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190  13  Carpal Region

            and ulna growth plate may be irregular or appear to be doubled (i.e. “double physis” sign as a result
            of impaired ossification of the metaphyseal region) and periosteal bone formation may be visible
            depending on the disease stages (Demko and Mclaughlin 2005).


            13.7.4  Shearing Injuries
            Shearing injuries routinely affect the carpal region (Benson and Boudrieau 2002) and often include
            a  loss  of  tendon  and  collateral  ligaments.  The  orthopedic  examination  of  carpal  region  with

       CARPAL REGION  (A)     (C)                 (E)                  (G)              (I)























            (B)               (D)                 (F)                  (H)






















            Figure 13.13  Other miscellaneous conditions of the carpal region. Images (A–D) depict distal radius
            osteosarcoma: (A) swelling associated with distal radius osteosarcoma; (B) craniocaudal radiograph of a dog
            showing predominantly osteolytic changes consistent with osteosarcoma; (C, D) radiographs of a dog
            showing typical osteolytic-osteoproliferative changes consistent with osteosarcoma. Images (E, F) depict
            radiographs of a dog with retained cartilaginous core of the ulna. Images (G–I) depict incomplete
            ossification of the radial carpal bone: (G) the lateral radiograph shows a very faint line (white arrow), note
            that the (black arrow) frequently identified line at the joint surface is normal and results from
            superimposition of the ulnar carpal bone over the radial carpal bone; (H) the craniocaudal view shows a
            lucent line that is suggestive of incomplete ossification; and (I) the craniocaudal view confirms the
            diagnosis (white arrow indicates the fissure line across the radial carpal bone).
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