Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 25
Filtrar
Más filtros

Tipo del documento
Intervalo de año de publicación
2.
J Vet Emerg Crit Care (San Antonio) ; 32(3): 334-340, 2022 May.
Artículo en Inglés | MEDLINE | ID: mdl-35199929

RESUMEN

OBJECTIVE: To compare the diagnostic utility of traditional diagnostic tests (ie, radiographs and focused assessment using sonography for trauma [FAST] scans) to whole-body computed tomography (WBCT) for characterizing injuries in polytrauma patients. A secondary objective was to compare costs of traditional diagnostic tests to WBCT. DESIGN: Prospective, observational study. SETTING: Private, level 1 veterinary trauma center. ANIMALS: Convenience sample of 21 client-owned cats and dogs presenting with polytrauma. INTERVENTIONS: Abdominal and thoracic FAST were performed by the primary clinician, if indicated. Radiographs were performed on areas concerning for trauma at the primary clinician's discretion. A WBCT was performed on each patient within 24 h of presentation and was blindly interpreted by a board-certified radiologist. Patients were only placed under anesthesia if further procedures were planned. IV contrast administration was employed at the discretion of the primary clinician and radiologist. MEASUREMENTS AND MAIN RESULTS: Twenty-one patients (14 dogs and 7 cats) were enrolled. Sources of trauma included blunt force (80%), penetrating wounds (10%), and unknown sources (10%). Twelve injuries were missed on traditional diagnostics tests. Injuries missed on traditional diagnostic workup included pneumothorax, pneumomediastinum, pulmonary contusions, pleural effusion, traumatic bulla, peritoneal effusion, and an appendicular skeleton fracture. A distal metacarpal fracture was missed on WBCT. Traditional diagnostic tests misdiagnosed a diaphragmatic hernia and a ruptured urinary bladder, whereas WBCT was able to rule out these injuries. There were no adverse outcomes associated with missed injuries. The median cost of traditional diagnostic tests was significantly less than the cost of WBCT (P < 0.001). CONCLUSIONS: Although cost is higher, WBCT is a single test that can provide more comprehensive information and may help decrease the risk of missed injuries compared to traditional diagnostic tests. WBCT may be considered as a first-line diagnostic in severely traumatized patients.


Asunto(s)
Traumatismos Abdominales , Enfermedades de los Gatos , Enfermedades de los Perros , Traumatismo Múltiple , Traumatismos Torácicos , Heridas no Penetrantes , Traumatismos Abdominales/diagnóstico por imagen , Traumatismos Abdominales/veterinaria , Animales , Gatos , Perros , Traumatismo Múltiple/diagnóstico por imagen , Traumatismo Múltiple/veterinaria , Estudios Prospectivos , Estudios Retrospectivos , Traumatismos Torácicos/diagnóstico por imagen , Traumatismos Torácicos/veterinaria , Tomografía Computarizada por Rayos X/veterinaria , Heridas no Penetrantes/veterinaria
3.
J Vet Emerg Crit Care (San Antonio) ; 30(1): 28-33, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31876070

RESUMEN

OBJECTIVE: To determine the safety, feasibility, and utility of whole body computed tomography (WBCT) in polytrauma patients. A second objective was to describe the utilization of the VetMouse Trap for sedated WBCT in polytrauma patients. METHODS: A prospective, observational study in a high-volume private practice. Any cat or dog weighing <20 kg that presented to the emergency department following a polytrauma was eligible. Patients were given analgesia and sedation prior to placement in the VetMouse Trap. A WBCT was then performed. RESULTS: A total of 16 patients (8 dogs and 8 cats) met inclusion criteria. All patients presented with blunt trauma; 3 also had evidence of penetrating wounds. Five (31.25%) patients met inclusion criteria for WBCT based on their neurological evaluation. Five (31.5%) were non-ambulatory with suspicion of orthopedic injury, and 37.5% met additional criteria for WBCT. The most common areas of injury were head (43.7%), lungs (25%), and pelvis (25%). Four patients (25%) had evidence of cavitary effusion that was not seen on focused assessment using sonography for trauma (FAST) scan. No patient had any adverse events during the CT. CONCLUSION: This study demonstrated successful WBCT imaging of the sedated small animal polytrauma patient with the VetMouse Trap.


Asunto(s)
Gatos/lesiones , Perros/lesiones , Traumatismo Múltiple/veterinaria , Imagen de Cuerpo Entero/veterinaria , Heridas y Lesiones/veterinaria , Animales , Servicio de Urgencia en Hospital , Femenino , Masculino , Traumatismo Múltiple/tratamiento farmacológico , Estudios Prospectivos , Tomografía Computarizada por Rayos X/veterinaria , Imagen de Cuerpo Entero/estadística & datos numéricos , Heridas y Lesiones/diagnóstico por imagen
4.
PLoS One ; 15(6): e0235220, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32584885

RESUMEN

BACKGROUND: Approximately 30,000 patients with blunt cardiac trauma are recorded each year in the United States. Blunt cardiac injuries after trauma are associated with a longer hospital stay and a poor overall outcome. Organ damage after trauma is linked to increased systemic release of pro-inflammatory cytokines and damage-associated molecular patterns. However, the interplay between polytrauma and local cardiac injury is unclear. Additionally, the impact of surgical intervention on this process is currently unknown. This study aimed to determine local cardiac immunological and structural alterations after multiple trauma. Furthermore, the impact of the chosen fracture stabilization strategy (reamed versus non-reamed femoral nailing) on cardiac alterations was studied. EXPERIMENTAL APPROACH: 15 male pigs were either exposed to multiple trauma (blunt chest trauma, laparotomy, liver laceration, femur fracture and haemorrhagic shock) or sham conditions. Blood samples as well as cardiac tissue were analysed 4 h and 6 h after trauma. Additionally, murine HL-1 cells were exposed to a defined polytrauma-cocktail, mimicking the pro-inflammatory conditions after multiple trauma in vitro. RESULTS: After multiple trauma, cardiac structural changes were observed in the left ventricle. More specifically, alterations in the alpha-actinin and desmin protein expression were found. Cardiac structural alterations were accompanied by enhanced local nitrosative stress, increased local inflammation and elevated systemic levels of the high-mobility group box 1 protein. Furthermore, cardiac alterations were observed predominantly in pigs that were treated by non-reamed intramedullary reaming. The polytrauma-cocktail impaired the viability of HL-1 cells in vitro, which was accompanied by a release of troponin I and HFABP. DISCUSSION: Multiple trauma induced cardiac structural alterations in vivo, which might contribute to the development of early myocardial damage (EMD). This study also revealed that reamed femoral nailing (reamed) is associated with more prominent immunological cardiac alterations compared to nailing without reaming (non-reamed). This suggests that the choice of the initial fracture treatment strategy might be crucial for the overall outcome as well as for any post-traumatic cardiac consequences.


Asunto(s)
Clavos Ortopédicos/efectos adversos , Fracturas del Fémur/cirugía , Traumatismo Múltiple/patología , Miocardio/patología , Actinina/metabolismo , Animales , Calcio/metabolismo , Línea Celular , Supervivencia Celular , Conexina 43/metabolismo , Citocinas/análisis , Citocinas/metabolismo , Desmina/metabolismo , Fracturas del Fémur/patología , Proteína HMGB1/análisis , Ventrículos Cardíacos/metabolismo , Ventrículos Cardíacos/patología , Inflamación , Masculino , Ratones , Traumatismo Múltiple/metabolismo , Traumatismo Múltiple/veterinaria , Miocardio/metabolismo , Estrés Nitrosativo , Porcinos , Troponina I/análisis
5.
J Wildl Dis ; 45(2): 325-32, 2009 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-19395742

RESUMEN

Antemortem skeletal lesions were analyzed in 61 Virginia opossums (Didelphis virginiana) collected as roadkill from Baldwin County, Georgia, USA. As evidenced by bridging fracture calluses, misalignments, bone-surface depressions, perforations, localized superficial calluses, periosteal proliferations, and bony bridges across intervertebral disk spaces, 64% of the individuals had signs of one or more healed injuries. Within the subset of skeletons with bone lesions, 54% had healed rib fractures and 23% had scapular, 21% pelvic, 18% fibular, 18% vertebral, 13% dentary, 10% tibial, and 10% podial lesions. Bone lesions occurred most frequently in the cranial portion of the skeletons and averaged approximately four per individual. The majority of the skeletal injuries appeared to be inconsistent with those caused by falls or automobile collisions. The nature and position of the bone lesions suggested that nonfatal predator attacks, possibly from domestic dogs, may be a significant contributor to bodily injury in this species.


Asunto(s)
Accidentes por Caídas , Accidentes de Tránsito , Huesos/patología , Fracturas Óseas/veterinaria , Zarigüeyas , Animales , Perros , Femenino , Curación de Fractura , Fracturas Óseas/epidemiología , Fracturas Óseas/etiología , Georgia/epidemiología , Masculino , Traumatismo Múltiple/epidemiología , Traumatismo Múltiple/etiología , Traumatismo Múltiple/veterinaria , Conducta Predatoria
7.
J Vet Emerg Crit Care (San Antonio) ; 28(6): 591-595, 2018 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-30299567

RESUMEN

OBJECTIVE: To describe the nonsurgical management of a cat with traumatic pneumoperitoneum. CASE SERIES SUMMARY: A 4-year-old cat was presented following vehicular polytrauma. Thoracic radiographs revealed 4 rib fractures, a scapular fracture, and pneumothorax. Abdominal ultrasound revealed a small volume of free abdominal fluid. Computed tomography showed a mild pneumoretroperitoneum and a pneumoperitoneum in the region of the porta hepatis. The cat was managed conservatively with close monitoring. Exploratory laparotomy was not pursued given patient stability and static serial imaging studies revealing no indications for surgical intervention. After 6 days, the pneumoperitoneum was no longer detectable. NEW OR UNIQUE INFORMATION PROVIDED: To the authors' knowledge, this is the first report of successful nonsurgical management of traumatic pneumoperitoneum in a cat.


Asunto(s)
Enfermedades de los Gatos/diagnóstico , Traumatismo Múltiple/veterinaria , Neumoperitoneo/veterinaria , Animales , Enfermedades de los Gatos/diagnóstico por imagen , Enfermedades de los Gatos/terapia , Gatos , Tratamiento Conservador/veterinaria , Diagnóstico Diferencial , Masculino , Neumoperitoneo/diagnóstico , Tomografía Computarizada por Rayos X/veterinaria , Ultrasonografía/veterinaria
8.
J Vet Emerg Crit Care (San Antonio) ; 28(6): 497-502, 2018 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-30294833

RESUMEN

OBJECTIVE: To report summative data from the American College of Veterinary Emergency and Critical Care Veterinary Committee on Trauma (VetCOT) registry. DESIGN: Multi-institutional veterinary trauma registry data report. SETTING: VetCOT identified veterinary trauma centers (VTCs). ANIMALS: Dogs and cats with evidence of trauma presented to VTCs with data entered in the VetCOT registry September 1, 2013-March 31, 2017. INTERVENTIONS: VetCOT created a standardized data collection methodology for dog and cat trauma. Data were input to a web-based data capture system (REDCap) by data entry personnel trained in data software use and operational definitions of data variables. Data on demographics, trauma type (blunt vs penetrating), preadmission care, hospitalization and intensive care requirement, trauma severity assessment at presentation (eg, modified Glasgow coma scale and animal trauma triage score), key laboratory parameters, necessity for surgical intervention, and case outcome were collected. Summary descriptive data for each species are reported. MEASUREMENTS AND MAIN RESULTS: Twenty-nine VTCs in North America, Europe, and Australia contributed information from 17,335 dog and 3,425 cat trauma cases during the 42-month reporting period. A large majority of cases presented directly to the VTC after injury (80.4% dogs and 78.1% cats). Blunt trauma was the most common source for injury in cats (56.7%); penetrating trauma was the most common source for injury in dogs (52.3%). Note that 43.8% of dogs and 36.2% of cats were reported to have surgery performed. The proportion surviving to discharge was 92.0% (dogs) and 82.5% (cats). CONCLUSIONS: The VetCOT registry proved to be a powerful resource for collection of a large dataset on trauma in dogs and cats seen at VTCs. While overall survival to discharge was quite high, further evaluation of data on subsets of injury types, patient assessment parameters, interventions, and associated outcome are warranted.


Asunto(s)
Gatos/lesiones , Perros/lesiones , Escala de Coma de Glasgow/veterinaria , Sistema de Registros , Triaje , Medicina Veterinaria , Heridas y Lesiones/veterinaria , Animales , Australia/epidemiología , Europa (Continente)/epidemiología , Femenino , Masculino , Traumatismo Múltiple/epidemiología , Traumatismo Múltiple/veterinaria , Estados Unidos/epidemiología , Heridas y Lesiones/epidemiología
9.
J Small Anim Pract ; 48(12): 705-8, 2007 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-17608661

RESUMEN

A two-year-old, male, neutered, domestic shorthair cat was presented after suspected trauma. Diaphragmatic rupture with concomitant displacement of the right kidney into the thorax was diagnosed using ultrasound and intravenous urography. Avulsion of the renal pedicle and diaphragmatic rupture were confirmed and treated surgically with excellent outcome.


Asunto(s)
Gatos/lesiones , Hernia Diafragmática Traumática/veterinaria , Enfermedades Renales/veterinaria , Traumatismos Torácicos/veterinaria , Animales , Gatos/cirugía , Diagnóstico Diferencial , Femenino , Hernia Diafragmática Traumática/diagnóstico por imagen , Hernia Diafragmática Traumática/cirugía , Enfermedades Renales/diagnóstico por imagen , Enfermedades Renales/cirugía , Traumatismo Múltiple/diagnóstico por imagen , Traumatismo Múltiple/cirugía , Traumatismo Múltiple/veterinaria , Radiografía , Traumatismos Torácicos/diagnóstico por imagen , Traumatismos Torácicos/cirugía , Ultrasonografía
10.
J Vet Emerg Crit Care (San Antonio) ; 27(1): 35-43, 2017 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-27689344

RESUMEN

OBJECTIVE: To evaluate the presence of acute traumatic coagulopathy (ATC) in dogs and cats following blunt trauma and to relate coagulation variables with injury severity and admission variables. DESIGN: Prospective, single center, observational study from 2013 to 2014. SETTING: Urban private referral hospital. ANIMALS: Eighteen and 19 client-owned dogs and cats, respectively, sustaining blunt trauma within 8 hours of presentation without prior resuscitation; 17 healthy staff and client-owned control cats METHODS: Blood samples were collected upon presentation for measurement of blood gas, lactate, blood glucose, ionized calcium, PCV, total plasma protein, prothrombin time (PT), activated partial thromboplastin time (aPTT), fibrinogen, platelet count, and thromboelastography. RESULTS: ATC was diagnosed in 1 dog and 1 cat on presentation. Hypercoagulability was documented in 4/18 (22%) of dogs and 1/19 (5.3%) of cats. In dogs, prolongation of PT (P = 0.018), aPTT (P = 0.013) and decrease in maximum amplitude (MA) (P = 0.027) were significantly associated with injury severity as measured by the animal trauma triage (ATT) score. In cats, PT, aPTT, MA, and clot strength (G) were not associated with injury severity. In cats, increasing blood glucose and lactate were significantly associated with decreasing MA (P = 0.041, P = 0.031) and G (P = 0.014, P = 0.03). In both dogs (P = 0.002) and cats (P = 0.007), fibrinogen concentration was significantly correlated with G. CONCLUSIONS: ATC is rare in minimally injured dogs and cats following blunt trauma. In dogs, ATT score is significantly associated with PT, aPTT, and MA, suggesting an increased risk of ATC in more severely injured animals. ATT score does not appear to predict coagulopathies in cats. Future studies including more severely injured animals are warranted to better characterize coagulation changes associated with blunt trauma.


Asunto(s)
Trastornos de la Coagulación Sanguínea/veterinaria , Enfermedades de los Gatos/diagnóstico , Enfermedades de los Perros/diagnóstico , Traumatismo Múltiple/veterinaria , Animales , Trastornos de la Coagulación Sanguínea/diagnóstico , Pruebas de Coagulación Sanguínea/veterinaria , Estudios de Casos y Controles , Enfermedades de los Gatos/terapia , Gatos , Enfermedades de los Perros/terapia , Perros , Femenino , Puntaje de Gravedad del Traumatismo , Masculino , Estudios Prospectivos , Tromboelastografía/veterinaria , Triaje
11.
J Vet Emerg Crit Care (San Antonio) ; 27(3): 307-314, 2017 May.
Artículo en Inglés | MEDLINE | ID: mdl-28295988

RESUMEN

OBJECTIVES: To determine if cell-free DNA (cfDNA) was identifiable in canine plasma, to evaluate 3 techniques for the measurement of plasma cfDNA concentrations in dogs presented to an emergency service, and to compare the plasma cfDNA concentrations of healthy dogs to those with sepsis, trauma, and neoplasia. DESIGN: Retrospective study of banked canine plasma samples collected between May 2014 and December 2014. SETTING: Dogs presented to the emergency service of a university veterinary teaching hospital. ANIMALS: Plasma cfDNA was measured on residual plasma samples obtained from 15 dogs with sepsis, 15 dogs with moderate-severe trauma, 15 dogs diagnosed with a sarcoma. Plasma cfDNA was also measured in 15 healthy dogs. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Assay linearity, repeatability, and reproducibility were evaluated. Quantification of cfDNA was performed in duplicate on diluted citrated plasma and following DNA purification using 2 fluorescence assays (SYBR-Gold; Quant-iT) and by ultraviolet absorbance spectroscopy. Fluorescence intensities (FIs) were converted to cfDNA concentrations using standard curves. Median FI values and cfDNA concentrations were compared to healthy controls using the Kruskal-Wallis test, with adjustment for multiple comparisons. Alpha was set at 0.05. Both assays had excellent linearity, and acceptable repeatability and reproducibility. Compared to controls, plasma cfDNA concentrations were significantly increased in dogs with sepsis or moderate-severe trauma with both assays (P ≤ 0.003). Dogs with neoplasia had significantly increased cfDNA concentrations with the Quant-iT assay only (P = 0.003). When measurements were performed on purified DNA, only dogs with moderate-severe trauma had significantly increased cfDNA concentrations (P < 0.001; SYBR-Gold assay). CONCLUSIONS: cfDNA can be readily identified in canine plasma using 2 fluorescence assays. DNA extraction offers no advantage over direct measurement. Compared to healthy controls, dogs with sepsis or moderate-severe trauma have significantly increased plasma cfDNA concentrations.


Asunto(s)
ADN/sangre , Enfermedades de los Perros/sangre , Plasma/química , Sepsis/veterinaria , Animales , Perros , Urgencias Médicas/veterinaria , Fluorometría/veterinaria , Traumatismo Múltiple/sangre , Traumatismo Múltiple/veterinaria , Neoplasias/sangre , Neoplasias/veterinaria , Reproducibilidad de los Resultados , Estudios Retrospectivos , Sepsis/sangre , Espectrofotometría Ultravioleta/veterinaria
13.
J Am Vet Med Assoc ; 249(7): 801-6, 2016 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-27654167

RESUMEN

CASE DESCRIPTION A 3-month-old sexually intact female chinchilla (Chinchilla lanigera) was examined for sudden onset of non-weight-bearing lameness of the right hind limb. CLINICAL FINDINGS On physical examination, the right pes was swollen. An open wound on the medial aspect of the metatarsal region exposed the second metatarsal bone, and the pes was displaced laterally. Radiographs of the right pes revealed oblique displaced fractures of the 4 metatarsal bones. TREATMENT AND OUTCOME Surgical treatment was elected, and enrofloxacin was administered prior to surgery. The protruding fragment of the second metatarsal bone was excised, and the third and fourth metatarsal bones were repaired with intramedullary pins and external skeletal fixation. The chinchilla was bearing weight on the affected limb 9 days after surgery with only mild lameness. The implants were removed 35 days after surgery when radiographs showed bony union of the third and fourth metatarsal bones and continued reduction of the fractures of the second and fifth metatarsal bones. Fifty-six days after surgery, the chinchilla was bearing full weight on the limb, and radiographs showed bony union of the third, fourth, and fifth metatarsal bones. CLINICAL RELEVANCE Findings suggested that intramedullary pinning combined with an epoxy resin external fixator may be an effective technique for metatarsal fracture repair in chinchillas. This method allowed physiologic positioning of the limb and functional hind limb use during fracture healing. Prospective studies of fracture healing in exotic small mammals are indicated.


Asunto(s)
Clavos Ortopédicos/veterinaria , Chinchilla/lesiones , Fracturas Óseas/veterinaria , Huesos Metatarsianos/lesiones , Traumatismo Múltiple/veterinaria , Animales , Femenino , Fijación de Fractura/veterinaria , Fracturas Óseas/cirugía , Cojera Animal , Huesos Metatarsianos/cirugía , Traumatismo Múltiple/cirugía
14.
J Vet Emerg Crit Care (San Antonio) ; 26(6): 782-786, 2016 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-27385046

RESUMEN

OBJECTIVE: To describe 3 near-full-term, young-adult felids (2 domestic shorthair cats, and 1 bobcat [Lynx rufus]) that experienced uterine rupture following trauma. SERIES SUMMARY: Two of the animals had motor vehicular trauma and 1 had abdominal bite wounds. The 2 domestic cats that were treated with surgical exploration and ovariohysterectomy recovered uneventfully. The bobcat died during hospitalization prior to surgical intervention, and necropsy identified uterine rupture and associated peritonitis. UNIQUE INFORMATION PROVIDED: Traumatic uterine rupture should be considered in known or suspected pregnant animals that experience blunt or penetrating trauma, particularly if they are in late-term pregnancy.


Asunto(s)
Gatos/lesiones , Lynx/lesiones , Rotura Uterina/veterinaria , Heridas y Lesiones/veterinaria , Animales , Diagnóstico Diferencial , Femenino , Traumatismo Múltiple/diagnóstico , Traumatismo Múltiple/cirugía , Traumatismo Múltiple/veterinaria , Embarazo , Rotura Uterina/diagnóstico , Rotura Uterina/cirugía , Heridas y Lesiones/diagnóstico , Heridas y Lesiones/cirugía
15.
J Wildl Dis ; 27(4): 657-60, 1991 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-1758032

RESUMEN

Between 1984 and 1990, 75 koalas (Phascolarctos cinereus) from the central northern coast of New South Wales (Australia) were presented for necropsy due to motor vehicle accidents. The koalas consisted of 44 males and 31 females. Fifty one of these were between 2 and 7 yr (39 males and 12 females). The greater proportion of koalas, especially males, were struck by vehicles between June and December. The main injuries detected were head injuries (44), hemoperitoneum (16), limb injuries (16), hemothorax (15) and spinal injuries (7). Nine koalas were not dead at the time of the accident but died later following complications from the trauma. Twelve koalas had evidence of underlying disease at the time of accident. Ten of these had either conjunctivitis, cystitis, prostatitis, periovarian cysts, endometritis or a combination of the diseases. All 10 koalas still had good body condition. It is suggested that healthy young to middle-aged males are particularly prone to vehicular accidents during the mating period. This has implications for the management of local koala populations.


Asunto(s)
Accidentes de Tránsito , Marsupiales/lesiones , Animales , Traumatismos Craneocerebrales/veterinaria , Extremidades/lesiones , Femenino , Hemotórax/veterinaria , Masculino , Traumatismo Múltiple/veterinaria , Nueva Gales del Sur , Estado Nutricional , Estaciones del Año , Factores Sexuales , Traumatismos Vertebrales/veterinaria
16.
J Am Vet Med Assoc ; 208(1): 81-4, 1996 Jan 01.
Artículo en Inglés | MEDLINE | ID: mdl-8682711

RESUMEN

OBJECTIVE: To develop modifications of the toggle pin procedure for use as a ligament of the head of the femur (LHF) prosthesis and to assess outcomes when used for coxofemoral luxation (CFL) in dogs with multiple orthopedic injuries. DESIGN: Retrospective case series. SAMPLE POPULATION: 14 dogs with CFL as a component of orthopedic polytrauma. PROCEDURE: Modifications to previous descriptions of the technique for use of a toggle pin for LHF prosthesis included deletion of the osteotomy of the greater trochanter in 12 of 16 joints with CFL, drilling of the femoral tunnel from a distal-to-proximal direction, deletion of a second femoral bone tunnel for suture placement, and use of a 2-hole polypropylene button to secure the LHF prosthetic suture. RESULTS: Mean age at time of injury, weight, and duration between injury and definitive surgery was 4.1 +/- 1.1 years, 19.7 +/- 2.8 kg, and 5.8 +/- 2.7 days, respectively. Weightbearing began 3.0 +/- 0.4 days after surgery. Mean postoperative follow-up period for dogs with maintained coxofemoral reduction of longer than 1 month (n = 13) was 19.5 +/- 6.1 months. Owners reported good or excellent clinical results, which were confirmed by semiquantitative assessment methods. Radiographic signs of degenerative joint disease were minimal. There was no significant difference between hind limbs when comparing mid-thigh limb circumference at the time of follow-up examination. CLINICAL IMPLICATIONS: A modified toggle pin procedure for LHF prosthesis can maintain coxofemoral reduction and allow early weightbearing in dogs with coxofemoral luxation as a component of multiple orthopedic injuries.


Asunto(s)
Clavos Ortopédicos/veterinaria , Perros/lesiones , Luxación de la Cadera/veterinaria , Traumatismo Múltiple/veterinaria , Accidentes de Tránsito , Animales , Perros/cirugía , Femenino , Estudios de Seguimiento , Luxación de la Cadera/cirugía , Masculino , Traumatismo Múltiple/cirugía , Estudios Retrospectivos
17.
Vet Rec ; 127(11): 282-5, 1990 Sep 15.
Artículo en Inglés | MEDLINE | ID: mdl-2238405

RESUMEN

The most common cause of death in impala (Aepyceros melampus) herds on 20 game farms in Zimbabwe was stress or physical injury during capture. Acute fascioliasis due to Fasciola gigantica was identified as the main disease problem associated with smaller game farms and where impala had been recently introduced. Losses associated with ticks and tick-borne diseases were rare. Impala in Zimbabwe are maintained in a healthy condition on game farms where they are given supplementary feed during the dry winter.


Asunto(s)
Antílopes , Causas de Muerte , Traumatismo Múltiple/veterinaria , Estrés Fisiológico/veterinaria , Animales , Animales Domésticos , Animales Salvajes , Antílopes/lesiones , Antílopes/microbiología , Fascioliasis/mortalidad , Fascioliasis/veterinaria , Femenino , Masculino , Traumatismo Múltiple/mortalidad , Sepsis/mortalidad , Sepsis/veterinaria , Estrés Fisiológico/mortalidad , Zimbabwe
18.
Forensic Sci Int ; 234: e1-4, 2014 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-24091032

RESUMEN

Traffic accidents have increased in the last decade, pedestrians being the most affected group. At autopsy, it is evident that the most common cause of pedestrian death is central nervous system injury, followed by skull base fractures, internal bleeding, lower limb haemorrhage, skull vault fractures, cervical spinal cord injury and airway compromise. The attribution of accident responsibility can be realised through reconstruction of road accident dynamics, investigation of the scene, survey of the vehicle involved and examination of the victim(s). A case study concerning a car accident where both humans and pets were involved is reported here. Investigation and reconstruction of the crime scene were conducted by a team consisting of forensic pathologists and forensic veterinarians. At the scene investigation, the pedestrian and his dog were recovered on the side of the road. An autopsy and a necropsy were conducted on the man and the dog, respectively. In addition, a complete inspection of the sports utility vehicle (SUV) implicated in the road accident was conducted. The results of the autopsy and necropsy were compared and the information was used to reconstruct the collision. This unusual case was solved through the collaboration between forensic pathology and veterinary forensic medicine, emphasising the importance of this kind of co-operation to solve a crime scene concerning both humans and animals.


Asunto(s)
Accidentes de Tránsito , Traumatismo Múltiple/patología , Traumatismo Múltiple/veterinaria , Animales , Aorta/lesiones , Aorta/patología , Perros , Patologia Forense , Fracturas Óseas/patología , Fracturas Óseas/veterinaria , Hematoma/patología , Hematoma/veterinaria , Hemoperitoneo/patología , Hemoperitoneo/veterinaria , Hemotórax/patología , Hemotórax/veterinaria , Humanos , Hígado/lesiones , Hígado/patología , Masculino , Bazo/lesiones , Bazo/patología , Hemorragia Subaracnoidea/patología , Heridas Punzantes/patología , Heridas Punzantes/veterinaria
20.
J Small Anim Pract ; 52(10): 544-6, 2011 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-21967101

RESUMEN

Pleural effusion caused by post-traumatic extravasation of urine from the abdominal cavity to the pleural cavity (urothorax) is an uncommon complication following traumatic injury. To the authors' knowledge, this is the first report of a case of traumatic urothorax in a dog presented with pleural and abdominal urine effusion. Combined urothorax and uroabdomen should be included in the differential-diagnosis list for dogs with recent trauma and a bicavitary effusion. The diagnosis can be confirmed by elevated creatinine concentrations in both effusates, compared to its serum concentration.


Asunto(s)
Accidentes de Tránsito , Enfermedades de los Perros/diagnóstico , Perros/lesiones , Traumatismo Múltiple/veterinaria , Derrame Pleural/veterinaria , Orina , Animales , Diagnóstico Diferencial , Enfermedades de los Perros/etiología , Resultado Fatal , Femenino , Traumatismo Múltiple/complicaciones , Traumatismo Múltiple/diagnóstico , Derrame Pleural/diagnóstico , Derrame Pleural/etiología , Urografía
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA