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Tibial Compression Test Salem VA

The reason for this displacement is that hock flexion causes tension of the gastrocnemius muscle, which in turn displaces the tibia cranially. This is called tibial compression or cranial tibial thrust.

Hanging Rock Animal Hospital
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1910 Loch Haven Dr
Roanoke, VA
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Companion Pet Care Clinic
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Salem, VA
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Big Lick Veterinary Svc
(540) 776-0700
7777 Bent Mountain Rd
Roanoke, VA

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Hodges, Lucinda R, Dvm - Harris Animal Hospital
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6805 Peters Creek Rd
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Vinton Veterinary Hospital
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Vinton, VA
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Sandra Diaz, DVM, MS, Dipl. ACVD
(540) 231-4621
Duck Pond Drive (0442)
Blacksburg, VA
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Henson, Erika, Dvm - Brambleton Veterinary Hospital
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3528 Brambleton Ave
Roanoke, VA

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Cave Spring Veterinary Clinic
(540) 989-8582
4538 Old Cave Spring Rd
Roanoke, VA

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Ringenbach, Kara, Dvm - Banfield The Pet Hospital
(540) 283-9716
4749 Valley View Blvd Nw
Roanoke, VA

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How to Perform the Tibial Compression Test

This very useful test can be performed with the patient standing or in lateral recumbency (affected leg up), awake or sedated.

The stifle is held in slight flexion. The index finger of one hand is placed over the tibial crest. The other hand flexes & extends the hock.

The beauty of the tibial compression test is that it mimics the loading that causes cranial tibial thrust when the dog walks.

If the ACL is torn, the tibial tuberosity will move cranially, ever so slightly, as the hock is in the flexed position.

The reason for this displacement is that hock flexion causes tension of the gastrocnemius muscle, which in turn displaces the tibia cranially. This is called tibial compression or cranial tibial thrust.

The beauty of the tibial compression test is that it mimics the loading that causes cranial tibial thrust when the dog walks.

This is very different than the cranial drawer sign, which is a motion that doesn’t exist in real life. Think of it this way: The cranial drawer sign is “iatrogenic” whereas the cranial tibial thrust is generated by the patient when walking (or running).

Phil Zeltzman, DVM, Dipl. ACVS, is a small-animal board-certified surgeon at Valley Central Veterinary Referral Center in Whitehall, Pa. His website is DrPhilZeltzman.com .

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