LA Orthopedic Case Studies (30) Flashcards
Dr. Devine
What type of fracture is this?
sagittal
What is the best method to stabilize this fracture for transportation?
Kimzey splint - great for P1, P2, distal cannon bone fractures
What joints need to be stabilized?
B and C - always need to stabilize the joint above and the joint below
How should this fracture be treated?
lag screw fixation
plate fixation
What type of fracture is this?
spiral
Why do we care about spiral fractures?
more complicated - can’t do same screw technique if you don’t consider how it has multiple fracture planes
What happens when you have a spiral fracture and don’t consider how it is fractured in multiple planes?
comminution
If you do not have a kimsey splint, what side of the limb does a half limb splint need to go on the pelvic limb? Thoracic?
pelvic: plantar
thoracic: dorsal
What is this, and how can it happen?
laminitis - can happen on the contralateral limb to the fracture
What is this called?
osteochondral fragment
What is the preferred treatment for this lesion?
arthroscopy
Describe the abnormality
enlarged dorsal aspect of the pastern
What is the layman’s term for this lesion?
high ringbone - osteoarthritis of the pastern joint
What is the preferred treatment for this problem?
arthrodesis - surgical plate and screws
have periosteal reaction because of the instability of the joint = inflammatory response
What is the preferred treatment for this problem?
arthrodesis
What is your top differential for this colt?
long bone fracture
Which bone is fractured?
tibia
What type of fracture is this?
comminuted
Which joints require immobilization?
stifle and tarsus
What is the correct type of coaptation for this tibial fracture?
Robert Jones bandage, lateral splint from the ground to the hip
How might you treat this fracture?
internal fixation
What does this radiograph depict?
transfixation pin cast
What bone is fractured?
P3
What coaptation would you apply for healing?
foot cast
What type of fracture is this?
avulsion
What structure caused the avulsion?
suspensory ligament
How do you describe the fracture?
displaced
How is this fracture treated?
remove the middle section of the bone to remove the fracture - segmental ostectomy
