PELVIS, HIP: 56, 57, 58, 59 Flashcards
How many fracture configuration can be seen in pelvic fractures?
160 total, with 19 repeatedly observed (in 52% of all cases)
anatomy of the lumbosacral trunk
it becomes the sciatic nerve after being joined by the 2° sacral nerve, and passing over the greater ischiatic notch and exit the greater ischiatic foramen
percentage of recovery of animal with peripheral nerve injury
15% had permanent loss of linb function
Pelvic canal ratio
hamilton 2009. A-B= cranial border sacrum
C-D= medial cortex acetabulum. 0.97 +- 0.025 in normal cats.
reduction of <10% mild, 10-30% moderate, >30% severe
typical pattern for ilium fractures
from cranioventral to caudodorsal, immediately caudal to the sacroiliac joint
position of the lumbosacral trunk in respect to the ilium body
medial and dorsal
in lateral plating of the ilium, where does screws tipically pull out?
cranial fracture segment
acetabular fractures classification
simple, transverse, oblique or comminuted
location: cranial, dorsal, caudal, central
prevalence of unilateral and bilateral SI luxation fracture
77% unilateral, 23% bilateral
do cats have a sacral notch?
only 34% of cats and 98% of dogs
screw loosening in SI luxation with screw >60% width sacrum
7%
classification of sacral fractures
1) alar
2) foraminal
3) transverse
4) avulsion
5) comminuted
most common pelvic fractures?
pelvic fractures
name the primary stabilizers of the hip joint
1) ligament of the head of the femur
2) joint capsule
3) dorsal acetabular rim
incidence of femural luxation on all luxation
90%
what percentage of femural luxation are craniodorsal?
75%
incidence of relaxation after closed reduction of COX-FEM luxation
more than 50%
name 5 techniques for augmentation of closed reduction
1) Ehmer sling: 10 to 14 days, relaxation 15-71%
2) Hobbles
3) Ischioilial pinning: 2-4 weeks
4) External skeletal fixators
5) transarticular pinning
median success rate after open reduction
+- 85%
Name 12 procedures for open reduction
1) capsulorraphy
2) prostethic capsule repair
3) transposition of the greater trochanter
4) transarticular pinning
5) toggle rod: 6% relaxation
6) fascia lat loop stabilization
7) transposition of the sacrotuberous ligament
8) extra-articular iliofemoral suture
9) surgical stabilization of ventral luxation
10) femoral head and neck excision
11) TPO/DPO
12) THR
caudal acetabular fractures should always be managed conservatively. T or F
F. caudal acetabulum has weightbearing load. without intervention faster progression to osteoarthritis
what is the main responsible to maintain hip joint stability during the first months of life?
ligament head of the femur
breifly describe the 2 biomechanic principles associated with funcional subluxation of the hip
1) forces crossing the joint increase
2) area over wich the forces are transmitted decreases
lower cutoff value for Distraction Index
0.3
Name all the proposed factors that can lead to hip joint laxity
1) joint fluid
2) pelvic muscle mass
3) hormonal factors
4) weight and growth
5) nutrition
6) environmental
7) other