More Elbows- Younger Male - Page 4

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Jenni78

by Jenni78 on 15 October 2013 - 09:10

Yes! I remembered a basketball being involved and a driveway crash. Was it before or after the xrays? 

You know, I don't think normal people have these type conversations. Teeth Smile

 

LadyFrost

by LadyFrost on 15 October 2013 - 11:10

LOOOOL...

by ipoguy on 15 October 2013 - 13:10

Which view reveals the fracture just depends upon where it is in the bone.

Sunsilver

by Sunsilver on 15 October 2013 - 14:10

Stress fracture (IPOguy can correct me if  I'm wrong. The arrow points to actual damage in the outer layer of the bone (a small fracture) , and the line indicates the beginning and end of a line on the bone that shouldn't be there. I'm not quite sure what it indicates, really, but you don't see it on the L radius, so I am assuming it's part of the damage to the radius.



 

by ipoguy on 15 October 2013 - 18:10

The arrow correctly marks the radius fracture. From that point extending up and to the right (northeast so to speak) is a dark line which is the fracture line. I assumed no trauma and therefore a stress fracture. If there was an actual injury perhaps it is just a small fracture. It clearly seems to have nothing to do with the pano.
 

Jenni78

by Jenni78 on 15 October 2013 - 21:10

This is a great thread. I should thank the OP. Tongue Smile

IPOGUY, thanks for your input. It's soooo nice to have someone like you on here because we can really learn and "check our work" so to speak. 
 

Elkoorr

by Elkoorr on 17 October 2013 - 13:10

Just now seeing this. Here is my opinion: The AP in the right elbow is not quiet united yet. I too see what IPOguy already pointed out what appears to be a stress fracture on the L.  I am surprised that none of the vets commented on this.

@Starrchar..... Wellness CORE is NOT suitable for a young puppy. It is way too rich and dense, and lacks the essential combination of minerals for appropriate growth. This is also stated on the bag directly. I have been feeding Wellness for years and it is a great food with ingredients made here! Wellness has a special Puppy food which is great. I had been feeding this to all my pups without any issues like Pano; then switched them over to Core at around 8 months old.
 

Botanica37

by Botanica37 on 19 October 2013 - 09:10

update after consulting an ortho vet:

The cortical defect (circled area) is actually the nutrient foramen (basically a small hole in the bone). This is a normal structure in that area of the radius where the blood supply enters the bone. The nutrient foramen is also surrounded by a normal raised area of bone. It looks like a periosteal response that you would see around a fracture, but in this case it is not. If you look closely at the lateral radiograph of left radius you will see a raised area on that side as well. The reason that you do not see the “cortical defect” on the left is due to radiographic positioning. In other words, you only clearly see the nutrient foramen if the x-ray beam hits the foramen at exactly the perpendicular plane because it is so small. The other area is just a line in the medullary cavity due to medullary fibrosis and increased intramedullary radiopacity, again consistent with pano and not a fracture.

Jenni78

by Jenni78 on 19 October 2013 - 11:10

Well...that would appear quite consistent with what your ortho vet and mine both said in the first place. I had serious doubts my guy would misdiangose pano and not see a fracture, so thank you for posting. Faith is restored. LOL





 

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