Figure 1 Proper hand positioning and technique for assessing cranial tibial thrust

Cranial cruciate ligament disease (CCLD) is caused by a gradual degeneration of the cranial cruciate ligament (CCL), which results in a partial or complete ligament tear. CCLD is the most commonly diagnosed disorder of the canine stifle joint1 and is the orthopedic disease most commonly treated surgically in practice.

Patients can present with a variety of signs; some are easily recognizable and easy to diagnose, while others are less obvious, making diagnosis more challenging.

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