Rectal prolapse secondary to a urachal abscess in an alpaca cria.

A five-month-old alpaca cria presented with a history of abdominal pain, dysuria, and a recurring rectal prolapse. An ultrasonographic examination indicated a urachal abscess attached to the urinary bladder. The abscess was removed surgically, and the patient had an adequate recovery after the procedure and ancillary treatment. This case report highlights secondary complications that could arise following an infection of the urachus in new-world camelids. Key clinical message: Urachal abscess should be considered as a differential diagnosis in juvenile new-world camelids with rectal prolapse, tenesmus, or dysuria.

Prolapsus rectal secondaire à un abcès de l'ouraque chez un cria d'alpaga. Un cria d'alpaga âgé de cinq mois est présenté avec des antécédents de douleurs abdominales, de dysurie et de prolapsus rectal récurrent. Un examen échographique a révélé un abcès de l'ouraque attaché à la vessie. L'abcès a été enlevé chirurgicalement, et le patient a eu une récupération adéquate après la procédure et le traitement auxiliaire. Ce rapport de cas met en évidence les complications secondaires qui pourraient survenir à la suite d'une infection de l'ouraque chez les camélidés du nouveau monde.Message clinique clé :L'abcès de l'ouraque doit être considéré comme un diagnostic différentiel chez les camélidés juvéniles du nouveau monde présentant un prolapsus rectal, un ténesme ou une dysurie.(Traduit par Dr Serge Messier).

Admission lactate concentration has predictive value for death or severe complications within 30 days after admission in cattle with long-bone fractures.

OBJECTIVE: To determine the prognostic value of lactate concentration measurements at admission in cattle with long-bone fractures. ANIMALS: 43 cattle with long-bone fractures between July 2016 and Dec 2018. PROCEDURES: In this prospective cohort study, lactate concentration was measured in systemic venous blood and locally in capillary blood sampled from the fractured and contralateral limbs of cattle and assessed for outcome prediction. The cutoff value was determined by maximizing the Youden index from receiver-operating characteristic curves. Multivariable logistic regression was employed to verify whether higher lactate concentrations compared with the cutoff value were an independent risk factor for poor outcomes at 30 days or 3 years after admission. RESULTS: Poor outcome was associated with higher capillary lactate concentration in the fractured limb (P < .001) and greater difference with systemic blood (P = .005). A cutoff value of lactate difference ≥ 2.4 mmol/L (sensitivity = 0.80; specificity = 0.965) between capillary lactate in the fractured limb and systemic blood was the best predictor of death ≤ 30 days after admission (P < .001). Multivariable analysis revealed that this cutoff value was an independent risk factor for 30-day and 3-year outcomes (P < .001). CLINICAL RELEVANCE: Admission blood lactate concentration difference ≥ 2.4 mmol/L between the fractured limb and systemic blood was a robust and independent predictor of outcome for cattle of the present report. Lactate metabolism is locally impaired in fractured limbs of nonsurviving or at higher complication risk cattle, which may help identify patients at high risk for poor outcomes.

Descriptive study of a method for identification of the pylorus by ultrasound in lactating Holstein cows.

The purpose of this study was to develop a method for identification of the pylorus, in lactating Holstein cows, based on ultrasound examination and the use of external anatomical landmarks such as the mammary vein (anulus venae subcutaneae abdominis). An ultrasound method based on successive identification of 4 internal anatomical landmarks was developed. The procedure was performed 157 times, on clinically healthy lactating Holstein cows, with a portable ultrasound machine equipped with a 3.5 MHz curvilinear probe. The pylorus was identified with a success rate of 98.7% (155 times out of 157 procedures). The average position of the pylorus was noted near the entrance of the right mammary vein, with a craniocaudal and dorsoventral dispersion. This ultrasound method of identifying the pylorus is simple, effective, and rapid.

Étude descriptive d'une méthode échographique d'identification du pylore chez la vache Holstein en lactation. Le but de cette étude était de développer une méthode permettant d'identifier le pylore, basée sur un examen échographique et l'utilisation de repères anatomiques externes telle la veine mammaire (anulus venae subcutaneae abdominis). Une méthode échographique s'appuyant sur l'identification successive de quatre repères anatomiques internes a été développée. La procédure a été réalisée à 157 reprises avec un échographe portable muni d'une sonde sectorielle de 3,5 MHz sur des vaches Holstein saines en lactation. Le pylore a été identifié avec un taux de succès de 98,7 % (155 fois sur 157 procédures). La position moyenne du pylore a été notée à proximité de l'entrée de la veine mammaire droite, avec une dispersion cranio-caudale et dorso-ventrale. Cette méthode échographique d'identification du pylore est simple, efficace et rapide.(Traduit par les auteurs).

Survival and prognostic indicators in downer dairy cows presented to a referring hospital: A retrospective study (1318 cases).

BACKGROUND: Downer cow syndrome, a common problem in dairy cattle, represents a diagnostic and therapeutic challenge for the attending veterinarian. Identifying prognostic indicators and assessing the odds of survival may improve the accuracy of the clinician's prognosis at the time of diagnosis. OBJECTIVE: To describe a population of downer dairy cows referred to a hospital and investigate predictors of outcome. ANIMALS: Recumbent adult dairy cows (cows unable or unwilling to stand without help) treated at a referral hospital. METHODS: Data at the time of admission were collected from medical records of downer dairy cows treated at the Centre Hospitalier Universitaire Vétérinaire between 1994 and 2016. Simple and multivariable logistic regression analyses were performed to assess the association of predictors with the outcome. RESULTS: Among 1318 cows included, 727 (55%) cows were discharged, and 591 (45%) cows died or were euthanized. Cows with longer time of recumbency before referral (odds ratio [OR] = 3.6), tachycardia (100-120 beats per minute [bpm], OR = 1.93; >120 bpm, OR = 2.92), tachypnea (OR = 1.76), hypothermia (OR = 2.08), anemia (OR = 3.30), neutropenia (OR = 1.7), high aspartate aminotransferase activity (500-1000 U/L, OR = 2.16; >1000 U/L, OR = 6.69), and increased serum creatinine concentration (OR = 1.75) had higher odds of nonsurvival. CONCLUSIONS AND CLINICAL IMPORTANCE: These findings may help the practitioner to consider treatment options and decide if referral is likely beneficial based on the odds of success. Early recognition of low chance of survival may facilitate an early decision for euthanasia.

Clinical characteristics, treatment, and outcome for cattle that developed retroperitoneal abscesses following paralumbar fossa laparotomy: 32 cases (1995-2017).

OBJECTIVE: To describe the clinical and clinicopathologic characteristics, treatment, and outcome for cattle that developed a retroperitoneal abscess (RA) following paralumbar fossa laparotomy (PFL). ANIMALS: 32 Holstein cows with RA. PROCEDURES: The record database of a veterinary teaching hospital was searched to identify cattle that were treated for an RA between January 1995 and March 2017. Cattle with an RA > 30 cm in diameter located 3.5 cm subjacent to the skin that had undergone a PFL < 3 months before examination for the RA were evaluated. Information extracted from the record of each cow included signalment; physical examination, clinicopathologic, and transabdominal ultrasonographic findings; treatments administered; and outcome. Milk production data were analyzed for the lactations before, during, and after RA treatment. RESULTS: Common physical examination findings were rumen hypomotility, anorexia, and fever, and common clinicopathologic findings were anemia and neutrophilia. Abdominal palpation per rectum and transabdominal ultrasonography facilitated RA diagnosis and identification of the optimal location for drainage. Thirty of 32 cows underwent surgical drainage of the RA and prolonged administration of systemic antimicrobials. Two cows were euthanized because of concurrent peritonitis, including 1 that underwent surgical RA drainage. Thirty cows were discharged from the hospital alive, and most returned to their previous level of milk production. CONCLUSIONS AND CLINICAL RELEVANCE: Although uncommon, RA should be suspected in cows that develop anorexia and fever within 3 months after PFL. Cows with RA often returned to their previous level of milk production, but treatment was generally prolonged and costly.

Abomasitis in calves: A retrospective cohort study of 23 cases (2006-2016).

BACKGROUND: Abomasitis is a syndrome affecting young milk-fed calves. The current veterinary literature describes mainly its necropsy findings. OBJECTIVES: To describe the clinical presentation, complementary tests, treatments, and case-fatality rate of calves with a clinical diagnosis of abomasitis and to identify potential factors associated with outcome. METHODS: Observational retrospective cohort study (2006-2016). Review of the medical records of calves <3 months of age presented with abdominal and abomasal distension for <7 days that were clinically diagnosed with abomasitis at the Faculty of Veterinary Medicine of the Université de Montréal. A follow-up examination was conducted by telephone interview. ANIMALS: Twenty-three calves clinically diagnosed with abomasitis. RESULTS: Median age of presentation was 3 days (range, 0-62 days). The typical duration of the clinical course was <24 hours (15/23). On admission, the 2 most common clinical signs were anorexia (13/14) and positive succussion (13/14). Hyper-l-lactatemia (15/16) and increased γ-glutamyl-transferase activity (13/14) were the most common laboratory abnormalities. Hypoproteinemia (19/22) and a left shift (15/18) of the neutrophils also were observed. The short-term case-fatality rate was 52% (12/23). The clinical diagnosis was confirmed on all necropsied calves. Clostridium spp. and Escherichia coli were the most frequently isolated bacteria. Based on univariate statistical analysis, the surviving calves were significantly (P < .05) less hypothermic, less acidemic, less hyper-l-lactatemic, and had lower serum creatinine concentrations on admission than did the deceased calves. CONCLUSIONS AND CLINICAL IMPORTANCE: In our study, abomasitis was associated with a guarded prognosis.

Pharyngeal trauma in dairy cattle: 27 cases.

BACKGROUND: Characterization of the clinical signs, response to treatment and prognosis can be useful information for decision-making when evaluating cattle with pharyngeal trauma. OBJECTIVE: To describe the signalment, history, clinicopathologic, endoscopic, ultrasonographic, radiographic, and postmortem findings as well as treatments and outcomes of cattle diagnosed with pharyngeal perforation/trauma. ANIMALS: Review of medical records of cattle >1 month of age admitted to a Veterinary Teaching Hospital from 1995 to 2017. METHODS: Retrospective study. Review of medical records of cattle with pharyngeal perforation/trauma identified by oral or endoscopic examination in hospital setting. RESULTS: Twenty-seven out of 7550 (0.36%) cases met the inclusion criteria. Pharyngeal perforation/trauma was associated with the administration of a bolus in 24 (89%) cows and a magnet in 3 (11%) cases. The boluses contained monensin (n = 12), calcium salts (n = 5), iodine (n = 1), aspirin (n = 1), vitamins (n = 1), and an unknown product (n = 4). The primary clinical signs were dysphagia, swelling of the throatlatch, subcutaneous emphysema, swelling, and pain on palpation of the throatlatch. Seventeen (63%) cows were discharged whereas 10 (37%) were euthanized. Median time between the suspected traumatic event and hospital admission was 1 day (range: 0.5-3 days) and 2 days (range: 0.5-15) for surviving and nonsurviving cattle, respectively. All 5 cows that suffered pharyngeal trauma associated with administration of calcium salt bolus were euthanized. CONCLUSIONS AND CLINICAL IMPORTANCE: Pharyngeal trauma is a rare condition in cattle. Case fatality rate increases if not diagnosed and treated promptly. The nature of the penetrating foreign body influences the outcome.

Cheek teeth apical infection in cattle: Diagnosis, surgical extraction, and prognosis.

OBJECTIVE: To report the clinical presentation, treatment, and outcome of cattle undergoing surgical extraction of apically infected cheek teeth (CT). STUDY DESIGN: Short case series. ANIMALS: Nine adult cattle. METHODS: Medical records were searched for cattle having a diagnosis of apical infection of CT that were treated with surgical extraction between 2005 and 2017. Data retrieved included clinical examination, ancillary tests, surgical procedure, and outcomes. RESULTS: The main presenting complaints were mandibular swelling and decreased appetite and milk production. In total, 7 mandibular and 3 maxillary CT were extracted, 7 molars and 3 premolars that were distributed more frequently on the left dental arcades (n = 7 CT). Two cattle had no visible external lesions. Radiograph images revealed that lucency surrounded all affected tooth roots. Mandibular teeth were removed by lateral buccotomy with removal of alveolar bone plate or retrograde repulsion, and maxillary teeth were removed by repulsion through a maxillary sinus flap. Most common bacterial isolates consisted of anaerobic bacteria (6/11 isolates) and Truperella pyogenes (3/11 isolates). The most common complications included inability to remove the tooth intact (n = 4 cattle) and surgical site infection (n = 5). All cattle remained in their herd after treatment. CONCLUSION: Surgical extraction of CT was achieved in all 9 cattle. The postoperative morbidity was high but without long-term consequences on animal productivity. CLINICAL SIGNIFICANCE: Surgical extraction of CT is a successful treatment for apical infection in cattle.

Survival associated with cerebrospinal fluid analysis in downer adult dairy cows: A retrospective study (2006-2014).

BACKGROUND: Threshold values for total nucleated cell count (TNCC) and protein concentration in cerebrospinal fluid (CSF) of downer dairy cows suggestive of a spinal cord lesion were recently published. OBJECTIVES: Determine short- and long-term survival of downer cows that underwent CSF analysis using the reported threshold values. Evaluate the prognostic value of these threshold values to predict short- and long-term survival. ANIMALS: Two hundred and fourteen downer adult dairy cows that underwent CSF analysis during hospitalization at the Centre Hospitalier Universitaire Vétérinaire (CHUV) of the Université de Montréal. METHODS: Retrospective study. Medical records of downer adult dairy cows presented to the hospital between January 2006 and October 2014 for which CSF analysis results were available were studied. Short-term (discharge from hospital) and long-term (completion of lactation) survival were determined and compared in accordance with CSF TNCC and protein concentration, using a Chi-square test. RESULTS: Cows with CSF TNCC and/or protein concentration above the threshold values had a significantly lower short-term survival rate (P = .02). The odds of nonsurvival of cows with one or both CSF values above the threshold values was 2.16 times higher than the odds for cows with values under the threshold values. CSF TNCC >4.5 cells/µL had sensitivity and specificity of 17.3% (95% CI: 10.7%-25.7%) and 92.3% (95% CI: 85.4%-96.6%), respectively, for predicting short-term nonsurvival. CSF protein concentration >0.39 g/L had sensitivity and specificity of 20.9% (95% CI: 13.7%-29.7%) and 91.4% (95% CI: 84.2%-96.0%), respectively. CONCLUSIONS: CSF analysis above threshold values used in this study is associated with increased odds of short-term nonsurvival.

Radiographic Study of Haematogenous Septic Arthritis in Dairy Calves.

OBJECTIVES: (1) To develop an evaluation grid to provide a systematic interpretation of calves' articular radiographs, (2) to describe radiographic lesions of septic arthritis in dairy calves less than 6 months of age, (3) to investigate potential associations between demographic data or synovial bacteriological culture results and radiographic lesions (4) to determine whether an association is present between radiographic lesions, their severity and the long-term outcome. METHODS: Medical records of 54 calves less than 180 days old treated for septic arthritis between 2009 and 2014 with radiographic images performed in the first 2 days after admission were reviewed. RESULTS: Most common radiographic findings were increased articular joint space height (n = 49), irregularity of the articular surfaces (n = 24) and subchondral bone lysis (n = 24). The number of lesions observed and their severity were associated with older calves (p = 0.02), increased time between onset of clinical signs and admission (p = 0.0001) and the culture of Trueperella pyogenes within the joint (p = 0.02). The radiographic lesions associated with negative long-term prognosis were reduction in the joint space height (p = 0.01) and subchondral bone lysis on weight-bearing surfaces (p = 0.02). CLINICAL SIGNIFICANCE: An evaluation grid designed for veterinarians can facilitate systematic reading of articular radiographs and can be used for dairy calves with a presumptive diagnosis of septic arthritis. This diagnostic tool may aid in establishing a prognosis and decision-making process in terms of treatment.

Clinical findings and diagnostic test results for calves with septic arthritis: 64 cases (2009-2014).

OBJECTIVE To describe clinical findings and diagnostic test results and identify potential prognostic indicators for calves with septic arthritis. DESIGN Retrospective case series. ANIMALS 64 calves with septic arthritis. PROCEDURES The medical record database for a veterinary teaching hospital was searched to identify calves ≤ 6 months old that were treated for septic arthritis between 2009 and 2014. Data evaluated included signalment, history, physical examination and diagnostic test results, treatment, and outcome. Descriptive data were generated, and calves were assigned to 2 groups (neonatal [≤ 28 days old] or postneonatal [29 to 180 days old]) on the basis of age at hospital admission for comparison purposes. RESULTS 64 calves had 92 infected joints; 17 calves had polyarthritis. Carpal joints were most frequently affected followed by the stifle and tarsal joints. Forty-nine bacterial isolates were identified from synovial specimens for 38 calves, and the most commonly identified isolates were catalase-negative Streptococcus spp (n = 14) and Mycoplasma bovis (9). Calves in the neonatal group had a shorter interval between onset of clinical signs and hospitalization and were more likely to have an infected carpal joint than calves in the postneonatal group. Outcome was positive for 35 calves. Synovial fluid total nucleated cell count was positively associated with a positive outcome. CONCLUSIONS AND CLINICAL RELEVANCE Results indicated that empirical antimicrobial treatment for calves with septic arthritis should target gram-positive catalase-negative cocci and M bovis and that synovial fluid total nucleated cell count might be a useful prognostic indicator.

Arthroscopic approach and intra-articular anatomy of the dorsal and plantar synovial compartments of the bovine tarsocrural joint.

OBJECTIVE: To determine arthroscopic approaches to the dorsal and plantar synovial compartments of the tarsocrural joint in adult cattle, and to describe the arthroscopic intra-articular anatomy from each approach. STUDY DESIGN: Ex vivo study. ANIMALS: Fresh adult bovine cadavers (n = 7). METHODS: Two tarsocrural joint were injected with latex to determine arthroscopic portal locations and arthroscopy of the tarsocrural joint of 12 tarsi was performed. The dorsolateral approach was made through the large pouch located between the long digital extensor and peroneus longus tendons. The dorsomedial approach was made just medial to the common synovial sheath of the tibialis cranialis, peroneus tertius, and long digital extensor tendons. The plantarolateral and plantaromedial approaches were made lateral and medial to the tarsal tendon sheath, respectively. RESULTS: Each approach allowed visualization of the distal tibia articulating with the proximal trochlea of the talus. Consistently observed structures included the distal intermediate ridge of the tibia, and the medial and lateral trochlear ridges and trochlear groove of the talus. Lateral and medial malleoli were best assessed from dorsal approaches. From the lateral approaches evaluation of the abaxial surface of the lateral trochlear ridge allowed visualization of the fibulocalcaneal joint. From the plantar approaches additional observed structures included the coracoid process of the calcaneus, plantar trochlea of the talus, and plantar talotibial and talofibular ligaments. CONCLUSION: In cattle, the dorsolateral and plantarolateral approaches allowed for the best evaluation of the dorsal and plantar aspects of the tarsocrural joint, respectively.

Outcome Following Partial Unilateral Hysterectomy by Standing Flank Approach in Dairy Cattle.

OBJECTIVE: To describe the clinical findings, surgical treatment, and long-term outcome of dairy cattle undergoing partial hysterectomy with or without unilateral ovariectomy. STUDY DESIGN: Retrospective case series. ANIMALS: Dairy cattle (n = 7). METHODS: Medical records (June 2007-June 2014) of dairy cattle that had partial hysterectomy with or without ipsilateral ovariectomy were reviewed. Follow-up data were obtained by telephone interviews with owners and referring veterinarians between 6 months and 7 years following discharge. RESULTS: Seven dairy cattle met the inclusion criteria. Diagnoses made intra- or postoperatively were ovarian abscess with multiorgan adhesions (4 cows), segmental aplasia of the uterus (2 cows), and uterine lymphosarcoma (1 cow). Partial hysterectomy with or without unilateral ovariectomy was performed without surgical complications by standing flank approach. All cows were successfully discharged from the hospital (short-term prognosis). Five cows became pregnant, and 4 delivered live calves and had a satisfactory productive life without long-term complications. CONCLUSION: Partial hysterectomy by standing flank approach should be considered as a viable treatment option for unilateral ovarian or uterine problems in dairy cattle. Cattle undergoing partial hysterectomy with or without ipsilateral ovariectomy are capable of satisfactory reproduction and milk production after surgery with no short- or long-term complications.

Long-term mechanical milking status of lacerated teat repaired surgically in cattle: 67 cases (2003-2013).

This study evaluated the long-term prognosis of return to normal mechanical milking after reconstructive teat surgery and determined the factors that have an impact on the outcome. A retrospective study of 67 dairy cows with teat lacerations was performed. Milking status at discharge and at long-term follow-up was adequate for 83% and 75% of the cows, respectively. No statistically significant differences were detected between the long-term prognosis and the age of the cow, the stage of lactation at presentation, or the configuration of the laceration. Lacerations repaired more than 24 hours after the trauma were more frequently associated with a negative outcome (P = 0.05). Mastitis was the most frequent complication (n = 17) and had a statistically significant negative impact on long-term prognosis (P = 0.02). Reconstructive surgery of lacerated teat in dairy cows can help establish return to normal mechanical milking.

Évaluation du pronostic à long terme en regard de la traite mécanique des trayons lacérés réparés chirurgicalement chez la vache : 67 cas (2003­2013). Les objectifs de cette étude sont d'évaluer le pronostic à long terme, en regard de la traite mécanique, suivant la reconstruction d'un trayon lacéré et de déterminer les critères associés à un pronostic négatif. Une étude rétrospective sur 67 vaches laitières a été réalisée. La traite mécanique était adéquate pour 83 et 75 % des vaches à leur sortie de l'hôpital et lors du suivi à long terme. Pas de différences statistiques ont été trouvées entre le pronostic à long terme et l'âge des vaches, leur stade de lactation et la configuration de la lacération. Les lacérations réparées plus de 24 heures après le trauma avaient un pronostic moins bon (P = 0,05). La complication la plus fréquente était la mammite (n = 17). Elle avait un effet négatif sur le pronostic à long terme (P = 0,02). Reconstruire chirurgicalement un trayon lacéré peut rétablir la traite mécanique.(Traduit par les auteurs).

Dorsal Arthroscopic Approach and Intra-Articular Anatomy of the Bovine Antebrachiocarpal and Middle Carpal Joints.

OBJECTIVE: To determine arthroscopic approaches to the dorsal synovial compartments of the antebrachiocarpal and middle carpal joints in adult cattle, and to describe the arthroscopic intra-articular anatomy from each approach. STUDY DESIGN: Ex vivo study. ANIMALS: Six fresh adult bovine cadavers. METHODS: Two carpi were injected with latex and dissected to determine the ideal location for arthroscopic portals. Arthroscopy of the antebrachiocarpal and middle carpal joints of 10 carpi was then performed. The dorsolateral approach was made between the extensor carpi radialis and common digital extensor tendons. The dorsomedial approach was made medial to the extensor carpi radialis tendon, midway between the distal radius and proximal row of carpal bones (antebrachiocarpal joint) and midway between the two rows of carpal bones (middle carpal joint), with the joint in flexion. RESULTS: Arthroscopy of the antebrachiocarpal joint allowed visualization of the distal radius, proximal aspect of the radial, intermediate and ulnar carpal bones, and a palmar ligament located between the radius and the intermediate carpal bone. The approach to the middle carpal joint allowed visualization of the distal aspect of the radial, intermediate, and ulnar carpal bones, the proximal aspect of the fourth and fused second and third carpal bones and an interosseous ligament. The most lateral articular structures (lateral glenoid cavity of the distal radius, ulnar carpal and fourth carpal bones) were difficult to assess. CONCLUSION: Dorsal approaches to the antebrachiocarpal and middle carpal joints allowed visualization of most intra-articular dorsal structures in adult cattle.

IMAGING DIAGNOSIS-TRAUMATIC ABOMASITIS CAUSED BY FOREIGN BODIES IN A COW.

A 2-year-old Holstein cow presented with a history of colic signs of 3 days' duration that had not responded to routine medical therapy. Physical examination findings were consistent with tachycardia and colic. Ultrasonographic examination of the abomasum revealed a thin hyperechoic line producing a cone shadow. Radiography of the cranial abdomen revealed two radiopaque objects within the abomasum. Right paracostal laparotomy and abomasotomy permitted palpation and manual removal of two metallic foreign bodies and a small quantity of gravel. The animal recovered well after surgery and no signs of colic were observed. Her appetite and rumination were also improved.

Ultrasonography of the Tympanic Bullae and Larynx in Cattle.

Diseases of the middle ear or the larynx are not numerous in cattle but their diagnosis can be challenging for veterinary practitioners in the field. This article presents the ultrasonography of these 2 anatomic structures in order to provide new diagnostic tools to veterinary practitioners in the field. Brief anatomic reminders are first reported. The scanning techniques and normal images are then described. Finally, abnormal images of specific conditions are presented.

Surgical Correction of Traumatic Lateral Patellar Luxation.

OBJECTIVE: To report successful surgical repair of a grade IV lateral patellar luxation in a 437-kg heifer. STUDY DESIGN: Case report. ANIMAL: Seventeen-month-old Holstein heifer (437 kg). METHODS: Diagnosis of traumatic lateral patellar luxation was made based on physical examination, and confirmed on radiographs. Arthroscopic examination of the stifle assessed joint changes. Lateral patellar luxation was surgically repaired using lateral release of the patella and medial imbrication of the joint capsule. RESULTS: The heifer presented nonweight-bearing lameness of the left hind limb (5/5 lameness score). Unilateral grade IV lateral patellar luxation was diagnosed based on physical examination and radiography. Arthroscopic examination of the stifle showed synovitis and cartilage eburnation of the medial articular surface of the patella and of the lateral trochlear ridge of the femur. Lateral release of the patella and medial imbrication of the joint capsule was performed. The heifer remained lame (4.5/5 lameness score) and developed severe disuse muscle atrophy after surgery. By day 112, the heifer was walking easily and was completely weight bearing on the left hindlimb but did have a gait alteration (2/5 lameness score). On day 229, the heifer calved for the first time and lameness was no longer evident. CONCLUSION: This report documents successful surgical treatment of traumatic lateral patellar luxation in a large heifer but additional case evaluation is required to provide an accurate prognosis for this condition and treatment in large cattle.

Surgical Management of Omphalophlebitis and Long Term Outcome in Calves: 39 Cases (2008-2013).

OBJECTIVE: To describe and evaluate the surgical management of omphalophlebitis and to report the short and long term outcomes in calves. STUDY DESIGN: Retrospective case series. ANIMALS: Calves (n = 39). METHODS: Medical records (2008-2013) of calves diagnosed with omphalophlebitis and that underwent surgical correction were reviewed. Short term (hospital discharge) and long term (≥6 months after surgery) survival rates were obtained. Descriptive statistics were used to describe the population and a Fisher's exact test was used to evaluate the relationship between clinical signs, surgical management, and outcome. RESULTS: Thirty-nine calves (median age 30 days) were included in the study. Eleven calves had septic arthritis associated with omphalophlebitis and 18 had evidence of liver abscesses on ultrasound. Complete surgical en bloc resection was achieved in 18 calves and umbilical vein marsupialization was performed on the other 21 calves. Thirty-five calves were discharged from the hospital and long term followup was obtained for 30 of them. Twenty-nine animals were performing according to the owner's expectation at least 6 months after surgery (14 for marsupialization and 15 for en bloc resection). A better prognosis was detected when en bloc resection was performed (100% survival); however, when marsupialization was performed, the prognosis was good (74%; P = .05). Septic arthritis had a significant negative effect on overall survival (P < .001). CONCLUSION: The overall survival is good with both surgical options, and even calves with liver involvement and septic arthritis associated can be successfully treated with a combination of long term antibiotics and umbilical vein marsupialization.