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Surgical Correction of Traumatic Sacral and Humeral Fractures in a 5-month-old Golden Doodle

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Abstract

A five-month-old, female intact, Golden Doodle presented to Cornell University's Hospital for Animals (CUHA) Emergency Room with multiple fractures after being hit by a car. She was assessed and stabilized at primary and secondary hospitals, where radiographs confirmed the presence of a right distal humeral fracture and multiple pelvic fractures. On physical examination, the patient was quiet, but alert and responsive. Her vital signs were within normal limits. She was non-ambulatory without assistance, but when held in a standing position, her left pelvic limb was flexed and non-weightbearing, and a lateral splint bandage was present on her right thoracic limb. There was significant swelling noted of her left pelvis, with pain on manipulation. A complete orthopedic examination was unable to be performed. On brief neurologic examination, proprioception was unable to be assessed in affected limbs but was normal in remaining limbs. Spinal reflexes and motor function were present in all four limbs, but voluntary urination was unable to be assessed. A rectal examination elicited pain and was unable to be fully completed. This presentation will discuss the presentation, diagnostic imaging, surgical fixation options and treatment, and post-operative management of sacral and humeral fractures.

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2021-03-17

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Cornell University College of Veterinary Medicine

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sacral fracture, distal humeral fracture, fluoroscopy, lag screw fixation, sacroiliac fracture luxation

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case study

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