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What are the signs of a dog ACL tear?

Signs of a dog ACL tear include sudden or intermittent limping, reluctance to bear weight on a leg, stiffness after rest, and visible changes in gait.

Understanding the Signs of an ACL Tear in Dogs

A torn anterior cruciate ligament (ACL), technically known in dogs as a torn cranial cruciate ligament (CCL), is one of the most common orthopedic injuries in canine companions. Recognizing the symptoms of a dog ACL tear early is crucial to prevent worsening injury and to initiate proper treatment. This article outlines the key signs, evaluation methods, and what you can do as a pet owner.

What Does the ACL (CCL) Do in Dogs?

The cranial cruciate ligament stabilizes the knee joint (stifle) by preventing the tibia from shifting forward relative to the femur. A tear compromises this stability.

Common Signs of an ACL Tear in Dogs

  • Sudden onset limping: Most dogs exhibit limping that either begins suddenly after activity or appears after periods of rest.
  • Non-weight bearing lameness: The dog may completely avoid putting weight on the affected leg.
  • Improvement after movement: Limping may be worse after rest and gradually improve, known as a “warm-up” effect.
  • Visible changes in gait: Dogs may favor one leg, develop an uneven stride, or show instability while walking or running.
  • Swelling or inflammation: The knee area might be visibly swollen or warm to the touch.
  • Stiffness after rest: The dog may struggle to rise or show hesitation to walk immediately after lying down.
  • Behavioral changes: Signs such as whining, yelping, or aggression when the leg is touched can indicate pain.

Causes and Risk Factors

Several factors contribute to ACL injuries in dogs:
  • High-impact exercise or trauma
  • Obesity adding stress to joints
  • Breed predisposition (e.g., Labrador Retrievers, Rottweilers)
  • Age and prior joint degeneration

How is an ACL Tear Diagnosed?

Veterinarians use a combination of physical exams and diagnostic tools:
  • Physical examination: Manipulating the joint to identify instability or pain.
  • Drawer test: Movement of the tibia forward indicates a tear.
  • Imaging: X-rays help rule out fractures and show joint effusion, while MRIs or arthroscopy may further confirm ligament damage.

Similar Conditions to Rule Out

Because limping and stiffness also occur with various other conditions, it's important to differentiate:
  • Arthritis: Chronic joint inflammation often mistaken for ligament injuries.
  • Hip dysplasia: Affects rear leg movement with similar symptoms.
  • Muscle strains or sprains: May cause temporary limping post-activity.
  • Paw injuries or foreign objects: Cause acute monopodal lameness.

Treatment Options

Management depends on severity, age, size, and activity level:
  1. Conservative care:
    • Strict rest and restricted activity
    • Anti-inflammatory medication (NSAIDs)
    • Weight management and joint supplements
    • Physical rehabilitation and laser therapy
  2. Surgical options:
    • TPLO (Tibial Plateau Leveling Osteotomy)
    • Extracapsular repair for smaller or less active dogs
    • TTA (Tibial Tuberosity Advancement)

Home Care and Recovery

Post-treatment, support your dog’s recovery with:
  • Soft supportive bedding
  • Controlled physical therapy and short walks
  • Ramps for reduced impact on joints
  • Daily monitoring for swelling or recurring limping

When to See a Veterinarian

Even if limping appears intermittent, consult a vet if:
  • Limping lasts more than 48 hours
  • The dog refuses to bear weight
  • Visible swelling or deformity is noted
  • There are behavioral signs of significant pain

Conclusion

A torn ACL is a serious yet manageable injury for dogs. Early detection through recognition of signs like non-weight bearing limping, post-rest stiffness, and gait changes can drastically improve treatment outcomes. Whether addressed through conservative care or surgical intervention, proactive management and close veterinary collaboration ensure your dog’s comfort and long-term mobility.

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