Content continues after advertisement

To Cut or Not to Cut: Apparent Pain & Lameness in a Puppy

Jean K. Reichle, DVM, MS, DACVR, Animal Specialty & Emergency Center, West Los Angeles, California

Imaging

|June 2013|Web-Exclusive

Sign in to Print/View PDF

Signalment

10-month-old, 28-kg, castrated golden retriever. 

History

Injured 3 weeks prior while playing with another dog; lameness worsened 3 days ago.

Related Article: To Cut or Not to Cut: Tarsal Injury in a Dog

Physical Examination

Grade 3/4 lameness in the left pelvic limb; apparent pain on extension of left hip.

Clinician's Brief

Pelvic Radiographs

Patient was sedated with IV ketamine at 150 mg and diazepam at 7.5 mg to obtain high-quality radiographic images. A traditional VD extended hip view (Figure 1) showed moderate subluxation of the left coxofemoral joint. The left femoral capital physis is not clearly seen in comparison to the right.

Related Article: To Cut or Not to Cut: Foreign Body in a Dog

Would you send this dog to surgery based on this information?

The history of trauma and acute onset of severe lameness, with radiographic asymmetry between the left and right femoral capital physes, prompted the veterinarian to request an additional VD flexed hip (“frog-legged”) view (Figure 2), which showed separation and abnormal alignment of the left femoral neck (arrowhead) relative to the respective femoral head (arrow).

Clinician's Brief

Radiographic Diagnosis

Left femoral capital physeal fracture.  

Outcome

This patient needs surgery; femoral head and neck ostectomy (FHO) or total hip replacement (THR) were discussed with the owner.

For global readers, a calculator to convert laboratory values, dosages, and other measurements to SI units can be found here.

All Clinician's Brief content is reviewed for accuracy at the time of publication. Previously published content may not reflect recent developments in research and practice.

Material from Clinician's Brief may not be reproduced, distributed, or used in whole or in part without prior permission of Educational Concepts, LLC. For questions or inquiries please contact us.

Podcasts

Clinician's Brief:
The Podcast
Listen as host Alyssa Watson, DVM, talks with the authors of your favorite Clinician’s Brief articles. Dig deeper and explore the conversations behind the content here.
Clinician's Brief provides relevant diagnostic and treatment information for small animal practitioners. It has been ranked the #1 most essential publication by small animal veterinarians for 9 years.*

*2007-2017 PERQ and Essential Media Studies

© 2023 Educational Concepts, L.L.C. dba Brief Media ™ All Rights Reserved. Terms & Conditions | DMCA Copyright | Privacy Policy | Acceptable Use Policy