Fractured pelvis cat

Re: Fractured pelvis cat

David Mills — Sun, 11 Mar 2012 14:06:17 GMT

[quote user="John Rimmer"]

it wasn't a criticism. It was a genuine query. Wonder why the nurse didn't collimate? I don't see what experience has to do with anything. Collimating isn't exactly technical.

[/quote]

Grow up, Mr Rimmer, you are embarrassing yourself.

Re: Fractured pelvis cat

John Rimmer — Sat, 10 Mar 2012 21:37:27 GMT

it wasn't a criticism. It was a genuine query. Wonder why the nurse didn't collimate? I don't see what experience has to do with anything. Collimating isn't exactly technical.

Re: Fractured pelvis cat

Nicola Lawlor — Sat, 10 Mar 2012 17:51:23 GMT

[quote user="Gillian Mostyn"]

[quote user="John Rimmer"]Why is radiograph not collimated to area of interest?[/quote]

Regardless of this particular poster's answer, other people, especially an inexperienced VS, may not post if they think that their radiographic technique will be noted and possibly criticised.

[/quote]

I agree with Gillian - it isn't helpful to post things like this. For the record however the x-ray was taken by a nurse while I got called away to an emergency.

Re: Fractured pelvis cat

Gillian Mostyn — Sat, 10 Mar 2012 14:56:38 GMT

[quote user="John Rimmer"]Why is radiograph not collimated to area of interest?[/quote]

Regardless of this particular poster's answer, other people, especially an inexperienced VS, may not post if they think that their radiographic technique will be noted and possibly criticised.

Re: Fractured pelvis cat

John Rimmer — Sat, 10 Mar 2012 13:37:41 GMT

Why is radiograph not collimated to area of interest?

Re: Fractured pelvis cat

Evelyn Barbour-Hill — Fri, 09 Mar 2012 22:47:58 GMT

[quote user="Malcolm Ness"]That said, (and reflecting Evelyn's recent sarcasm) I am quite sure that you could find a specialist to charge large sums of money to perform extravagant surgery on both injuries - though they would almost certainly want to maintain the cat in ICU and do an MRI scan first.[/quote]

Touché. But I honestly didn't mean that little joke as sarcasm. It was just that the familiar preamble to a forum question: "I'm not a XYZ specialist, but............" might have been thought of as a comment on the specialism debate, and I was trying to show that it wasn't.

Seriously, I have the greatest respect for the learning of any RCVS or European Specialist.

Re: Fractured pelvis cat

Nicola Lawlor — Fri, 09 Mar 2012 22:41:12 GMT

Thank you all - Will be keeping a close eye on this little guy and seeing how things go from here then. He is a real sweetie so he deserves to do well and have a nice home offered to him in the future assuming we can not locate an owner. He's pretty lucky to be alive at all - he was hit on a main road just after a dual carriageway stretch so usually cars are going pretty fast at that point.

Re: Fractured pelvis cat

Malcolm Ness — Fri, 09 Mar 2012 21:39:02 GMT

Start with a careful neuro - the R SI is separated but minimally displaced. However, the L ischial fracture is adjacent to the path od th sciatic nerve and some neuropraxia might be seen associated with this injury. The hip joint is as near as dammit intact (an orthogonal view in fractures should always be taken - one day it will be your "get out of jail free" card)

The ataxia may just be pain/mechanical lameness reflecting the bilateral lesions but even if there is a neuro deficit, they are more often than not neuropraxic injuries and I would expect that to improve over a couple of weeks at most. Even if funds were unlimited, I would not rush into surgery in this case. Most benefit will come from fixing the SI separation but there seems little point if the cat can be pain-controlled as it will need to be rested for the ischia fracture. Fixing the ischial fracture will be technically challenging and carries a significant risk of making things very much worse than they already are.

That said, (and reflecting Evelyn's recent sarcasm) I am quite sure that you could find a specialist to charge large sums of money to perform extravagant surgery on both injuries - though they would almost certainly want to maintain the cat in ICU and do an MRI scan first.

Re: Fractured pelvis cat

Nicola Lawlor — Fri, 09 Mar 2012 21:25:59 GMT

[quote user="kirsty"]

However the R sacroiliac joint is displaced so best to do a neurological assessment and see how well it defaecates and urinates before planning too far ahead

Chris B

[/quote]

Cat seems to be neurologically reasonable - ataxic but probably pain, good reflexes. Urinated when sedated today but I suspect mostly has not passed himself due to pain right now, we are monitoring that carefully.

Re: Fractured pelvis cat

Nicola Lawlor — Fri, 09 Mar 2012 21:24:08 GMT

[quote user="Evelyn Barbour-Hill"]

I'm not an orthopaedic specialist (oops! wrong thread. . Ah. No it isn't). But:

If it's not going to be repaired surgically, it may do very well on the regime recommended by Michael. You can always do an excision later, can't you?

(PS out of curiosity: why is plating out of the question?)

[/quote]

Funds - it is a charity stray/rescue case and funds have to be considered carefully here (already wired his jaw back together!)

Re: Fractured pelvis cat

Chris Barker — Fri, 09 Mar 2012 21:05:41 GMT

Ooops - you spotted the deliberate mistake Wife gets a bit shirty when I post using her account, forgetting to log in in my own right No, not cross dressing yet, though gowns are de rigeur at Council!

Chris B

Re: Fractured pelvis cat

Mark Hedberg — Fri, 09 Mar 2012 20:45:58 GMT

[quote user="kirsty"]

I suspect the response will be similar to the previous thread The fracture looks caudal and ventral and as weight bearing in the acetabulum is dorsal and cranial then natural healing may do an adequate job The pelvic canal does not look too collapsed so unless the stray is an entire female this should have few consequences However the R sacroiliac joint is displaced so best to do a neurological assessment and see how well it defaecates and urinates before planning too far ahead

Chris B

[/quote]Kirsty? Chris, is there something else you should tell us in your manifesto? ;) (sorry, friday night. )

Re: Fractured pelvis cat

kirsty — Fri, 09 Mar 2012 20:39:03 GMT

Chris B

Re: Fractured pelvis cat

Evelyn Barbour-Hill — Fri, 09 Mar 2012 20:37:28 GMT

I'm not an orthopaedic specialist (oops! wrong thread. . Ah. No it isn't). But:

If it's not going to be repaired surgically, it may do very well on the regime recommended by Michael. You can always do an excision later, can't you?

(PS out of curiosity: why is plating out of the question?)

Re: Fractured pelvis cat

Nicola Lawlor — Fri, 09 Mar 2012 20:24:59 GMT

Trimmed down a bit

Re: Fractured pelvis cat

Michael Woodhouse — Fri, 09 Mar 2012 20:23:04 GMT

Painkillers and strict cage rest. They glue themselves together very well