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Table of Contents

Оглавление

Cover

Title Page

Copyright Page

Dedication Page

Preface

List of Contributors

1 Introduction Historical Review The Future References

2 Bone Structure and Function Introduction Bone Architecture Function Adaptation Stress Protection Conclusions References

3 Pathophysiology of Fractures Material Features of Bone Failure Loading Modes Relationships Between Location and Morphology The Mechanical Behaviour of Bone Monotonic and Repetitive Stress Fractures Classifications of Fractures References

10  4 Fracture Epidemiology State of Knowledge Geographic, Discipline and Horse Level Incidence Risk Factors, Predisposing Factors and Evidence Predictability and Potential for Effective Screening References

11  5 Imaging Fractures Introduction Radiography Ultrasonography Nuclear Scintigraphy Computed Tomography Magnetic Resonance Imaging Positron Emission Tomography References

12  6 Bone Healing Introduction and Principles Phases of Bone Healing Cellular and Humeral Influences on Bone Healing Mechanical Influences on Bone Healing Monitoring Bone Healing Healing of Stress Fractures Healing of Incomplete Fractures Healing of Complete Non‐displaced Fractures Healing of Displaced Fractures Healing of Reduced and Repaired Fractures Healing of Repaired But Non‐reduced and/or Unstable Fractures Effects of Internal Fixation on Bone Healing Effects of External Fixation on Bone Healing Intrinsic Factors That Affect Healing Exogenous Factors That Influence Fracture Healing Exogenous Devices Conclusions References

13  7 Triage and Emergency Care Introduction Racecourse Fractures Insurance Clinical Assessment Clinical Features of Specific Fractures Sedation Analgesia Radiography Ultrasonography Wounds Principles of Temporary Immobilization Techniques for Temporary Immobilization Recommended Emergency Support Transport Ambulances Nursing and Supportive Care References

14  8 Surgical Equipment, Implants and Techniques for Fracture Repair Principles Equipment for Internal Fixation Screw Types, Sizes and Techniques Plates Intramedullary Implants Wire and Cable Reduction Devices Aiming Devices References

15  9 Pre‐operative Planning and Preparation Introduction Detailed Plan of the Surgical Procedure Instruments, Implants and Disposable Items Personnel Imaging Modalities Preparation of the Operating Room Preparation of the Patient Peri‐operative Antimicrobials Pain Management Strategies for Complications Sign Out Recovery Open Fractures References

16  10 Anaesthesia and Analgesia Abbreviations Pre‐operative Evaluation and Consideration Pre‐operative Analgesia Induction of Anaesthesia Maintenance of Anaesthesia and Intra‐operative Analgesia Peripheral Nerve Blocks Monitoring and Cardiovascular Support Recovery from Anaesthesia Anaesthesia of Foals References

17  11 Intra‐operative Complications Technical Errors Fracture Reduction Splitting Bone Fragments Implant Location Growth Plates Screw Length Locking Implants Screw Breakage and Damage Instrument Breakage Inability to Tighten or Stripping of Screws Asepsis and Prevention of Surgical Site Infection Communication References

18  12 Standing Fracture Repair Development and Philosophy Indications and Contra‐indications Case Selection Facilities and Equipment Pre‐operative Preparation, Sedation and Local Anaesthesia Operative Technique Post‐operative Care Rest, Review and Return to Training Summary References

19  13 External Coaptation Introduction Casts Transfixation Casts External Skeletal Fixation Devices References

20  14 Post‐operative Complications Construct Instability Infection Supporting Limb Laminitis Limb Deformities Post‐operative Colic References

21  15 Convalescence and Rehabilitation Introduction Rehabilitation Goals Pain Modulation Physiotherapeutic Modalities Physiotherapeutic Exercise Outcome Measures Summary References

22  16 Fractures of the Distal Phalanx Anatomy Fracture Types Incidence and Causation Clinical Features and Presentation Imaging and Diagnosis Acute Fracture Management Treatment Options and Recommendations Specific Management Techniques Results References

23  17 Fractures of the Navicular Bone Anatomy Fracture Incidence and Aetiology Parasagittal Fractures Fragment Removal Palmar/Plantar Digital Neurectomy References

24  18 Fractures of the Middle Phalanx Anatomy Fracture Types Osteochondral Chip Fractures of the Proximal Articular Surface Axial Fractures Fractures of the Palmar/Plantar Eminences Proximal Interphalangeal Arthrodesis Comminuted Fractures Fractures of the Distal Articular Surface References

25  19 Fractures of the Proximal Phalanx Anatomy Fracture Types Incidence and Causation Clinical Features and Presentation Imaging and Diagnosis Acute Fracture Management Treatment Options and Recommendations Results References

26  20 Fractures of the Proximal Sesamoid Bones Anatomy Aetiology Incidence Classification Apical Fractures Abaxial Fractures Uniaxial Mid‐body Fractures Basilar Fractures Sagittal/Axial Fractures Fractures Caused by External Trauma Destabilizing Fractures of the Proximal Sesamoid Bones References

27  21 Fractures of the Distal Condyles of the Third Metacarpal and Third Metatarsal Bones Anatomy Fracture Types Incidence and Causation Clinical Features and Presentation Imaging and Diagnosis Acute Fracture Management Treatment Options and Recommendations Techniques for Treatment Complex and Complicated Fractures Results References

28  22 Diaphyseal Fractures of the Third Metacarpal and Third Metatarsal Bones Anatomy and Biomechanical Considerations Fracture Types Incidence and Aetiology Dorsal Cortical Stress Fractures Incomplete Longitudinal Fractures Avulsion Fractures Associated with the Origin of the Suspensory Ligament Transverse Stress Fracture of the Distal Diaphysis Complete Diaphyseal Fractures References

29  23 Fractures of the Second and Fourth Metacarpal and Metatarsal Bones Anatomy Fracture Types Incidence and Causation Clinical Features and Presentation Imaging and Diagnosis Treatment References

30  24 Fractures of the Carpus Anatomy Osteochondral Chip Fractures (Fragments) of the Dorsal Articular Margins Arthroscopic Surgery for the Repair of Carpal Chip Fractures Avulsion Fragments Associated with the Palmar Intercarpal Ligaments Osteochondral Fragments in the Palmar Compartments of the Carpal Joints Carpal Slab Fractures Accessory Carpal Bone Fractures References

31  25 Fractures of the Radius Anatomy Fracture Types and Causation Clinical Features and Presentation Imaging and Diagnostics Acute Fracture Management Treatment Options and Recommendations Physeal Fractures Post‐operative Management Results References

32  26 Fractures of the Ulna Anatomy Incidence Aetiology Fracture Types and Classification Clinical Signs Radiography and Radiology Emergency Care Treatment Options and Recommendations Conservative Treatment Fracture Repair Fragment Removal Recovery from Anaesthesia Post‐operative Care and Convalescence Results References

33  27 Fractures of the Humerus Anatomy Fractures of the Greater Tubercle Fractures of the Deltoid Tuberosity Stress Fractures Physeal Fractures Diaphyseal Fractures References

34  28 Fractures of the Scapula Anatomy Fracture Types Incidence and Causation Clinical Features and Presentation Imaging and Diagnosis Treatment References

35  29 Fractures of the Tarsus Anatomy Fractures of the Tarsal Bones Fractures of the Medial Malleolus of the Tibia Fractures of the Lateral Malleolus of the Tibia Fractures of the Distal Intermediate Ridge of the Tibia Sagittal Fractures of the Talus Fractures of the Trochlear Ridges of the Talus Fractures of the Medial Tubercles of the Talus Other Fractures of the Talus Fractures of the Calcaneus Fractures of the Central Tarsal Bone Fractures of the Third Tarsal Bone Fractures of the Proximal Third Metatarsal Bone Other Tarsal Fractures References

36  30 Fractures of the Tibia Anatomy Fracture Types Incidence and Causation Clinical Features and Presentation Imaging and Diagnosis Treatment References

37  31 Fractures of the Patella Anatomy Fracture Types Incidence and Causation Clinical Features and Presentation Imaging and Diagnosis Treatment Transverse Fractures Extra‐articular Fragmentation References

38  32 Fractures of the Femur Anatomy Proximal (Capital) Physeal Fracture Diaphyseal Fractures Distal Physeal Fractures Fractures of the Third Trochanter Fractures of the Supracondylar Tuberosity/Gastrocnemius Muscle Avulsion Fractures of the Trochlear Ridges Fractures of the Femoral Condyles Avulsion Fractures of the Cranial Cruciate Ligament References

39  33 Fractures of the Pelvis Anatomy and Biomechanics Fracture Types, Incidenceand Causation Clinical Features and Presentation Fractures of the Tuber Coxae Fractures of the Iliac Wing Fractures of the Iliac Shaft Fractures of the Ischium Pubic Fractures Risk Factors Associated with Pelvic Fractures Imaging and Diagnosis Treatment Options and Recommendations Case Selection and Management Results References

40  34 Fractures of the Vertebrae and Sacrum Introduction Fractures of the Axial Dens with Atlantoaxial Subluxation Atlantoaxial Subluxation Complete Ventral Luxation of the Axis Fractures of the Atlas Fractures of the Axis Fractures of Cervical Vertebrae 3 to 7 Fractures of Thoracolumbar Vertebrae Fractures of the Sacrum Fractures of the Coccygeal Vertebrae References

41  35 Fractures of the Ribs Anatomy Fracture Types Incidence and Causation Clinical Features and Presentation Imaging and Diagnosis Treatment Options and Recommendations Results References

42  36 Fractures of the Head Introduction Fractures of the Cerebral Skull Fractures of the Facial Skull Fractures of the Mandible Fractures of the Hyoid Apparatus References

43  37 Fractures in Foals Introduction Physeal Fractures Considerations in the Management of Orthopaedic Injury in the Foal Fractures of the Distal Phalanx Fractures of the Proximal and Middle Phalanges Fractures of the Proximal Sesamoid Bones Fractures of the Mid and Distal Third Metacarpal and Metatarsal Bones Fractures of the Proximal Metacarpus and Metatarsus Fractures of the Cuboidal Bones of the Carpus and Tarsus Radial Fractures Fractures of the Ulna Humeral Fractures Fractures of the Scapula Calcaneal Fractures Tibial Fractures Femoral Fractures Pelvic Fractures Guidelines for Implant Removal References

44  Index

45  End User License Agreement

Fractures in the Horse

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