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Secondary Features

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In acute phase assessment, haemorrhage or haematoma formation may be recognized as swirling echogenic fluid in actively haemorrhaging sites or as loculated cavities with thin dividing septa. In reparative phases, neovascularization can be identified with colour flow Doppler. Later hyperechoic periosteal new bone or callus formation can present with a spectrum of hyperechoic intensity and range, determined by the stage of healing, from irregular and interrupted to smooth and continuous.

Displaced fractures of the accessory carpal bone have been demonstrated to cause impingement and laceration of the adjacent deep digital flexor tendon [47] (Figure 5.5). Ultrasonographic evaluation of the carpal sheath and its contents is necessary to direct appropriate case management (Chapter 24).

Fractures in the Horse

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