Fractures of the tuber coxa of the ilium in horses: 29 cases (1996-2007).
Abstract: To determine history; clinical, radiographic, ultrasonographic, and scintigraphic abnormalities; treatment; and outcome in horses with tuber coxae fractures and to describe a useful technique for obtaining a dorsomedial-ventrolateral 50 degrees oblique radiographic view of the tuber coxa of the ilium in standing horses. Methods: Retrospective case series. Methods: 29 horses with fractures of tuber coxa. Methods: Data collected from medical records included signalment; history; horse use; severity and duration of lameness; radiographic, ultrasonographic, and scintigraphic findings; treatment; and outcome. Results: All horses had a traumatic event leading to acute, unilateral hind limb lameness. Eighteen horses had a more severe lameness at the walk than at the trot; 22 of 29 horses had an abnormal gait with the hind limbs tracking to 1 side of the forelimbs. Twenty-four of 29 horses had palpable and visual asymmetry between the affected and unaffected tuber coxae. Twenty horses had radiography performed while sedated but standing, and fractures were reliably identified on the dorsomedial-ventrolateral 50 degrees oblique radiographic views. Twenty-seven (27/29 [93%]) horses returned to athletic use. Horses sustaining partial fractures of the caudal aspect of tuber coxae returned to previous use significantly earlier (mean, 3 months), compared with horses with complete tuber coxae fractures (6.5 months). Conclusions: Horses with tuber coxae fractures returned to athletic soundness following extended periods of rest. Findings emphasized the need for obtaining a dorsomedial-ventrolateral 50 degrees oblique radiographic view of the tuber coxa of the ilium in horses suspected of sustaining injury to this region.
Publication Date: 2009-05-16 PubMed ID: 19442027DOI: 10.2460/javma.234.10.1303Google Scholar: Lookup
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Summary
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The article discusses a research on fractures of the tuber coxa of the ilium in horses. The study aimed to explore the history, clinical signs, imaging findings, treatment, and outcomes of such fractures in 29 cases. It also describes a special radiography technique for better diagnosis of this bone injury.
Study Methodology
- The study involved a retrospective case series of 29 horses that had experienced tuber coxa fractures of the ilium – a part of the pelvic bone.
- Researchers collected data from veterinary records that included the horse’s profile, the history and severity of the lameness, findings from radiographic, ultrasonographic, and scintigraphic imaging, the treatment given, and the outcomes.
Results
- All horses had a traumatic event leading to acute, unilateral (affecting one side) hind limb lameness. This refers to an uneven walking or trotting pattern due to discomfort or pain.
- Mild to severe lameness was more frequently observed in horses while walking than trotting. Further, 22 out of the 29 horses had an abnormal gait where the hind limbs trailed off the path of the forelimbs.
- This asymmetry was physically evident in 24 out of 29 cases, where the affected coxa was visibly different from the normal one.
- Twenty horses in the study had radiographic scans while they were sedated but standing. The fractures were successfully identified using a special dorsomedial-ventrolateral 50 degree oblique radiographic view.
- The study found that 93% of the horses (27 out of 29) were able to return to their athletic activities.
- The study also found that horses with partial fractures on the rear portion of the coxa returned to their original activities more quickly (within 3 months), compared to horses with complete coxa fractures (around 6.5 months).
Conclusions
- The researchers concluded that horses diagnosed with tuber coxa fractures were able to return to athletic soundness after a period of rest and recovery.
- The study underscored the importance of the dorsomedial-ventrolateral 50 degree oblique radiographic view in accurately diagnosing fractures in the tuber coxa of the ilium in horses. This approach may be beneficial for vets to diagnose bone injuries more accurately and plan appropriate treatments.
Cite This Article
APA
Dabareiner RM, Cole RC.
(2009).
Fractures of the tuber coxa of the ilium in horses: 29 cases (1996-2007).
J Am Vet Med Assoc, 234(10), 1303-1307.
https://doi.org/10.2460/javma.234.10.1303 Publication
Researcher Affiliations
- Department of Large Animal Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, TX 77843, USA.
MeSH Terms
- Animals
- Female
- Hip Fractures / diagnosis
- Hip Fractures / therapy
- Hip Fractures / veterinary
- Horses / injuries
- Ilium / diagnostic imaging
- Ilium / injuries
- Male
- Radiography
- Radionuclide Imaging
- Retrospective Studies
- Treatment Outcome
- Ultrasonography
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