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Principles of radiography in trauma – looking beyond the obvious
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Introduction
Radiography is frequently used as the rst-line modality in the assessment of trauma. While osseous damage can often be easily identi ed, it is not always obvious. Radiographs can provide invaluable information on the integrity of soft tissue structures and subtler, but important, osseous trauma which may be easily overlooked.
It is important to be thorough, both in obtaining the radiographs and in their interpretation.
Practical tips for radiography in trauma/suspected trauma
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Sedate the horse
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Place limb as squarely as possible, this is sometimes challenging as the horse may be reluctant to bear weight
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Obtain a standard series of images (generally four) as a minimum
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If the index of suspicion for a fracture is high, obtain views at 5–10-degree intervals around the limb
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Time – if suspicious of a fracture but none is identi ed, consider repeat radiographs 10–14 days after trauma, as osteoclastic activity over the rst 10 days results in widening of the fracture line
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Obtaining reduced exposure views allow identi cation of early periosteal new bone formation (7+ days) and very small osseous fragments
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Take wound/swelling orientated views – aim to ‘skyline’ the wound/most swollen region and the bone surface deep to the site of trauma
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Consider stressed views if suspicious of loss of integrity of collateral ligaments.
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About
How to reference this publication (Harvard system)?
Affiliation of the authors at the time of publication
Bell Equine Veterinary Clinic, Butchers Lane, Mereworth, Kent, ME18 5GS, UK.
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