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CASE 24
| SIGNALMENT:
6-year-old female German Shepherd
HISTORY:
Missing for three days before being found by the owners. Presumably
hit by a car and taken to the referring veterinarian for treatment. A diagnosis
of right coxofemoral luxation was made and the hip attempted to be reduced
closed. Closed reduction unsuccessful and referral for open surgical repair
was made.
|
Figure 1
Lateral view of the thoracolumbar spine. the
T12-13 fracture/luxation can be appreciated at the far left side of the
film, while the luxated right femoral head is seen on the far right.
|
DIAGNOSIS:
On physical examination, neurological deficits were detected in the
right and left rear limbs. Review of films submitted did not reveal any
fractures/luxations of the lumbar spine. Additional radiographic views
were obtained (Figure 1) of the spine. There is a fracture/luxation
of the caudal thoracic vertebrae and the coxofemoral head can be appreciated
in this film as a cranioventral luxation. |
| Figure 2
Postoperative view (ventrodorsal) showing the
Knowles Toggle Pin located on the medial side of the acetabulum and the
femoral head seated deeply within the acetabulum.
|
|
| TREATMENT:
The spinal fracture was managed conservatively. Surgical treatment of
the hip luxation was delayed for several days due to melena and hematochezia.
Recurrent infection with Giardia and coccydia was suspected and responded
to appropriate therapy. Approximately eight days after the injury occurred,
the coxofemoral luxation was repaired using a Knowles Toggle Pin technique
(Figure
2). (The limb was placed in a figure-of-eight bandage postoperatively
prior to radiographs.) |
|
ACKNOWLEDGMENT:
Thank you to Dr. Lisa Jamison, Northside Veterinary Clinic, Muskogee,
OK, for this referral.
CASE ARCHIVES:
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