12/11/2025
4Dvets Case Study: Cane Corso with Functional Shoulder Impairment & Compensatory Collapse
This 3.5-year-old Cane Corso presented with persistent lameness in the left forelimb, months after bilateral cruciate ligament surgeries. Despite extensive diagnostics, including imaging and PRP suggestions, no structural pathology could fully explain the ongoing dysfunction.
Clinical and visual assessment revealed multiple biomechanical compensations:
• overloading of the right forelimb, leading to frequent collapsing
• hang-leg lameness left, and abnormal shoulder protraction
• a twisted pelvis, lordosis, and O-shaped knees
Kinematic analysis confirmed what the eye suspected:
• severely reduced motion in the left scapulohumeral joint
• asymmetrical shoulder height and positioning
• hypertrophy of the right shoulder due to chronic overload
Manual orthopedic treatment included repositioning of the scapula and cervical spine adjustment. Immediately after intervention, motion symmetry improved visibly.
The follow-up gait video showed:
• significantly improved stability
• reduced collapsing episodes
• restored alignment of the forelimbs
Structural findings (e.g., mild tendon calcification) were deemed clinically irrelevant. The primary issue was functional and treatable once the biomechanics were correctly identified.
A reminder that not all lameness is structural: some is functional, compensatory, and dynamic.