Allo-implant reconstruction of a femoral fracture following osteomyelitis

A complicated, segmented fracture of the femoral diaphysis in a dog is presented. Complications arose from multiple surgeries and subsequent osteomyelitis. Repair was staged by firstly removing all implants, secondly treating the osteomyelitis with appropriate antibiotics while spanning the cortical-deficient fracture site with a Kirschner external fixator, and finally rigid fixation of the fracture with incorporation of an ethylene oxide-sterilised intercalary cortical allo-implant. Principles of bone grafting are reviewed.     

Adrenal adenoma in a cross-bred terrier

An adrenal tumour was diagnosed in a 12-year-old female cross-bred terrier. The dog was presented to the veterinary clinic because she had been gaining weight and had started urinating in the owners' house. Clinical findings included obesity, abdominal enlargement, thinning of the hair coat, seborrhoea sicca, and polydipsia and polyuria. The diagnosis was made by clinical pathology, endocrine function tests and abdominal radiography. Surgical removal of the neoplastic right adrenal gland resulted in resolution of the clinical signs, including regrowth of the hair coat.     

Presence of cervical vertebral malformation in Dobermann puppies and the effects of diet and growth rate

OBJECTIVE: To investigate the relationship between diet, growth rate and the presence of caudal cervical malformation in Doberman puppies. DESIGN: A prospective study of 15 Dobermann puppies from three unrelated litters, aged from 0 to 16 weeks. PROCEDURE: The growth rate in terms of body weight gain and increase in ulna length were measured weekly for all puppies. In addition the nutritional quality of the diets was assessed. Radiographs of the cervical spine were taken at 6 and between 12 and 16 weeks of age and examined for the presence of caudal cervical vertebral malformation. A mixed model for repeated measures data was used to investigate the relationship between the growth rate of the puppies and the fixed effects age, dam, diet, gender and presence of caudal cervical malformation. RESULTS: Five of the puppies had changes consistent with caudal cervical malformation. The diets fed were either balanced or transiently deficient in protein, calcium, phosphorus and/or magnesium. There was no significant association between growth rate and the variables dam, gender and the presence of caudal cervical vertebral malformation. There was no significant association between diet and increase in ulna length, but a trend existed between body weight gain and the feeding of a balanced diet (P = 0.0672). CONCLUSION: Caudal cervical vertebral changes can be detected radiographically as early as 6 weeks of age in some Dobermann puppies. A balanced diet and growth rate are not significant factors in its initial development.     

Superficial digital flexor tendonitis in Thoroughbred race horses: outcome following non-surgical treatment and superior check desmotomy

Objective This study documents the results of non-surgical treatment and treatment by superior check desmotomy in Thoroughbred racehorses with superficial digital flexor (SDF) tendonitis. Design A prospective study was made of 124 thoroughbred racehorses with unilateral or bilateral SDF tendonitis. Procedure The flexor tendons were assessed by physical and ultrasonographic examination before treatment, and the lesions detected in affected tendons were characterised according to lesion type, length and cross-sectional area. Ninety three horses were managed non-surgically and 31 by superior check desmotomy. Recurrent or new injuries were defined as injuries affecting a previously injured superficial digital flexor tendon, the contralateral SDF tendon, or the suspensory ligament (interosseous muscle) in either forelimb. Results No statistically significant difference was found in ultrasonographic lesion severity between treatment groups. Horses managed by superior check desmotomy were 1.3 times more likely to complete five or more races than horses managed non-surgically (95% confidence limits 0.93–1.82). Horses treated surgically were 1.2 times more likely to develop recurrent or new injuries after returning to training than horses managed non-surgically (95% CL 0.95–1.55). Horses under-going superior check desmotomy were 5.5 times more likely to develop suspensory desmitis than horses treated non-surgically (95% CL 1.13–26.4). There was no difference in the time to recurrent or new injury between treatment groups. Conclusion There was no statistically significant difference between treatment groups in the proportions of horses able to complete five or more races after an episode of superficial digital flexor tendonitis. Superior check desmotomy did not appear to offer an advantage over non-surgical treatment in preventing recurrent or new injuries in Thoroughbred racehorses. Horses undergoing superior check desmotomy appeared to be at greater risk of developing suspensery ligament injuries than horses managed non-surgically.     

Canine wobbler syndrome: A study of the Dobermann pinscher in New Zealand

The aim of this study was to investigate the prevalence of wobbler disease within a Dobermann pinscher population from three geographical locations in New Zealand. The study population consisted of 138 adults (aged 1–13 years) and 32 puppies (aged 6 weeks to 11 months). Data collected for each dog included age, sex, geographic location, if a choker chain was used or not and, in adults, the following body measurements: dimensions of head length, head circumference, width between shoulders, neck length, height at withers and withers to rump length. In addition, lateral radiographs were taken of the caudal cervical vertebrae of each dog and the radiological abnormalities associated with wobbler disease scored, so that each dog could be assigned to one of three radiological groupings. Based upon a neurological examination, each animal was also placed into one of three neurological groupings. The relationship between radiological and neurological groupings and the independent variables was initially compared using a univariate and subsequently a multivariate analysis.

It was found that 48.8% of the dogs investigated had some abnormal radiological sign associated with wobbler disease, and 32.0% of them showed neurological signs. Dogs with radiological signs of the disease were 5.56 times more likely to have neurological signs. Statistical analysis of the data indicated that more severe radiological and neurological abnormalities occurred in the older dogs. In addition, dogs located in Hawke's Bay region had less chance of showing radiological changes than dogs from the other two regions, Hamilton and Wellington. Twelve of the 32 puppies were examined for radiological and neurological changes over the first year of their life. No abnormalities were detected in puppies under 12 weeks of age, but 28% (n=9) of the 32 puppies over 3 months of age did show some radiological changes. Only 9%(n=3) of puppies showed any neurological signs. Although several pedigree lines were investigated, the lineage data were incomplete, and therefore there was no conclusive evidence that wobbler disease was an inherited trait.

This study showed that, although the radiological signs of wobbler disease were present throughout a wide age range, the associated neurological changes tended to appear at a later age. In both instances, the severity of these changes increased with age.     

Treatment and outcome of chronic septic tenosynovitis in three horses

Three horses were presented for treatment of chronic infections of the digital flexor tendon sheath. Clinical signs included severe lameness, and heat, pain and swelling of the digital flexor tendon sheath. The horses were treated with surgical lavage of the tendon sheath, systemic and local antibiotics, and analgesics. In each case, resolution of the lameness occurred over weeks to months. Only one horse returned to athletic activity, while the other two became comfortable at pasture. Response to treatment in cases of chronic tenosynovitis may not be as rapid or complete as that reported for acute tendon sheath infections.     

Unusual congenital deformities of the lower limb in two calves

Congenital deformities of the lower limb were observed in 2 calves from different properties. One was a newborn Holstein-Friesian bull calf with polydactyly and polypodia of the right fore-limb.The other was an 8-month-old Friesian/Jersey crossbred heifer calf, which had a mirror image duplication of the plantar/palmar half of the distal portion of the digits. The abnormalities in the second calf have not previously been described in cattle. This paper presents details of the clinical, radiological and necropsy findings in these 2 calves.     

SnakeMap: four years of experience with a national small animal snake envenomation registry

SnakeMap is a national cloud-based, veterinary snakebite registry. It was designed to prospectively collect data of the clinical circumstances and temporospatial information on cases of snake envenomation in dogs and cats. We herein introduce the project and summarise the data from the first 4 years of SnakeMap. The registry is a veterinary community-based online database allowing case entry from veterinary hospitals across Australia. Registry data comprise hospital characteristics, patient characteristics, envenoming snake type, treatment and outcome variables, including time and geolocation of the snake bite. We present summative information on select key variables from the SnakeMap registry (1 July 2015 to 30 June 2019). Twenty-eight hospitals from 6 states/territories entered 624 cases into the registry, including 419 dogs (67%) and 205 cats (33%). Bite time was available in 216 animals of which 90 (42%) were reported to be bitten in the 3 hours between 03:00 pm and 05:59 pm; median bite to presentation interval was 60 (interquartile range [IQR] 30, 211) minutes in dogs and 95 (IQR 41, 238) minutes in cats. Bites occurred in the owner's yard in 356 dogs (85%) and 53 cats (26%). A snake venom detection kit was used in 172 cases (28%) and antivenom was administered in 523 cases (85%). Most animals (n = 534, 88%) survived to discharge (median hospitalisation of 25 [IQR 16, 62] hours). SnakeMap effectively collects relevant clinical data from dogs and cats with presumed snake bite and provides locally specific information on the epidemiology of snake envenomation in small animals.