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Chapter 17










                                      The Leg


















                    III NORMAL SKELETAL ANATOMY
                                                                         injuries. Fractures of the femoral head, especially those
                    The leg of a bird is composed of a femur, tibiotarsus,   involving the underlying growth plate (termed capital

                    fibula, tarsometatarsus, a single metatarsal bone (the   physeal fractures), are often hard to see in the ventro-

                    first), and four digits. Some variation exists among the   dorsal (VD) projection because of superimposition by
                    various species, depending on how and where the legs   the overlying pelvic bones. Oblique VD views, which
                    are used (Figure 17-1).                              are very helpful in small mammals, usually provide
                                                                         little or no additional information.
                                                                           The radiographic diagnosis of femoral body frac-
                    III RADIOGRAPHY                                      tures is usually straightforward, although hairline
                                                                         breaks are exceptions that may require one or more
                    Radiography of the leg is similar to that of the wing   oblique projections to identify with certainty. Just as in
                    (Figure 17-2) (see Chapter 1); however, there are some   small mammals, minimally displaced distal femoral
                    important additional considerations. The fi rst consid-  growth plate fractures can also be difficult to diagnose

                    eration is safety. The talons of a raptor are potentially   unless a comparable projection of the opposite leg is
                    quite dangerous and exceedingly difficult to remove   made.

                    once they have been deeply embedded in the fl esh of    Distal femoral condylar fractures, particularly older
                    a person’s hand or arm, especially if the bird is strug-  injuries in which there is substantial fragment dis-
                    gling to escape. For this reason, it is always advisable   placement, can prove extremely challenging, as illus-
                    to wear protective leather gloves when handling      trated in Figure 17-4. If the full extent of the injury is
                    raptors in preparation for radiography.              not clear or appears confusing, the standard two-view
                       When radiographing a bird’s legs, it is important to   study can be supplemented with lateral and medial
                    extend them fully to avoid end-on projection (termed   oblique projections, in addition to at least two com-
                    the  gun barrel sign), which is a sure indication the   parison views of the opposite leg.

                    femurs were inadvertently flexed during the exposure
                    (Figure 17-3). Failure to properly extend the legs also   III INJURIES TO THE GENUAL JOINT
                    results in a portion of the upper thigh superimposed
                    on the lateral aspects of the pelvis, making it hard to   Fracture
                    discern bony detail.
                                                                         It is imperative that all displaced, intraarticular frac-
                                                                         tures of the distal femur or proximal tibia be reduced
                    III FEMORAL FRACTURES                                to avoid development of osteoarthritis, as well as the
                                                                         pain and disability that typically accompany such an
                    Femoral fractures occur occasionally in birds but not   outcome (Figure 17-5).
                    nearly as often as midextremital or lower extremital                                Text continued on p. 167.
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           ch017-A02527.indd   161                                                                                    2/11/2008   11:00:01 AM
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