Comparison of the diagnostic value of ultrasonography and standing radiography for pelvic-femoral disorders in horses.
Abstract: To assess agreement between ultrasonography (transcutaneous and transrectal) and standing radiography in horses with fractures in the pelvic region and disorders of the coxofemoral joint. Methods: Case series. Methods: Warmblood horses (n=23) and 2 ponies. Methods: Medical records (1999-2008) of equids with pelvic or coxofemoral disorders that had pelvic radiography and ultrasonography were retrieved and results of both techniques compared. Results: Radiography and ultrasonography each identified equal numbers of fractures of the tuber coxa (n=4), ilial shaft (2), ischium (3), femoral neck (2), and osteoarthritis/osis of the coxofemoral joint (6). Fractures of the ilial wing (4) were only identified by ultrasonography not by standing radiography. Of 9 acetabular fractures, 3 were identified on radiographs only, 5 were identified with both modalities. One pubic fracture was identified using ultrasonography and radiography. One acetabular and 1 pubic fracture were only diagnosed on necropsy. Conclusions: We found reasonable agreement (73%; 24/33) between ultrasonography and standing radiography for diagnosis of pelvic-femoral disorders. Ultrasonography was more useful for ilial wing fractures and radiography for acetabular fractures. Conclusions: Ultrasonography is a rapid, safe imaging technique for detecting disorders of the pelvic region with a high diagnostic yield and is a preferred initial approach in horses with severe hindlimb lameness.
Publication Date: 2009-07-04 PubMed ID: 19573093DOI: 10.1111/j.1532-950X.2009.00508.xGoogle Scholar: Lookup
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- Comparative Study
- Journal Article
Summary
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The research compares the effectiveness of ultrasonography and standing radiography in diagnosing pelvis and femoral issues in horses. The study finds that both imaging techniques have reasonable agreement in diagnoses, but each has specific advantages in detecting different types of fractures.
Objective
The paper aimed to compare the diagnostic capabilities of ultrasonography (both transcutaneous and transrectal) and standing radiography in horses with pelvic fractures and coxofemoral joint disorders.
Methods
- The study used a case series method, focussing on Warmblood horses (n=23) and 2 ponies.
- The medical records from 1999-2008 of equids with pelvic or coxofemoral disorders were analyzed.
- These records included cases that had undergone both pelvic radiography and ultrasonography.
- The results produced from both diagnostic techniques were then compared.
Results
- Both radiography and ultrasonography were found to have identified an equal number of fractures of the tuber coxa, ilial shaft, ischium, femoral neck, and also in cases of osteoarthritis/osis of the coxofemoral joint.
- Fractures of the ilial wing (4) were only identifiable using ultrasonography, not by standing radiography.
- Of 9 acetabular fractures, only 3 were identified on radiographs while 5 were identified using both modalities.
- One pubic fracture was identified using both ultrasonography and radiography, but one acetabular and 1 pubic fracture were only diagnosed during necropsy (post-mortem examination).
Conclusions
- The results showed that there was a reasonable agreement (73%; 24/33) between ultrasonography and standing radiography in diagnosing pelvic-femoral disorders in horses.
- The study found ultrasonography more useful for diagnosing ilial wing fractures while radiography was more effective for identifying acetabular fractures.
- The research concluded that ultrasonography is a fast, safe imaging technique with a high diagnostic accuracy, making it the preferred initial approach in horses with severe hindlimb lameness.
Cite This Article
APA
Geburek F, Rötting AK, Stadler PM.
(2009).
Comparison of the diagnostic value of ultrasonography and standing radiography for pelvic-femoral disorders in horses.
Vet Surg, 38(3), 310-317.
https://doi.org/10.1111/j.1532-950X.2009.00508.x Publication
Researcher Affiliations
- Equine Clinic, University of Veterinary Medicine Hanover, Foundation, Bischofsholer Damm 15, Hannover, Germany. florian.geburek@tiho-hannover.de
MeSH Terms
- Animals
- Autopsy / veterinary
- Euthanasia, Animal
- Femoral Neck Fractures / diagnostic imaging
- Femoral Neck Fractures / veterinary
- Fractures, Bone / diagnosis
- Fractures, Bone / veterinary
- Horse Diseases / diagnostic imaging
- Horses / injuries
- Lameness, Animal / etiology
- Osteoarthritis / diagnosis
- Osteoarthritis / veterinary
- Pelvic Bones / diagnostic imaging
- Pelvic Bones / injuries
- Radiography
- Retrospective Studies
- Sensitivity and Specificity
- Ultrasonography
Citations
This article has been cited 2 times.- Aleman M, Berryhill E, Woolard K, Easton-Jones CA, Kozikowski-Nicholas T, Dyson S, Kilcoyne I. Sidewinder gait in horses.. J Vet Intern Med 2020 Sep;34(5):2122-2131.
- Sprick M, Koch C. Successful Treatment of a Coxofemoral Luxation in a Shetland Pony by Closed Reduction and Prolonged Immobilization Using a Full-Body Animal Rescue Sling.. Case Rep Vet Med 2020;2020:2424653.
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