SA Musculoskeletal Conditions of the Pelvis, Hip and Femur Flashcards
List three indications for surgical repair of the pelvis
Fractures of the weight bearing axis
Articular fractures (acetabular)
Narrowing of the pelvic canal
List three problems that may be caused by conservative treatment of ilial fractures
Malunion
Narrowed pelvis
Constipation
How would you usually treat sacroiliac fracture luxations?
Usually a single lag screw fixation
Decribe the signalment of animals presenting with hip dysplasia
Large and giant breeds but also small breeds and cats
Bilateral > unilateral
Male > female
6-7 months
Adult
Describe the gait of an animal with hip dysplasia
Short stride, stiffness, clunking of hips
Lateral sway
Bunny hopping
Adducted hindlimbs
What does the ortolani test show?
Test of hip laxity
Which radiograph view should you take to show hip dysplasia?
Ventrodorsal extended views
List four types of non-surgical management of hip dysplasia.
NSAIDs, rest, hydrotherapy, diet
What are the surgical treatment options for young dogs or dogs with mild laxity before OA, with hip dysplasia?
Growth plate fusion
Osteotomies
What are the surgical treatment options for severe laxity or OA, with hip dysplasia?
Totoal joint replacement
Ostectomies
Which surgery can be performed on very young dogs (less than 17 weeks) with hip dysplasia?
Juvenile pubic symphysiodesis
In which direction does the hip normally luxate?
Craniodorsal direction.
What are the clinical signs of avascular necrosis of the femoral head?
Small breeds from 5 months
Unilateral hind limb lameness
Pain on hip extension and flexion
Muscle wastage
What are the treatment options for avascular necrosis of the femoral head?
Conservative - cage rest
Surgery - femoral head and neck excision, total hip replacement
What does SCFE stand for and what is it?
Slipped capital femoral epiphysis
Atruamtice fracture of the capital femoral physis