Radiology Packet 25 Fractures

6 mo female GSD “Samantha” HX = hit by car

6 mo female GSD “Samantha”

RF –There is cranial luxation of the right coxofemoral joint. –A tiny bone fragment is visible in the right acetabulum. –There is a fracture of the left acetabulum in the cranial 1/3. –There are bilateral distal femoral fractures. –The fracture of the right femur is a Salter-Harris Type I. –The fracture of the left femur is a Salter-Harris Type II. RD –Right femoral Salter-Harris I fracture –Left femoral Salter-Harris II fracture –Left acetabular fracture –Right coxofemoral luxation Next –Surgical reduction and stabilization

5 mo old F mix breed dog “Ginger” HX = presented with acute non-weight bearing lameness on the right hind limb

5 mo old F mix breed dog “Ginger” RF –Soft tissue swelling surrounds the distal tibia and tarsus. –A fracture of the distal tibial physis is present. –The epiphysis is displaced caudal and lateral and there is angulation of the fracture. –A small bone sliver is noted off the medial malleolus. –A short oblique fracture of the fibula is present involving the distal diaphysis with angulation but no displacement. RD –Salter-Harris Type I distal tibial fracture –Non-displaced fracture of the distal fibula Next –Immobilize via cast

9 mo old mix breed dog “J.D.” HX = HBC

9 mo old mix breed dog “J.D.” RF –In the lateral view there is a fracture line visible in the distal tibia at the junction of the diaphysis and metaphysis. –In the craniocaudal view there are two fracture lines visible in the medullary cavity of the distal diaphysis. RD –Greenstick fracture of the distal tibia –Fissure fractures if the distal diaphysis of the tibia Next –Immobilization via cast

3 yr old MC Doberman “Prince” HX = presented with acute right hind limb lameness

3 yr old MC Doberman “Prince” RF –The right femoral head is not within the acetabulum, it is displaced cranial and dorsal. –Small osseous fragments are noted overlying the femoral neck on the VD view. –The right acetabulum appears fractured along the dorsal margin. RD –Right coxofemoral joint luxation Next –Surgical reduction of the luxation and fixation of the fracture

2 yr FS Golden Retriever “Mocha” HX = HBC

2 yr FS Golden Retriever “Mocha” RF –There are fractures of the distal diaphysis of the radius and ulna. –The fractures are transverse and there are several small bone fragments seen arising from the radial fracture. –There is cranial and lateral displacement of the fracture and the fracture ends are over-riding. RD –Transverse, comminuted radial fracture –Transverse ulnar fracture Next –Surgical reduction and stabilization of the radius

6 mo old female DSH “Squeekie” HX = HBC

6 mo old female DSH “Squeekie” RF –There is a long oblique fracture of the mid-diaphysis of the left humerus which is caudally displaced. –There is significant over-riding of the fracture. –The surrounding soft tissues are very swollen. –There is a transverse fracture of the mid-diaphysis of the radius and a short oblique fracture of the mid-diaphysis of the ulna. –The fractures are caudolaterally displaced and there is over-riding. –The soft tissues are swollen. RD –Long oblique fracture of the left humerus –Transverse fractures of the radius and ulna Next –Surgical reduction and stabilization of the left humerus and left radius

2 yr old MC Lab Retriever “Bud” HX = gunshot

2 yr old MC Lab Retriever “Bud” RF –There is a highly comminuted fracture of the diaphysis of the left femur. –Multiple small fracture fragments are present and they are displaced well into the surrounding soft tissues. –Multiple lead fragments are present within the soft tissues. RD –Comminuted fracture of the left femoral diaphysis Next –Surgical reduction and stabilization if possible –If not, amputation

1 yr old Mix Breed dog “Trixie” HX = HBC

1 yr old Mix Breed dog “Trixie” RF –There is a fracture of the right ilium at the junction of the wing and the body. –Caudal to the fracture the right half of the pelvis is displaced toward the midline. –An irregularly shaped bone fragment seen ventral to the ilial wings in the lateral view is thought to be a fragment arising from the right ilial wing. –There is a comminuted fracture of the left acetabulum. –In the lateral view the femoral head is displaced dorsally through the fractured acetabulum. –There are multiple pelvic floor fractures. RD –Right ilial fracture –Pelvic floor fractures –Left acetabular fracture Next –Surgical reduction and stabilization