Distal Physeal Radius Fracture in a Colt
Tiivistelmä
Neljän kuukauden ikäisellä orivarsalla todettiin Salter-Harris II -tyypin murtuma radiuksen distaalisessa kasvulinjassa. Varsa oli ollut tarhassa emänsä kanssa. Varsalla todettiin voimakas ontuma vasemmassa etujalassa, 5/5 astetta AAEP-asteikolla sekä turvotusta vasemman etupolven mediaalipuolella. Röntgenkuvassa todettiin radiuksen distaalisen kasvulinjan murtuma.
Varsa hoidettiin konservatiivisella hoidolla ja kotiutettiin hevossairaalasta 7 viikkoa myöhemmin. Hoidon lopputulos kotiutettaessa oli kohtalaisen hyvä, mutta ennuste urheilukäyttöön oli varauksellinen. Vuotta myöhemmin jalkaan kehittyi vakava virheasento (carpus valgus).
Summary
Non-displaced distal physeal Salter-Harris II fracture of the radius was diagnosed in a 4-month-old Warmblood colt. The colt had been in an outside paddock with the mare. Clinical signs included a 5/5-degree lameness on AAEP scale and swelling on the medial aspect of the left carpus. The radiographical examination of the limb revealed a fracture.
The treatment was conservative. The foal was discharged 7 weeks later from the hospital with a satisfactory short-term outcome but the athletic prognosis was regarded guarded. One year later, the prognosis became poor due to severe angular limb deformity.
Ydinkohdat
KEY POINTS
- Non-displaced distal physeal Salter-Harris II fracture of the radius was diagnosed in a Warmblood colt.
- The colt was lame and its left carpus was swollen.
- Conservative treatment included physiotherapy and lead to satisfactory short-term outcome, but one year later the colt was found to have a severe angular limb deformity.
- The prognosis for distal radial physeal fractures in growing animals is guarded for an athlete.