dem-
onstrates no abnormal echo pattern of supraspinatus
muscle belly. A triangular hyperechoic area of sus-
pected fibrosis is well delineated in same area as pre-
vious core lesion (Figure 21.17). Ultrasound of right
caudolateral tibia demonstrates significant disruption
of normal muscular structure of long digital extensor
(Figure 21.18). Patient shows slight discomfort with
pressure of ultrasound probe on year-old left shoul-
der and acute right tibial injuries.
Treatment: Cryotherapy initiated on right pelvic limb
injury, followed by manual therapy, gentle PROM,
and low-level laser therapy (LLLT). Field and pen
work discontinued. Once patient fully weight bear-
ing at stance with no lameness visible at walk, exer-
cises, PROM, and manual therapy for the chronic left
thoracic limb supraspinatus muscle injury initiated.
Client advised to gradually increase appropriate
loading and movement exercises as patient could tol-
erate for next 16 weeks.
Discussion: This case illustrates several important
aspects of managing complex working dog cases that
can involve both chronic and acute issues.
Thermal imaging demonstrated increased blood
supply demand (warmer temperatures) in muscles
that could be compensating for a slight gait abnor-
mality and structural asymmetry (triceps, teres minor,
epaxials). A biomechanical compensatory link
between thoracic and pelvic limbs can be demon-
strated with the presence of hypertonicity and
increased blood flow of the lumbar epaxial muscles.
While the left pelvic limb injury could perhaps be a
discrete event, there is a high probability that the diag-
onal pattern of left thoracic limb and right pelvic limb
injuries are related. A thorough practitioner needs to
consider and rule out the possibility that the left tho-
racic limb injury has not fully healed or has affected
gait mechanics to the point that extra mechanical load
has been placed on the right pelvic limb, thus contrib-
uting to the failure of muscle or tendinous structure.
L Deltoideus m
L Supraspinatus m
SGP
L scapulaL longitudinal supraspinatus
Figure 21.17 Longitudinal ultrasound of the left
supraspinatus. A circular area of hyperechogenicity is
visible just dorsal to the supraglenoid process in the
same area as the defect imaged a year prior.
(B)
(A)
R Cr Tib
L Cr Tib m
R TIB
L Tib
R LDE
L LDE m
R longitudinal lateral tibia
R longitudinal lateral tibia
Figure 21.18 (A) Longitudinal ultrasound of the right
proximal caudolateral tibia showing marked disruption
of the architecture of the long digital extensor muscle.
The cranial tibial muscle appears unaffected. (B)
Longitudinal ultrasound of the left proximal
caudolateral tibia for comparison.