Solution: "What's Your Diagnosis?"
ANSWER #1: CBC and chemistry, abdominal and chest radiographs, and orthopedic radiographs of the pelvis to include the femurs under sedation for analgesia.
Diagnostic results:
- PCV/TP -- Normal
- Azostick -- Normal
- Blood Glucose -- Normal
- Lateral Abdominal Radiographs -- No Significant Findings
- Lateral thoracic Radiographs -- No Significant Findings
- AP/Lateral Pelvic Radiographs -- Multiple Pelvic Fractures
QUESTION #2: Can you analyze the fractures and determine which should be repaired surgically?
DIAGNOSIS: Left sacro-ilial luxation, fractured ischium, right ilial body fracture, and fractured pubis.
TREATMENT: The weight-bearing structures within the pelvis are the femur, ilial body, and sacro-iliac joint (SI-joint), therefore any facture including these structures should be surgically repaired to improve and reduce recovery time.
POST-OP RADIOGRAPHS: Correction of the left SI-luxation with a 3.5 cortical screw and the right ilial body fracture using a 6-hole 2.7 reconstruction bone plate aided in stabilizing the pelvis and better aligning and reducing the remaining fractures for healing.