These pilot data quantified the effects of surgical procedures most commonly combined to treat MPL. We hope to use these measurements to correlate surgical treatment with functional outcome and postoperative occurrence of luxation.
A 5-month-old, intact female Great Dane was presented for an acute onset of rapidly progressive lameness, severe pain, and diffuse swelling of the right hind limb. Ultrasound evaluation revealed echogenic fluid pockets extending along fascial planes of the right hind limb, from the proximal femur to the hock. Necrotic soft tissues were debrided, and closed-suction drains were placed. No foreign material was identified at surgery. Fluid culture identified a beta-hemolytic Streptococcus sp., and affected fascial histopathology was consistent with necrotizing fasciitis. Postoperatively, the puppy was managed with intravenous broad-spectrum antibiotics, local infusions of amikacin, and daily physical rehabilitation. Oral pentoxifylline was administered to treat bronchopneumonia and streptococcal toxic shock syndrome that developed secondary to necrotizing fasciitis. To our knowledge, this is the first report of a successfully managed case of beta-hemolytic, streptococcal, necrotizing fasciitis successfully managed after a single surgical debridement in combination with systemic broad-spectrum antibiotics, local amikacin infusion, active closed-suction drainage, daily cytology, massage, and passive range-of-motion exercises to maintain limb function.
Abstract. An aged mongrel dog was admitted for hemimandibulectomy as treatment for a mandibular mass that had been diagnosed as osteosarcoma. The fibro-osseous mass that surrounded the first molar tooth and replaced alveolar and cortical bone was reclassified as ossifying fibroma on the basis of anatomic location and histologic features. The tumor was composed of isomorphic fusiform cells with few mitotic figures. Tumoral stroma contained trabeculae of woven bone that were bordered by a single layer of osteoblasts. Excision was deemed complete with no evidence of extension or metastasis by computed tomography of the skull or thoracic and abdominal radiography. The dog was reportedly healthy 6 months after initial presentation. Though far less common than osteosarcoma as a primary canine bone tumor, ossifying fibroma should be included in the differential diagnosis for fibroosseous proliferations, especially those of the jaw. Although benign, en bloc excision may be necessary for surgical cure.
In this case report, we describe the clinical and radiographic features of a litter of kittens affected with complex syndactyly. We also provide guidelines for the diagnosis, possible treatment and prevention of propagation of this condition. This is the first report of syndactyly in a litter of kittens and syndactyly affecting both the pectoral and pelvic limbs.
Results suggested that application of a warm compress should be performed for 10 minutes. Changes in temperature at a tissue depth of 1.5 cm were minimal or not detected. The optimal compress temperature to achieve therapeutic benefits was not determined.
An immature canine was attacked by another dog in a kennel facility and sustained multiple wounds to the lateral right forelimb and cranial right lateral thoracic region. General surgical and antimicrobial therapies were instituted immediately. The patient battled with recurrent infections and subsequent delayed healing. After approximately 35 days from the initial injury, the patient became acutely lame and febrile. The persistently open wounds were cultured and returned positive for Salmonella spp. Within the following days, the patient became painful, and the lameness progressed significantly. Radiographs confirmed pathologic humeral fracture, and the patient was referred for specialty evaluation. Zoonotic preventative protocols were adopted at the specialty facility upon arrival. Complete forequarter limb amputation was curative in this patient.
HistoryA 1.5-year-old neutered male Labrador Retriever was evaluated for mild lameness of the right pelvic limb of 6 months' duration. The lameness was first noticed immediately after an episode of outdoor activity. Initially, the dog was non-weight bearing. The lameness had improved to partial weight bearing during the next 2 weeks, and the dog had been partially weight bearing on the limb during the next 6 months.Physical and orthopedic examination revealed slight external rotation of the right pelvic limb when the dog was standing. Manipulation of the right stifle joint elicited mild crepitus through the normal range of motion and a slight pain response on deep palpation of the lateral femoral condyle. No cranial drawer or tibial thrust could be elicited. Radiographs of the right and left stifle joints were obtained for evaluation and comparison (Figure 1).Determine whether additional imaging studies are required, or make your diagnosis from Figure 1-then turn the page * * Figure 1-Lateral (A) and craniocaudal (B) radiographic views of the right stifle joint of a 1.5-year-old neutered male Labrador Retriever evaluated for right pelvic limb lameness of 6 months' duration.
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