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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:

    Click on Case Archives to access a list of past case features.