Page 2736 - Cote clinical veterinary advisor dogs and cats 4th

Hip Dysplasia Hit by Car 1425

Hip Dysplasia
VetBooks.ir Lameness, hip pain, joint subluxation

JPS 4 to 5 months 6 to 14 months 15 months of age

• NSAIDs No • DPO, TPO (no DJD) • NSAIDs No • THR
• Chondroprotectives improvement • Femoral procedures • Chondroprotectives improvement • FHO
• Physical rehabilitation (controversial) • Weight loss • DAR plasty
• Analgesics • FHO, DAR plasty • Analgesics (controversial)
• Dietary control (controversial) • Physical rehabilitation • AD (controversial)

AD, Acetabulum denervation; DAR plasty, dorsal acetabular rim arthroplasty; DJD, degenerative joint disease;
DPO, double pelvic osteotomy; FHO, femoral head/neck ostectomy; JPS, juvenile pubic symphysiodesis;
NSAIDs, nonsteroidal antiinflammatory drugs; THR, total hip replacement; TPO, triple pelvic osteotomy.

EDITED BY: Leah A. Cohn, DVM, PhD, DACVIM
ORIGINALLY WRITTEN BY: Joseph Harari, DVM, MS, DACVS

Hit by Car

Hit by car

See Head Trauma
algorithm, p. 404 • Large-bore intravenous (IV) catheter • Oxygen supplementation
• Immediate continuous electrocardiogram • Consider thoracocentesis
• Hematocrit/total solids • Rule out pulmonary contusions
versus pneumothorax
Yes (thoracic radiographs and/or TFAST
Respiratory distress when feasible)
• Limit IV fluids
Normal (e.g., No
≤120/minute
in medium- Evaluate heart rate
Yes size dog) Elevated (e.g., >120/minute
in medium-size dog) Address cardiac arrhythmias
if compromising perfusion Clinical
Evaluate hematocrit/total solids Algorithms
hematocrit <40% or
total solids <6 g/dL
hematocrit >40% and Possible bleeding: Address
total solids >6 g/dL • Monitor closely wounds/fractures
Head trauma? • IV fluids/blood as indicated
• AFAST, if available
No
Monitor and reassess

AFAST, Abdominal focused ultrasound for triage/trauma; TFAST, thoracic focused ultrasound for triage/trauma.
UPDATED AND EDITED BY: Leah A. Cohn, DVM, PhD, DACVIM
ORIGINALLY WRITTEN BY: Scott P. Shaw, DVM, DACVECC

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