• 한국임상수의학회지
• /
• 제29권3호
• /
• pp.259-262
• /
• 2012

일곱살령, 체중 2.1 kg, 요크셔테리어종이 2개월전 부터 양측 전지의 심한 파행과 관절의 불안정을 주 증상으로 본 원에 내원하였다. 일반 신체검사 및 방사선 검사에서 양측 전완앞발목관절의 후방탈구로 진단되었다. 대부분의 작은 견종에서의 양측 전완앞발목관절 탈구 치료는 광범위한 발목관절고정술을 실시한다. 폴리메칠메타크리레이트를 적용한 개선된 외부고정법은 유용한 치료법이 될 수 있는데 본 증례에서는 앞발목관절 간극에 돼지뼈 해면골의 충진을 동시에 실시 하였다. 시술 후 임상검사 및 방사선 평가에서 돼지뼈 해면골의 적용은 자가골 해면골이식의 대안으로서 유용성이 있는것으로 평가 되었다.

• 한국임상수의학회지
• /
• 제11권1호
• /
• pp.369-376
• /
• 1994

The purpose of this report Is to discribe the radiological findings of traumatic elbow luxation and subluxation of carpal joint which were caused by being hit by a wild animal and forced hyperextension of carpus in two hunting dogs. In case 1, carniocaudal and mediolateral radiographic examination of the elbow joint revealed that the radius that the radius and ulna were completely luxated laterally. The lateral projection showed the humeral condyles overlying the radial head with an absent joint space, but displacement is apparent on the craniocaudal projection. Incidence of collateral ligament rupture in conjunction with elbow luxation was not recognized on physical examination of the limb after closed reduction. Radiographic examination of the elbow made 5 months after closed reduction revealed only mild degenerative joint disease. Radiographic examination of the carpus in case 2 demonstrated palmar subluxation of most carpal joints including antebrachiocarpal, mediocarpal carpometacarpal joints, and some intercarpal joints, and avulsion fracture of the palmar surface of the accessory carpal bone. However, the mediocarpal and carpometacarpal joints were most severely affected by tensile forces of hyperextension, and it was concluded that the ligaments of the middle ca,pal joints and carpometacarpal joints as well as the palmar fibrocartilage were ruptured based on clinical and radiographic findings. In elbow luxation and subluxation of carpal Joints of the dog, differentiation of the joint or joints involved, and ligamentous structures damaged is important in determining whether surgery Is necessary and which procedure is most appropriate. And the radiographic findings of these conditions would be of help to practitioners.

• 한국임상수의학회지
• /
• 제24권2호
• /
• pp.276-279
• /
• 2007

A 2-year-old male, 3 kg body weight Japanese Chin was injured in the automobile accident three months ago. The dog became antebrachiocarpal joint instability, and performed pancarpal arthrodesis using 3 K-wires in localanimal hospital. But, the result was failure. Therefore the dog was referred to Chonbuk Animal Medical Center, Chonbuk National University. In physical examination, right carpal joint instability, knuckling sign and pain were evident. In radiography, sclerosis was observed on the 4th carpal bone. Complete blood count (CBC), serum chemistry and urinalysis finding were within reference ranges. Pancarpal arthrodesis was re-performed using 7-hole plate. However, mild skin and muscle defects was appeared by skin tension of extremity. We expected that granulation would fill the defect, but inflammation was continued on the lesions for 3 days. So, operation which is filling it was done by using the muscle flap and tubed skin flap. The donor muscles were flexor carpi radialis and superficial digital flexor muscles. After 7 days, the muscle flap was survived, but tubed skin flap was necrosed. After 20 days, the skin defect was substituted with granulation tissues. The flexor carpi radialis muscle and superficial digital flexor muscle transposition can be a useful procedure for reconstructing soft tissue defects in the carpal and metacarpal areas.