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A Case Report of Mid-shaft None Union Radius and Ulna Fracture in a Hawk
Treated with IM Pinning and Orthopedic Wires

Conference Paper · October 2014

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Ramin Mazaheri-Khameneh Alireza Yousefi


Urmia University
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Hosein Ghanbari
Urmia University
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References
1. Ossum, T.W, Small Animal Surgery. 3rd ed. Mosby Inc. References
2007. pp: 903-906. 1. Bennett RA, Kuzma AB: Fracture management in birds. J Zoo
2. Park RD (1998) The Diaphragm. In: Thrall DE, editor. Wildl Med 1992 23(1):5–38.
Textbook of Veterinary Diagnostic Radiology. 3rd ed. 2. Helmer P, Redig PT. Surgical resolution of orthopedic disorders.
Philadelphia, WB Saunders Company. pp:294-307. In: Clinical Avian Medicine, Vol 2. GJ Harrison, TL Lightfoot
3. Ricco CH & Graham L (2007) Undiagnosed diaphragmatic (eds). Spix Publishing Inc, Palm Beach. 2006;761–774.
hernia, the importance of preanesthetic evaluation. pp:8615-
618.
Poster Presentation
Poster Presentation
Ventriculotomy in Two Parrots and a Common
A Case Report of Mid-shaft None Union Radius Myna
and Ulna Fracture in a Hawk Treated with IM
Pinning and Orthopedic Wires Hamid Taghipour*1, Farzad Hayati2, Mohammad Saeed
Ahrari-khafi3
Ramin Mazaheri-Khameneh, Alireza Yousefi*, Hosein 1
DVM Student University of Tehran
Ghanbari-Nehbandani 2
Resident of Veterinary Surgery, Veterinary Faculty, University
of Tehran, Iran.
Department of Clinical Sciences, Faculty of Veterinary 3
Assistant Professor of Veterinary Radiology, Department of
Medicine, Urmia University, Urmia, Iran.
Surgery and Radiology, School of Veterinary Medicine,
E-mail: alireza.yousefi4@yahoo.com
University of Shiraz, Shiraz, Iran.
Email: hamid_taghipour@ymail.com
Case Description- A Red tailed hawk was referred to
Urmia University’s Veterinary Teaching Hospital with a Case Description- A one –year old common Myna
two months history of trauma in right wing by unknown (Acridotherestristis), a two-month old Alexandrine
cause(s). Parakeet and a three-year old Grey African were referred
Clinical Findings- Upon physical examination, open to Veterinary teaching hospital, School of Veterinary
fractures of both right radius and ulna were obvious. The Medicine, University of Tehranfor history of foreign
hawk was administered fluids and received pain killers body ingestion in three different periods of time. On
and antibiotics, and a bandage was put on the wing. On physical examination the Myna and Grey African were
the following day, when hawk's condition was stable, normal but the owner of Parakeet indicated lethargy and
radiographs were taken and prepared for surgical repair. anorexia.
The radiographs confirmed comminuted mid-shaft Clinical Findings- Survey radiographs of birds were
hypertrophic none union fractures. taken. Lateral and ventrodorsal radiographs of common
Treatment and Outcome- Under general anesthesia, Myna showeda metal foreign body within the body with
after exposing the fractured site the hypertrophic ends its distal end seemingly in the ventriculus and its
were curettaged and removed. Then the radius and ulna proximal end extending to the right pectoral region
stabilized using IM pins. One retrograded IM pinfor the pointing to the right shoulder joint. Radiographs of the
ulna and in the radius a trans-cortical IM pin was utilized. Parakeet showed a long, tube-like foreign body which
Also to stabilize fractures against rotation and shear proximal end was in esophagus starting dorsal to the
forces an 8-figure hemicerclage wire was used on syrinx, cross proventriculus and ending in ventriculus.
ulna.Postoperative anti-inflammatory and antibiotics were Survey radiographs of the Grey African showed a
administered for 5 days. The hawk maintained an metallic ball-like foreign body in ventriculus.
excellent appetite during the recovery period. Four weeks Treatment and Outcome- We decided to remove all
later, the clinical union occurred and the range of motion these foreign bodies through a ventral midline celiotomy.
in the elbow and wrist joints was found to be normal. All birds were given Ringer’s solution (50 ml/kg SC) and
Clinical Relevance-The prospect of full recovery anesthetized with isoflurane (1%-3%; Isoflurane) and
following repair of avian bone fractures often is poor and oxygen and placed in dorsal recumbency with their heads
the complication rate is high. Application of IM pins and raised about 30 degrees on a heating pad. The wings were
orthopedic wires is familiar to most veterinarians and reflected dorsally while the legs were restrained and
requires little specialized equipment and inexpensive. abducted in caudal direction. Feathers on the incision site
They provide axial alignment and bending stability, and were plucked. Skin was prepared for aseptic operation
require minimal tissue exposure for insertion. using Povidone iodine solution and alcohol and draped at
Key Words- IM pinning, Hawk, Mid-shaft none union the level of operation field. The skin and lineaalba were
fracture, Radius and ulna

192 Proceeding of the 4th International Symposium of Veterinary Surgery (ISVS)


21-23 Oct 2014, Mashhad, Iran

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