Equine ortho emergencies (Bauck Bauck!)

Question 1

What is considered an orthopedic emergency

Answer 1

any acute onset

severe lameness

Question 2

Primary goal of Fx and catastrophic traumas

Answer 2

Stabilize limb for transport

Question 3

Fx first aid

Answer 3

sedation and analgesics

immobilization

Question 4

Sedation

Answer 4

Alpha2 agonists (Xylazine, detomidine)

Question 5

Goals of fx stabilization

Answer 5

reduction of pain and anxiety
Minimize further trauma
Immobilize adjacent joints proximal and distal
Before transport and radiographs

Question 6

Splinting techniques

Answer 6

Neutralize damaging forces
Does not require anesthesia
Span joint above and below

Question 7

Section 1: distal fx

Answer 7

Align dorsal cortices into a straight line
Light compression bandage
Can use dorsal splint

Question 8

Section 2: Mid-forelimb

Answer 8

alignment and immobilize distal to fx
Robert Jones to elbow
Caudal and lateral splints

Question 9

Section 2: mid and proximal metatarsus

Answer 9

Use calcaneal tuberosity as extension of MT 3

Lateral and plantar splints

Question 10

Section 3: Mid and proximal radius

Answer 10

Prevent abduction
Robert Jones
Caudal splint- elbow to ground
Lateral splint- whithers to ground

Question 11

Section 3: Tarsus and tibia

Answer 11

Prevent abduction
Robert Jones form stifle to ground
Lateral splint-tuber coxae to ground

Question 12

Section 4: proximal to elbow

Answer 12

Humerus and scapula
No coaptation
Apply splint to align bone colum and fix carpus in extension
Allows weight bearing on limb
Not Robert Jones
Caudal splint form olecranaon to fetlock/ground

Question 13

Section 4: proximal to stifle

Answer 13

Coaptation not performed

Question 14

Open fx treatment

Answer 14

broad spectrum abx
Tetanus toxioid
keep moist
clean

Question 15

What drugs should you avoid once the limb is stabilized

Answer 15

corticosteroids

Question 16

Goal of transport

Answer 16

minimize the distance horse must walk

Question 17

Hindlimb fx horse should face

Answer 17

Front

Question 18

Forlimb fx horse should face

Answer 18

back

Question 19

Amendable bones

Answer 19

Phalanges
Seasmoids
MC/MT
Carpal
Tarsal
Patella
Ulna

Question 20

Adverse bones

Answer 20

Radius 
Humerus
Scapula
Calcaneous
Tibia
Femur
Pelvis