Radiology Packet 25

1
Radiology Packet 25

• Fractures

2
6 mo female GSDSamantha

• HX hit by car

3
6 mo female GSDSamantha
4
6 mo female GSDSamantha
5
6 mo female GSDSamantha

• 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

6
5 mo old F mix breed dogGinger

• HX presented with acute non-weight bearing
  lameness on the right hind limb

7
5 mo old F mix breed dogGinger

• 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

8
9 mo old mix breed dogJ.D.

• HX HBC

9
9 mo old mix breed dogJ.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

10
3 yr old MC DobermanPrince

• HX presented with acute right hind limb lameness

11
3 yr old MC DobermanPrince

• 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

12
2 yr FS Golden RetrieverMocha

• HX HBC

13
2 yr FS Golden RetrieverMocha

• 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

14
6 mo old female DSHSqueekie

• HX HBC

15
6 mo old female DSHSqueekie

• 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

16
2 yr old MC Lab RetrieverBud

• HX gunshot

17
2 yr old MC Lab RetrieverBud

• 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

18
1 yr old Mix Breed dogTrixie

• HX HBC

19
1 yr old Mix Breed dogTrixie

• 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