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Discussion on Fractured tibia
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Member:
tangoh
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Posted on Friday, Nov 14, 2008 - 7:06 pm:
Can you just give me your opinion of what this image discloses?
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Member:
tangoh
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Posted on Friday, Nov 14, 2008 - 9:34 pm:
The reason I ask is b/c the vet that took the film says it's a growth plate (the horse pivoted or something just as she tooke the image) and another vet says it is a fractured tibia....
The horse is a 2 1/2 year old Canadian warmblood filly.
???????? Help???????????????
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Moderator:
DrO
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Posted on Saturday, Nov 15, 2008 - 8:21 am:
Is this horse lame or have swelling in this area Sherri? If so for how long?
DrO
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Member:
tangoh
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Posted on Saturday, Nov 15, 2008 - 10:03 am:
No, there is absolutely no lameness nor swelling. The vet that did the prepurchase and about $1200 worth of slides said how lovely she moved. She maintains it is nothing more than a growth plate. But when I asked another opinion and was told it was a proximal fracture of the tiba, welll...now I am completely confused, who do I believe? Everything else on this horse checks out 100%.
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Member:
tangoh
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Posted on Saturday, Nov 15, 2008 - 10:04 am:
Is there always this much left to individual interpretation with digital imaging???
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Moderator:
DrO
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Posted on Sunday, Nov 16, 2008 - 8:04 pm:
The problem Sherri is that there is overlap between the appearance of normal and abnormal growth plates in the growing horse: normal nonclosed growth plates can look like non-displaced fractures. The radiograph cannot answer the question of whether there is such a nondisplaced fracture or not. But what is not as questionable is whether a fracture of the growth plate causes lameness. A fracture that did not cause lameness would be an unusual case indeed.
DrO
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Member:
tangoh
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Posted on Wednesday, Nov 19, 2008 - 1:15 pm:
The filly has been deemed sound by a couple more lameness vets that looked at the radiograph and because of her age and the fact that she is completely sound, no lameness whatsoever, they say it is normal growth plate.
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Moderator:
DrO
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Posted on Thursday, Nov 20, 2008 - 7:55 am:
Now the question is how to educate your "radiographically centered" friend without raising ill feelings. Such education would be invaluable to them.
DrO
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Member:
36541
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Posted on Thursday, Nov 20, 2008 - 11:39 am:
how about looking at the other side for comparison and education? That's what I do with most kids under 13 to look at the growth plate vs. injury vs. injured growth plate challenge...
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