HL varus/ internal tibial rotation

[JaneHK]

Hi everyone,
Needing some input on a case. Poochie is a 1yr male entire Samoyed. He has a varus confirmation of his tarsi bilaterally with mild internal rotation of the tibia (only appreciated when palpated in lateral). He has not yet had radiographs and there is no associated pain or discomfort anywhere over the HLs or pelvis. There is medial pull at the sartorius insertion bilaterally, but patella is stable, and reduced hamstring and gluteal muscles. We have started quadriceps stretches and hind limb strengthening exercises (backward walk, sit to stand) as well as core/balancing exercises.
The owner is going to put down some non-slip flooring which should help considerably.

Has anyone seen a similar case or have any suggestions?

Videos in slow mo here where L looks worse but they are pretty equal.
Rear: https://www.youtube.com/watch?v=rzgiRl5NuaM
front: https://www.youtube.com/watch?v=_goRfMG_OQA

Thanks in advance
Jane

[lehughes]

Hey Jane,

I think you're exactly right with your approach. Essentially strengthen and stretch. See where that takes you.

How are the hips? That would be my only other spot to keep in the back of my mind.

Laurie