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1.
Artículo en Inglés | MEDLINE | ID: mdl-30245049

RESUMEN

Astroviruses are a common cause of gastroenteritis in children worldwide and can also cause infection in a range of domestic and wild animal species. Canine astrovirus (formally named as Mamastrovirus 5, MAstV5) has been reported worldwide, and its role as an enteric pathogen is still controversial. Herein, we describe the genomic characterization of a MAstV5 (strain crab-eating fox/2016/BRA) identified in a wild canid (Cerdocyon thous) diagnosed with canine distemper virus (CDV) as causa mortis. The nearly complete genome comprised 6579 nt in length and displayed the archetypal organization of astroviruses. The present report is the first evidence of MAstV5 infection in an animal species other than the dog and highlights a possible natural astrovirus spillover between domestic and wild canids. Moreover, these results show the first evidence of extra-intestinal MAstV5, suggesting a virus systemic spread. This work is expected to contribute to a better understanding of the astroviruses biology and their interactions with the wildlife health.


Asunto(s)
Infecciones por Astroviridae/veterinaria , Canidae , Mamastrovirus/aislamiento & purificación , Animales , Animales Domésticos , Animales Salvajes , Infecciones por Astroviridae/epidemiología , Infecciones por Astroviridae/transmisión , Infecciones por Astroviridae/virología , Braquiuros , Brasil/epidemiología , Canidae/virología , Cerebelo/patología , Cerebelo/virología , Virus del Moquillo Canino/inmunología , Virus del Moquillo Canino/aislamiento & purificación , Perros/virología , Genoma Viral , Especificidad del Huésped , Inmunohistoquímica/veterinaria , Mamastrovirus/clasificación , Mamastrovirus/genética , Filogenia , Análisis de Secuencia de ADN , Proteínas Virales/química , Proteínas Virales/genética
2.
Acta sci. vet. (Online) ; 41: 01-04, 2013.
Artículo en Portugués | VETINDEX | ID: vti-475539

RESUMEN

Background: Ureteral ectopia is a congenital abnormality of the terminal segment of one or both ureters, in which the ureteral orifi ce is located distal to the trigone of the bladder. Ureteral ectopia results from dysembryogenesis of the ureteral bud due to its abnormal positioning along the mesonephric duct. It is frequently associated with other congenital anomalies of the lower urinary tract as urethral sphincter dysfunction, hydroureter and hydronephrosis. Ectopic ureters are classifi ed into two categories: extramural and intramural. Extramural ectopic ureters completely bypass the urinary bladder without anatomic attachment, opening directly into the urethra, vagina or uterus. Continuous or intermittent urinary incontinence is the most frequently reported clinical symptom associated with ureteral ectopia, and it is far more frequent in young bitches than in male dogs. Repositioning the distal segment of the ureter and ureteral orifi ce directly into the bladder may restore urinary continence throughout neoureterocistostomy.Case: A 3-month-old female poodle weighting 4 kg was referred to the Teaching Veterinary Hospital of the Federal University of Rio Grande do Sul (HCV-UFRGS), State of Rio Grande do Sul, Brazil, due to urinary incontinence, dysuria and severe vulvar pyodermatitis since it was 9 weeks old. Normal posturing and voiding of urine did occur, although only sm


Background: Ureteral ectopia is a congenital abnormality of the terminal segment of one or both ureters, in which the ureteral orifi ce is located distal to the trigone of the bladder. Ureteral ectopia results from dysembryogenesis of the ureteral bud due to its abnormal positioning along the mesonephric duct. It is frequently associated with other congenital anomalies of the lower urinary tract as urethral sphincter dysfunction, hydroureter and hydronephrosis. Ectopic ureters are classifi ed into two categories: extramural and intramural. Extramural ectopic ureters completely bypass the urinary bladder without anatomic attachment, opening directly into the urethra, vagina or uterus. Continuous or intermittent urinary incontinence is the most frequently reported clinical symptom associated with ureteral ectopia, and it is far more frequent in young bitches than in male dogs. Repositioning the distal segment of the ureter and ureteral orifi ce directly into the bladder may restore urinary continence throughout neoureterocistostomy.Case: A 3-month-old female poodle weighting 4 kg was referred to the Teaching Veterinary Hospital of the Federal University of Rio Grande do Sul (HCV-UFRGS), State of Rio Grande do Sul, Brazil, due to urinary incontinence, dysuria and severe vulvar pyodermatitis since it was 9 weeks old. Normal posturing and voiding of urine did occur, although only sm

3.
Acta sci. vet. (Online) ; 41: 01-03, 2013.
Artículo en Portugués | VETINDEX | ID: vti-475512

RESUMEN

Background: Myelomalacia is a multifocal syndrome that causes hemorrhagic infarction of the spinal cord that can occur as a sequel to acute spinal cord injury. It occurs as a consequence of acute spinal cord trauma, usually by extrusion of intervertebral disc in the thoracolumbar spine, affecting up to 10% of dogs with acute paralysis and deep pain loss in the pelvic limbs due to disc disease. This disease may be focal or diffuse; the diffuse form is typically associated with cranial and caudal migration of neurologic signs and is often fatal. The mechanical lesion to the spinal cord triggers secondary injury mediated by the existence of oxygen free radicals, alterations in the concentrations of neurotransmitters ions and amino acids, and it results in the reduction of the spinal cord blood fl ow, ischemia and progressive cranial and caudal necrosis to the focus of the initial injury.Case: A 5-year-old Dachshund male intact dog weighting 8 kg was referred to the Veterinary Teaching Hospital of the Federal University of Rio Grande do Sul (HCV-UFRGS) with initial complaint of acute paralysis of the hind limbs for two days. On clinical examination there was paraplegia, absence of deep pain in the pelvic limbs, with decreased patellar, sciatic and tibial cranial refl exes. The anal sphincter was relaxed and the bladder was easily expressed. The panniculus refl ex was intact up to t


Background: Myelomalacia is a multifocal syndrome that causes hemorrhagic infarction of the spinal cord that can occur as a sequel to acute spinal cord injury. It occurs as a consequence of acute spinal cord trauma, usually by extrusion of intervertebral disc in the thoracolumbar spine, affecting up to 10% of dogs with acute paralysis and deep pain loss in the pelvic limbs due to disc disease. This disease may be focal or diffuse; the diffuse form is typically associated with cranial and caudal migration of neurologic signs and is often fatal. The mechanical lesion to the spinal cord triggers secondary injury mediated by the existence of oxygen free radicals, alterations in the concentrations of neurotransmitters ions and amino acids, and it results in the reduction of the spinal cord blood fl ow, ischemia and progressive cranial and caudal necrosis to the focus of the initial injury.Case: A 5-year-old Dachshund male intact dog weighting 8 kg was referred to the Veterinary Teaching Hospital of the Federal University of Rio Grande do Sul (HCV-UFRGS) with initial complaint of acute paralysis of the hind limbs for two days. On clinical examination there was paraplegia, absence of deep pain in the pelvic limbs, with decreased patellar, sciatic and tibial cranial refl exes. The anal sphincter was relaxed and the bladder was easily expressed. The panniculus refl ex was intact up to t

4.
Acta sci. vet. (Impr.) ; 41: 01-03, 2013.
Artículo en Portugués | LILACS-Express | VETINDEX | ID: biblio-1457075

RESUMEN

Background: Myelomalacia is a multifocal syndrome that causes hemorrhagic infarction of the spinal cord that can occur as a sequel to acute spinal cord injury. It occurs as a consequence of acute spinal cord trauma, usually by extrusion of intervertebral disc in the thoracolumbar spine, affecting up to 10% of dogs with acute paralysis and deep pain loss in the pelvic limbs due to disc disease. This disease may be focal or diffuse; the diffuse form is typically associated with cranial and caudal migration of neurologic signs and is often fatal. The mechanical lesion to the spinal cord triggers secondary injury mediated by the existence of oxygen free radicals, alterations in the concentrations of neurotransmitters ions and amino acids, and it results in the reduction of the spinal cord blood fl ow, ischemia and progressive cranial and caudal necrosis to the focus of the initial injury.Case: A 5-year-old Dachshund male intact dog weighting 8 kg was referred to the Veterinary Teaching Hospital of the Federal University of Rio Grande do Sul (HCV-UFRGS) with initial complaint of acute paralysis of the hind limbs for two days. On clinical examination there was paraplegia, absence of deep pain in the pelvic limbs, with decreased patellar, sciatic and tibial cranial refl exes. The anal sphincter was relaxed and the bladder was easily expressed. The panniculus refl ex was intact up to t


Background: Myelomalacia is a multifocal syndrome that causes hemorrhagic infarction of the spinal cord that can occur as a sequel to acute spinal cord injury. It occurs as a consequence of acute spinal cord trauma, usually by extrusion of intervertebral disc in the thoracolumbar spine, affecting up to 10% of dogs with acute paralysis and deep pain loss in the pelvic limbs due to disc disease. This disease may be focal or diffuse; the diffuse form is typically associated with cranial and caudal migration of neurologic signs and is often fatal. The mechanical lesion to the spinal cord triggers secondary injury mediated by the existence of oxygen free radicals, alterations in the concentrations of neurotransmitters ions and amino acids, and it results in the reduction of the spinal cord blood fl ow, ischemia and progressive cranial and caudal necrosis to the focus of the initial injury.Case: A 5-year-old Dachshund male intact dog weighting 8 kg was referred to the Veterinary Teaching Hospital of the Federal University of Rio Grande do Sul (HCV-UFRGS) with initial complaint of acute paralysis of the hind limbs for two days. On clinical examination there was paraplegia, absence of deep pain in the pelvic limbs, with decreased patellar, sciatic and tibial cranial refl exes. The anal sphincter was relaxed and the bladder was easily expressed. The panniculus refl ex was intact up to t

5.
Acta sci. vet. (Impr.) ; 41: 01-04, 2013.
Artículo en Portugués | LILACS-Express | VETINDEX | ID: biblio-1457084

RESUMEN

Background: Ureteral ectopia is a congenital abnormality of the terminal segment of one or both ureters, in which the ureteral orifi ce is located distal to the trigone of the bladder. Ureteral ectopia results from dysembryogenesis of the ureteral bud due to its abnormal positioning along the mesonephric duct. It is frequently associated with other congenital anomalies of the lower urinary tract as urethral sphincter dysfunction, hydroureter and hydronephrosis. Ectopic ureters are classifi ed into two categories: extramural and intramural. Extramural ectopic ureters completely bypass the urinary bladder without anatomic attachment, opening directly into the urethra, vagina or uterus. Continuous or intermittent urinary incontinence is the most frequently reported clinical symptom associated with ureteral ectopia, and it is far more frequent in young bitches than in male dogs. Repositioning the distal segment of the ureter and ureteral orifi ce directly into the bladder may restore urinary continence throughout neoureterocistostomy.Case: A 3-month-old female poodle weighting 4 kg was referred to the Teaching Veterinary Hospital of the Federal University of Rio Grande do Sul (HCV-UFRGS), State of Rio Grande do Sul, Brazil, due to urinary incontinence, dysuria and severe vulvar pyodermatitis since it was 9 weeks old. Normal posturing and voiding of urine did occur, although only sm


Background: Ureteral ectopia is a congenital abnormality of the terminal segment of one or both ureters, in which the ureteral orifi ce is located distal to the trigone of the bladder. Ureteral ectopia results from dysembryogenesis of the ureteral bud due to its abnormal positioning along the mesonephric duct. It is frequently associated with other congenital anomalies of the lower urinary tract as urethral sphincter dysfunction, hydroureter and hydronephrosis. Ectopic ureters are classifi ed into two categories: extramural and intramural. Extramural ectopic ureters completely bypass the urinary bladder without anatomic attachment, opening directly into the urethra, vagina or uterus. Continuous or intermittent urinary incontinence is the most frequently reported clinical symptom associated with ureteral ectopia, and it is far more frequent in young bitches than in male dogs. Repositioning the distal segment of the ureter and ureteral orifi ce directly into the bladder may restore urinary continence throughout neoureterocistostomy.Case: A 3-month-old female poodle weighting 4 kg was referred to the Teaching Veterinary Hospital of the Federal University of Rio Grande do Sul (HCV-UFRGS), State of Rio Grande do Sul, Brazil, due to urinary incontinence, dysuria and severe vulvar pyodermatitis since it was 9 weeks old. Normal posturing and voiding of urine did occur, although only sm

6.
Acta sci. vet. (Online) ; 40(3): 01-03, 2012.
Artículo en Portugués | VETINDEX | ID: vti-480269

RESUMEN

Background: Endocrine tumors are considered rare in veterinary medicine. Studies suggest that only one or two per cent of these are primary neoplasms of the adrenal glands. Concerning the histological classifi cation of these masses, the most frequently occurring malignant neoplasms in dogs are adenocarcinomas and pheochromocytomas and, among the benign tumors, adenomas are the most common. Although much rarer, hemangiomas, myelolipomas, among others, may also occur. Dogs with this kind of neoplasm could be asyntomatic or show gastrointestinal signs, pain and urinary tract infection. Adrenalectomy is the treatment of choice and could be curative in most cases. This paper reports a case of two concurrent benign, rare adrenal neoplasms in a dog, emphasizing the clinical signs, diagnosis and treatmentCase: An eight-year-old, male castrated Chow-chow, weighting twenty one kilograms, was admitted at the Veterinary Teaching Hospital of the Federal University of Rio Grande do Sul (UFRGS) with a history of intermittent vomiting and diarrhea since it was a puppy. Because of the chronicity and nonspecifi c signs, additional tests were requested. Abdominal ultrasonography showed a round mass, measuring approximately 3.7 cm x 3.2 cm, suggesting a neoplasm. Blood pressure was measured and the mean value was 152 mmHg. Laboratory tests included a complete blood count, albumin (31.62 g/L), ala


Background: Endocrine tumors are considered rare in veterinary medicine. Studies suggest that only one or two per cent of these are primary neoplasms of the adrenal glands. Concerning the histological classifi cation of these masses, the most frequently occurring malignant neoplasms in dogs are adenocarcinomas and pheochromocytomas and, among the benign tumors, adenomas are the most common. Although much rarer, hemangiomas, myelolipomas, among others, may also occur. Dogs with this kind of neoplasm could be asyntomatic or show gastrointestinal signs, pain and urinary tract infection. Adrenalectomy is the treatment of choice and could be curative in most cases. This paper reports a case of two concurrent benign, rare adrenal neoplasms in a dog, emphasizing the clinical signs, diagnosis and treatment.Case: An eight-year-old, male castrated Chow-chow, weighting twenty one kilograms, was admitted at the Veterinary Teaching Hospital of the Federal University of Rio Grande do Sul (UFRGS) with a history of intermittent vomiting and diarrhea since it was a puppy. Because of the chronicity and nonspecifi c signs, additional tests were requested. Abdominal ultrasonography showed a round mass, measuring approximately 3.7 cm x 3.2 cm, suggesting a neoplasm. Blood pressure was measured and the mean value was 152 mmHg. Laboratory tests included a complete blood count, albumin (31.62 g/L), al

7.
Acta sci. vet. (Online) ; 40(4): 01-05, 2012.
Artículo en Portugués | VETINDEX | ID: vti-475717

RESUMEN

Cases: 1- An eleven-month-old bitch was admitted at the HV-UPF nine days after OVH performed elsewhere, with omentum evisceration due to suture dehiscence. During emergency surgery both ovaries were found surrounded by nylon tie-raps and fi brous tissue adherence. Peritonitis signs were recognizable. Bilateral ovariectomy with nylon 2-0 was performed and the remaining uterus was removed. 2- A five-years-old bitch was referred to the HV-UPF ten days after OVH performed elsewhere, with apathy and suture dehiscence. Free liquid was identified around the bladder and kidneys using the ultrasound exam. Intense hemorrhage from uterine vessels was found during celiotomy. A nylon tie-rap was found loose on the abdominal cavity and another couple were found at both ovaries surrounded by fibrous tissue adherence. Bilateral ovariectomy with nylon 2-0 was performed and a blood transfusion was necessary. 3- A three-years-old bitch was admitted at the HCV-UFRGS six days after OVH performed at another institution, presenting suture dehiscence and evisceration. During emergency surgery, bladder, intestine and musculature necrosis due to the contact with sharp edged nylon tie-raps (prior placed as hemostatic devices), intense fibrous tissue adherence and peritonitis were identified. 4- A two-years-old bitch was referred to the HCV-UFRGS one year after OVH performed elsewhere, with a four-month p


Background: Routine neutering of bitches is typically carried out by ovariohysterectomy (OVH) in Veterinary Medicine, seen by many as a simple procedure. During the conventional approach the points of attachment of the uterus and ovaries are double ligated with absorbable or non-absorbable sutures or even with titanium clamps. It has been described the use of non-surgical polyamide tie-raps as a hemostatic closure method by some authors but there are few papers describing the consequenses of such use. The aim of this study is to report four cases of surgical complications associated with nylon tie-raps use on OVHs on bitches referred to the Veterinary Teaching Hospitals of the Federal University of Rio Grande do Sul (HCV-UFRGS) and Passo Fundo University (HV-UPF), both at the State of Rio Grande do Sul.Cases: 1- An eleven-month-old bitch was admitted at the HV-UPF nine days after OVH performed elsewhere, with omentum evisceration due to suture dehiscence. During emergency surgery both ovaries were found surrounded by nylon tie-raps and fi brous tissue adherence. Peritonitis signs were recognizable. Bilateral ovariectomy with nylon 2-0 was performed and the remaining uterus was removed. 2- A fi ve-years-old bitch was referred to the HV-UPF ten days after OVH performed elsewhere, with apathy and suture dehiscence. Free liquid was identifi ed around the bladder and kidneys using t

8.
Acta sci. vet. (Online) ; 40(4): 01-05, 2012.
Artículo en Portugués | VETINDEX | ID: vti-475606

RESUMEN

Background: Panniculitis can be associated with a group of multifactorial diseases that develop intense inflammatory response of the subcutaneous fat tissue. The damaged fat cells suffer hydrolysis and saponification. The etiology remains unknown, although it has been associated with infectious agents, vascular pathologies, pancreatic disorders, neoplasms, immunologic diseases and nutritional deficiencies. Nodular sterile panniculitis is referred to the fat subcutaneous tissue inflammation without the presence of microorganisms and generally is presented with multiple or single nodules associated either with systemic or traumatic issues. This assay reports a case of traumatic Panniculitis presented as a single nodule on a dog admitted at the Veterinary Teaching Hospital of Passo Fundo University (HV-UPF), State of Rio Grande do Sul, Brazil, emphasizing the clinical signs, diagnosis and surgical treatment.Case: An adult mixed breed bitch, weighting 7,5 kg, was admitted at the HV-UPF because of a one-month evolution of a dorsal thoracic subcutaneous mass. Symptomatic treatment with unknown oral antibiotics was administered by another veterinarian, who also tried to perform local puncture drainage unsuccessfully. There was no previous history of local puncture or subcutaneous drug infiltration that could explain the mass. During physical examination, a single, painless and nodular


Background: Panniculitis can be associated with a group of multifactorial diseases that develop intense inflammatory response of the subcutaneous fat tissue. The damaged fat cells suffer hydrolysis and saponification. The etiology remains unknown, although it has been associated with infectious agents, vascular pathologies, pancreatic disorders, neoplasms, immunologic diseases and nutritional deficiencies. Nodular sterile panniculitis is referred to the fat subcutaneous tissue inflammation without the presence of microorganisms and generally is presented with multiple or single nodules associated either with systemic or traumatic issues. This assay reports a case of traumatic Panniculitis presented as a single nodule on a dog admitted at the Veterinary Teaching Hospital of Passo Fundo University (HV-UPF), State of Rio Grande do Sul, Brazil, emphasizing the clinical signs, diagnosis and surgical treatment.Case: An adult mixed breed bitch, weighting 7,5 kg, was admitted at the HV-UPF because of a one-month evolution of a dorsal thoracic subcutaneous mass. Symptomatic treatment with unknown oral antibiotics was administered by another veterinarian, who also tried to perform local puncture drainage unsuccessfully. There was no previous history of local puncture or subcutaneous drug infiltration that could explain the mass. During physical examination, a single, painless and nodular

9.
Acta sci. vet. (Impr.) ; 40(3): 01-03, 2012.
Artículo en Portugués | LILACS-Express | VETINDEX | ID: biblio-1457016

RESUMEN

Background: Endocrine tumors are considered rare in veterinary medicine. Studies suggest that only one or two per cent of these are primary neoplasms of the adrenal glands. Concerning the histological classifi cation of these masses, the most frequently occurring malignant neoplasms in dogs are adenocarcinomas and pheochromocytomas and, among the benign tumors, adenomas are the most common. Although much rarer, hemangiomas, myelolipomas, among others, may also occur. Dogs with this kind of neoplasm could be asyntomatic or show gastrointestinal signs, pain and urinary tract infection. Adrenalectomy is the treatment of choice and could be curative in most cases. This paper reports a case of two concurrent benign, rare adrenal neoplasms in a dog, emphasizing the clinical signs, diagnosis and treatmentCase: An eight-year-old, male castrated Chow-chow, weighting twenty one kilograms, was admitted at the Veterinary Teaching Hospital of the Federal University of Rio Grande do Sul (UFRGS) with a history of intermittent vomiting and diarrhea since it was a puppy. Because of the chronicity and nonspecifi c signs, additional tests were requested. Abdominal ultrasonography showed a round mass, measuring approximately 3.7 cm x 3.2 cm, suggesting a neoplasm. Blood pressure was measured and the mean value was 152 mmHg. Laboratory tests included a complete blood count, albumin (31.62 g/L), ala


Background: Endocrine tumors are considered rare in veterinary medicine. Studies suggest that only one or two per cent of these are primary neoplasms of the adrenal glands. Concerning the histological classifi cation of these masses, the most frequently occurring malignant neoplasms in dogs are adenocarcinomas and pheochromocytomas and, among the benign tumors, adenomas are the most common. Although much rarer, hemangiomas, myelolipomas, among others, may also occur. Dogs with this kind of neoplasm could be asyntomatic or show gastrointestinal signs, pain and urinary tract infection. Adrenalectomy is the treatment of choice and could be curative in most cases. This paper reports a case of two concurrent benign, rare adrenal neoplasms in a dog, emphasizing the clinical signs, diagnosis and treatment.Case: An eight-year-old, male castrated Chow-chow, weighting twenty one kilograms, was admitted at the Veterinary Teaching Hospital of the Federal University of Rio Grande do Sul (UFRGS) with a history of intermittent vomiting and diarrhea since it was a puppy. Because of the chronicity and nonspecifi c signs, additional tests were requested. Abdominal ultrasonography showed a round mass, measuring approximately 3.7 cm x 3.2 cm, suggesting a neoplasm. Blood pressure was measured and the mean value was 152 mmHg. Laboratory tests included a complete blood count, albumin (31.62 g/L), al

10.
Acta sci. vet. (Impr.) ; 40(4): 01-05, 2012.
Artículo en Portugués | LILACS-Express | VETINDEX | ID: biblio-1457026

RESUMEN

Background: Panniculitis can be associated with a group of multifactorial diseases that develop intense inflammatory response of the subcutaneous fat tissue. The damaged fat cells suffer hydrolysis and saponification. The etiology remains unknown, although it has been associated with infectious agents, vascular pathologies, pancreatic disorders, neoplasms, immunologic diseases and nutritional deficiencies. Nodular sterile panniculitis is referred to the fat subcutaneous tissue inflammation without the presence of microorganisms and generally is presented with multiple or single nodules associated either with systemic or traumatic issues. This assay reports a case of traumatic Panniculitis presented as a single nodule on a dog admitted at the Veterinary Teaching Hospital of Passo Fundo University (HV-UPF), State of Rio Grande do Sul, Brazil, emphasizing the clinical signs, diagnosis and surgical treatment.Case: An adult mixed breed bitch, weighting 7,5 kg, was admitted at the HV-UPF because of a one-month evolution of a dorsal thoracic subcutaneous mass. Symptomatic treatment with unknown oral antibiotics was administered by another veterinarian, who also tried to perform local puncture drainage unsuccessfully. There was no previous history of local puncture or subcutaneous drug infiltration that could explain the mass. During physical examination, a single, painless and nodular


Background: Panniculitis can be associated with a group of multifactorial diseases that develop intense inflammatory response of the subcutaneous fat tissue. The damaged fat cells suffer hydrolysis and saponification. The etiology remains unknown, although it has been associated with infectious agents, vascular pathologies, pancreatic disorders, neoplasms, immunologic diseases and nutritional deficiencies. Nodular sterile panniculitis is referred to the fat subcutaneous tissue inflammation without the presence of microorganisms and generally is presented with multiple or single nodules associated either with systemic or traumatic issues. This assay reports a case of traumatic Panniculitis presented as a single nodule on a dog admitted at the Veterinary Teaching Hospital of Passo Fundo University (HV-UPF), State of Rio Grande do Sul, Brazil, emphasizing the clinical signs, diagnosis and surgical treatment.Case: An adult mixed breed bitch, weighting 7,5 kg, was admitted at the HV-UPF because of a one-month evolution of a dorsal thoracic subcutaneous mass. Symptomatic treatment with unknown oral antibiotics was administered by another veterinarian, who also tried to perform local puncture drainage unsuccessfully. There was no previous history of local puncture or subcutaneous drug infiltration that could explain the mass. During physical examination, a single, painless and nodular

11.
Acta sci. vet. (Impr.) ; 40(4): 01-05, 2012.
Artículo en Portugués | LILACS-Express | VETINDEX | ID: biblio-1457032

RESUMEN

Cases: 1- An eleven-month-old bitch was admitted at the HV-UPF nine days after OVH performed elsewhere, with omentum evisceration due to suture dehiscence. During emergency surgery both ovaries were found surrounded by nylon tie-raps and fi brous tissue adherence. Peritonitis signs were recognizable. Bilateral ovariectomy with nylon 2-0 was performed and the remaining uterus was removed. 2- A five-years-old bitch was referred to the HV-UPF ten days after OVH performed elsewhere, with apathy and suture dehiscence. Free liquid was identified around the bladder and kidneys using the ultrasound exam. Intense hemorrhage from uterine vessels was found during celiotomy. A nylon tie-rap was found loose on the abdominal cavity and another couple were found at both ovaries surrounded by fibrous tissue adherence. Bilateral ovariectomy with nylon 2-0 was performed and a blood transfusion was necessary. 3- A three-years-old bitch was admitted at the HCV-UFRGS six days after OVH performed at another institution, presenting suture dehiscence and evisceration. During emergency surgery, bladder, intestine and musculature necrosis due to the contact with sharp edged nylon tie-raps (prior placed as hemostatic devices), intense fibrous tissue adherence and peritonitis were identified. 4- A two-years-old bitch was referred to the HCV-UFRGS one year after OVH performed elsewhere, with a four-month p


Background: Routine neutering of bitches is typically carried out by ovariohysterectomy (OVH) in Veterinary Medicine, seen by many as a simple procedure. During the conventional approach the points of attachment of the uterus and ovaries are double ligated with absorbable or non-absorbable sutures or even with titanium clamps. It has been described the use of non-surgical polyamide tie-raps as a hemostatic closure method by some authors but there are few papers describing the consequenses of such use. The aim of this study is to report four cases of surgical complications associated with nylon tie-raps use on OVHs on bitches referred to the Veterinary Teaching Hospitals of the Federal University of Rio Grande do Sul (HCV-UFRGS) and Passo Fundo University (HV-UPF), both at the State of Rio Grande do Sul.Cases: 1- An eleven-month-old bitch was admitted at the HV-UPF nine days after OVH performed elsewhere, with omentum evisceration due to suture dehiscence. During emergency surgery both ovaries were found surrounded by nylon tie-raps and fi brous tissue adherence. Peritonitis signs were recognizable. Bilateral ovariectomy with nylon 2-0 was performed and the remaining uterus was removed. 2- A fi ve-years-old bitch was referred to the HV-UPF ten days after OVH performed elsewhere, with apathy and suture dehiscence. Free liquid was identifi ed around the bladder and kidneys using t

12.
Ci. Rural ; 41(3)2011.
Artículo en Portugués | VETINDEX | ID: vti-707191

RESUMEN

Among the surgical problems in birds, the fractures are the most prevalent. Due to variations in size, weight, peculiar bone anatomy, high incidence of complicated fractures and functional demands of different species and individuals, it is still not possible to establish an ideal method for osteosynthesis of long bones in birds. Titanium microplates commonly used in human maxillofacial surgery have been recently employed in osteosynthesis of birds, but with few results available. The aim of this study was to evaluate the use of titanium microplates in the treatment of tibiotarsus fractures in 30 pigeons (Columba livia) , adult males and females, with 7 months old, weighing from 400 to 500. The animals were divided into 3 groups with ten animals each. In group 1, a titanium microplate with 6 holes and a central spacer was used; in group 2, a titanium microplate with 8 holes without a spacer in the center was used; in group 3, a titanium microplate with 8 holes with central spacer was used. After clinical evaluation, the birds were submitted to mid-diaphyseal osteotomy in the right bone for placement of different configurations of the titanium plate, and fixed with titanium microscrews 7mm long. The animals were evaluated clinically and radiographically until 90 days postoperatively. After this period, euthanasia was performed in 2 animals from each group. In all animals was observed bone healing and in group 1 the mean and standard deviation were 32.9±9.9 days, in group 2, 30.8±6.7 days in group 3, 26.6±6.4 days. There was no statistical difference in healing time between groups. The bending of the implant was the most common complication. The configuration of the plate resulted in a statistically significant difference in relation to walking and to the degree of bending in the different groups. Moreover, in group 3 there was higher precocity in the member suppor and a lower degree of bending in relation to other groups. Histologically, it was verified formation of the callus in all animals and presence of bone tissue around the plate and microscrews. Despite the complications of titanium microplates, they are an option for tibiotarsus osteosynthesis in birds of medium size.


Entre os problemas cirúrgicos das aves, as fraturas são os de maior prevalência. Em virtude das variações no tamanho, peso, anatomia óssea peculiar, alta incidência de fraturas complicadas e das diferentes demandas funcionais entre espécies e indivíduos, não foi possível estabelecer ainda um método ideal de osteossíntese para os ossos longos das aves. Microplacas de titânio comumente utilizadas em cirurgias maxilofaciais de humanos foram empregadas recentemente na osteossíntese de aves, porém com poucos resultados disponíveis. O objetivo do presente estudo foi avaliar a utilização das microplacas de titânio no tratamento de fraturas experimentais de tibiotarso em pombos domésticos (Columba livia). Foram utilizadas 30 aves adultas, machos e fêmeas, com 7 meses de idade, pesando entre 400 a 500 gramas. Os animais foram separados em três grupos de dez, sendo que no grupo 1 foi utilizado uma microplaca de titânio com 6 furos e espaçador central; no grupo 2, com oito furos sem espaçador central; e, no grupo 3, com oito furos com espaçador central. Após avaliação clínica, as aves foram submetidas à osteotomia médio-diafisária no tibiotarso direito para colocação das diferentes configurações de microplaca de titânio, sendo fixadas com microparafusos de titânio com 7mm de comprimento. Os animais foram avaliados clínica e radiograficamente até os 90 dias de pós-operatório. Após esse período, foi realizada eutanásia em duas aves de cada grupo. Em todas elas, foi observada a consolidação óssea, sendo que, no grupo 1, o tempo médio e o desvio padrão foram 32,9±9,9; no grupo 2, 30,8±6,7 e, no grupo 3, 26,6±6,4 dias, não havendo diferença estatística entre os grupos. O envergamento do implante foi a complicação mais frequente. A configuração da microplaca resultou em diferença estatisticamente significativa em relação à deambulação e ao grau de envergamento nos diferentes grupos, sendo que, no grupo 3, houve maior precocidade no apoio do membro e menor grau de envergamento em relação aos outros grupos. Histologicamente, foi verificada a formação de calo ósseo em todos os animais e presença de tecido ósseo ao redor da microplaca e dos microparafusos. Apesar das complicações observadas, as microplacas de titânio são uma opção para osteossíntese de tibiotarso em aves de médio porte.

13.
Artículo en Portugués | LILACS-Express | VETINDEX | ID: biblio-1478526

RESUMEN

Among the surgical problems in birds, the fractures are the most prevalent. Due to variations in size, weight, peculiar bone anatomy, high incidence of complicated fractures and functional demands of different species and individuals, it is still not possible to establish an ideal method for osteosynthesis of long bones in birds. Titanium microplates commonly used in human maxillofacial surgery have been recently employed in osteosynthesis of birds, but with few results available. The aim of this study was to evaluate the use of titanium microplates in the treatment of tibiotarsus fractures in 30 pigeons (Columba livia) , adult males and females, with 7 months old, weighing from 400 to 500. The animals were divided into 3 groups with ten animals each. In group 1, a titanium microplate with 6 holes and a central spacer was used; in group 2, a titanium microplate with 8 holes without a spacer in the center was used; in group 3, a titanium microplate with 8 holes with central spacer was used. After clinical evaluation, the birds were submitted to mid-diaphyseal osteotomy in the right bone for placement of different configurations of the titanium plate, and fixed with titanium microscrews 7mm long. The animals were evaluated clinically and radiographically until 90 days postoperatively. After this period, euthanasia was performed in 2 animals from each group. In all animals was observed bone healing and in group 1 the mean and standard deviation were 32.9±9.9 days, in group 2, 30.8±6.7 days in group 3, 26.6±6.4 days. There was no statistical difference in healing time between groups. The bending of the implant was the most common complication. The configuration of the plate resulted in a statistically significant difference in relation to walking and to the degree of bending in the different groups. Moreover, in group 3 there was higher precocity in the member suppor and a lower degree of bending in relation to other groups. Histologically, it was verified formation of the callus in all animals and presence of bone tissue around the plate and microscrews. Despite the complications of titanium microplates, they are an option for tibiotarsus osteosynthesis in birds of medium size.


Entre os problemas cirúrgicos das aves, as fraturas são os de maior prevalência. Em virtude das variações no tamanho, peso, anatomia óssea peculiar, alta incidência de fraturas complicadas e das diferentes demandas funcionais entre espécies e indivíduos, não foi possível estabelecer ainda um método ideal de osteossíntese para os ossos longos das aves. Microplacas de titânio comumente utilizadas em cirurgias maxilofaciais de humanos foram empregadas recentemente na osteossíntese de aves, porém com poucos resultados disponíveis. O objetivo do presente estudo foi avaliar a utilização das microplacas de titânio no tratamento de fraturas experimentais de tibiotarso em pombos domésticos (Columba livia). Foram utilizadas 30 aves adultas, machos e fêmeas, com 7 meses de idade, pesando entre 400 a 500 gramas. Os animais foram separados em três grupos de dez, sendo que no grupo 1 foi utilizado uma microplaca de titânio com 6 furos e espaçador central; no grupo 2, com oito furos sem espaçador central; e, no grupo 3, com oito furos com espaçador central. Após avaliação clínica, as aves foram submetidas à osteotomia médio-diafisária no tibiotarso direito para colocação das diferentes configurações de microplaca de titânio, sendo fixadas com microparafusos de titânio com 7mm de comprimento. Os animais foram avaliados clínica e radiograficamente até os 90 dias de pós-operatório. Após esse período, foi realizada eutanásia em duas aves de cada grupo. Em todas elas, foi observada a consolidação óssea, sendo que, no grupo 1, o tempo médio e o desvio padrão foram 32,9±9,9; no grupo 2, 30,8±6,7 e, no grupo 3, 26,6±6,4 dias, não havendo diferença estatística entre os grupos. O envergamento do implante foi a complicação mais frequente. A configuração da microplaca resultou em diferença estatisticamente significativa em relação à deambulação e ao grau de envergamento nos diferentes grupos, sendo que, no grupo 3, houve maior precocidade no apoio do membro e menor grau de envergamento em relação aos outros grupos. Histologicamente, foi verificada a formação de calo ósseo em todos os animais e presença de tecido ósseo ao redor da microplaca e dos microparafusos. Apesar das complicações observadas, as microplacas de titânio são uma opção para osteossíntese de tibiotarso em aves de médio porte.

14.
Artículo en Portugués | LILACS-Express | VETINDEX | ID: biblio-1478171

RESUMEN

Jaw and maxilla fractures are common in dogs and cats, representing 3-6% of all fractures. Numerous techniques are proposed to reduce the defect such as intramedullary pin, percutaneous skeletal fixation, circumferential wiring, acrylic splints and bone plating. This study aimed to evaluate the use of 2.0mm and 1.5mm titanium microplates in the treatment of mandibular fractures in dogs and cats, respectively. The screws and the mini and microplates used were composed of titanium and their format depended on the location and type of fracture. A total of 6 cases were selected and 4 of them had complete consolidation using the mini microplate method alone or associated with steel wire or tie with noseband. In one case the failure occurred due to plate breakage and other implant failed due to dehiscence of the skin suture. The use of mini titanium microplates was effective in most cases, as a single method or combined with other techniques of osteosynthesis, because it promoted rigid fixation and return to the appropriate function.


Fraturas de mandíbula e maxila são comuns em cães e gatos, correspondendo a cerca de 3 a 6% de todas as fraturas. Muitos tratamentos são propostos para a correção desse defeito, como o uso de pino intramedular, a fixação esquelética externa, a cerclagem e o uso de acrílicos e placas ósseas. Este estudo teve como objetivo avaliar o uso das mini e microplacas de titânio do sistema 2,0 e 1,5mm no tratamento de fraturas mandibulares, em cães e gatos, respectivamente. Os parafusos e as miniplacas utilizadas são compostos de titânio, e o formato dependeu da localização e do tipo de fratura. No total, foram avaliados seis casos, dos quais quatro apresentaram completa consolidação, sendo as placas utilizadas como método único ou associado com fio de aço ou imobilização com focinheira. As causas de insucesso foram a quebra da placa em um dos casos e a contaminação do enxerto, com posterior osteomielite em decorrência da deiscência dos pontos em outro caso. O emprego das miniplacas de titânio mostrou-se eficaz na maioria dos casos testados, promovendo fixação rígida e retorno funcional adequado, sendo utilizado como método único ou associado com outras técnicas de osteossíntese.

15.
Artículo en Portugués | LILACS-Express | VETINDEX | ID: biblio-1478255

RESUMEN

This paper aims to present a new experimental model of mandibular defect reconstruction in rabbits. It was used 14 animals, in which, in a first stage the left permanent inferior incisive tooth was extracted surgically. After a 50 days period for the bone to fulfill the dentary alveolus, surgery was performed. At first, a 10x5x5mm autograft was removed form the iliac crest, following a partial mandibular failure in the bone with the same auto graft size which was filled with the graft and fixed using titanium microplate. The rabbits were submitted to clinical and radiographic evaluation and 7 of them were euthanasiated at 15 days and the other 7 at 30 days to macro and microscopic analysis. The water and commercial food ingestion was not compromised, and the animals did not showed any chewing or apprehension difficulties, neither pain. Only one animal presented rejection to one screw, without occurring micro plate nor auto graft dislocation. This method showed to be efficient for an experimental model of reconstruction in mandibular defects of rabbits, demonstrating a healing evolution of the graft through radiographic, macroscopic and microscopic exams in 15th and 30th days.


Este trabalho tem como objetivo apresentar um novo modelo experimental de reconstrução em falha mandibular em coelhos. Foram utilizados 14 animais, nos quais, em uma primeira etapa, extraiu-se cirurgicamente o dente incisivo inferior esquerdo permanente. Após um período de 50 dias para o preenchimento ósseo do alvéolo dentário, foi realizada a cirurgia. Inicialmente, coletou-se 10x5x5mm de enxerto ósseo autógeno da crista ilíaca e, em seguida, foi procedida uma falha mandibular parcial de mesmo tamanho, que foi preenchida com o enxerto e fixada com microplaca de titânio. Os coelhos foram submetidos a avaliações clínicas e radiográficas, sendo sete submetidos a eutanásia aos 15 dias e os demais aos 30 dias para análise macro e microscópica. A ingestão de água e ração não foi comprometida, e os animais não apresentaram algia, dificuldade de mastigação e de apreensão. Somente um animal apresentou rejeição a um parafuso, sem ocorrer o deslocamento da placa nem do enxerto. Esse método mostrou-se eficaz como modelo experimental de reconstrução em falha mandibular de coelhos, demonstrando a evolução cicatricial óssea do enxerto por meio dos exames radiográficos, macroscópicos e microscópicos aos 15 e 30 dias.

16.
Ci. Rural ; 40(7)2010.
Artículo en Portugués | VETINDEX | ID: vti-706997

RESUMEN

This paper aims to present a new experimental model of mandibular defect reconstruction in rabbits. It was used 14 animals, in which, in a first stage the left permanent inferior incisive tooth was extracted surgically. After a 50 days period for the bone to fulfill the dentary alveolus, surgery was performed. At first, a 10x5x5mm autograft was removed form the iliac crest, following a partial mandibular failure in the bone with the same auto graft size which was filled with the graft and fixed using titanium microplate. The rabbits were submitted to clinical and radiographic evaluation and 7 of them were euthanasiated at 15 days and the other 7 at 30 days to macro and microscopic analysis. The water and commercial food ingestion was not compromised, and the animals did not showed any chewing or apprehension difficulties, neither pain. Only one animal presented rejection to one screw, without occurring micro plate nor auto graft dislocation. This method showed to be efficient for an experimental model of reconstruction in mandibular defects of rabbits, demonstrating a healing evolution of the graft through radiographic, macroscopic and microscopic exams in 15th and 30th days.


Este trabalho tem como objetivo apresentar um novo modelo experimental de reconstrução em falha mandibular em coelhos. Foram utilizados 14 animais, nos quais, em uma primeira etapa, extraiu-se cirurgicamente o dente incisivo inferior esquerdo permanente. Após um período de 50 dias para o preenchimento ósseo do alvéolo dentário, foi realizada a cirurgia. Inicialmente, coletou-se 10x5x5mm de enxerto ósseo autógeno da crista ilíaca e, em seguida, foi procedida uma falha mandibular parcial de mesmo tamanho, que foi preenchida com o enxerto e fixada com microplaca de titânio. Os coelhos foram submetidos a avaliações clínicas e radiográficas, sendo sete submetidos a eutanásia aos 15 dias e os demais aos 30 dias para análise macro e microscópica. A ingestão de água e ração não foi comprometida, e os animais não apresentaram algia, dificuldade de mastigação e de apreensão. Somente um animal apresentou rejeição a um parafuso, sem ocorrer o deslocamento da placa nem do enxerto. Esse método mostrou-se eficaz como modelo experimental de reconstrução em falha mandibular de coelhos, demonstrando a evolução cicatricial óssea do enxerto por meio dos exames radiográficos, macroscópicos e microscópicos aos 15 e 30 dias.

17.
Ci. Rural ; 40(7)2010.
Artículo en Portugués | VETINDEX | ID: vti-706715

RESUMEN

This paper aims to present a new experimental model of mandibular defect reconstruction in rabbits. It was used 14 animals, in which, in a first stage the left permanent inferior incisive tooth was extracted surgically. After a 50 days period for the bone to fulfill the dentary alveolus, surgery was performed. At first, a 10x5x5mm autograft was removed form the iliac crest, following a partial mandibular failure in the bone with the same auto graft size which was filled with the graft and fixed using titanium microplate. The rabbits were submitted to clinical and radiographic evaluation and 7 of them were euthanasiated at 15 days and the other 7 at 30 days to macro and microscopic analysis. The water and commercial food ingestion was not compromised, and the animals did not showed any chewing or apprehension difficulties, neither pain. Only one animal presented rejection to one screw, without occurring micro plate nor auto graft dislocation. This method showed to be efficient for an experimental model of reconstruction in mandibular defects of rabbits, demonstrating a healing evolution of the graft through radiographic, macroscopic and microscopic exams in 15th and 30th days.


Este trabalho tem como objetivo apresentar um novo modelo experimental de reconstrução em falha mandibular em coelhos. Foram utilizados 14 animais, nos quais, em uma primeira etapa, extraiu-se cirurgicamente o dente incisivo inferior esquerdo permanente. Após um período de 50 dias para o preenchimento ósseo do alvéolo dentário, foi realizada a cirurgia. Inicialmente, coletou-se 10x5x5mm de enxerto ósseo autógeno da crista ilíaca e, em seguida, foi procedida uma falha mandibular parcial de mesmo tamanho, que foi preenchida com o enxerto e fixada com microplaca de titânio. Os coelhos foram submetidos a avaliações clínicas e radiográficas, sendo sete submetidos a eutanásia aos 15 dias e os demais aos 30 dias para análise macro e microscópica. A ingestão de água e ração não foi comprometida, e os animais não apresentaram algia, dificuldade de mastigação e de apreensão. Somente um animal apresentou rejeição a um parafuso, sem ocorrer o deslocamento da placa nem do enxerto. Esse método mostrou-se eficaz como modelo experimental de reconstrução em falha mandibular de coelhos, demonstrando a evolução cicatricial óssea do enxerto por meio dos exames radiográficos, macroscópicos e microscópicos aos 15 e 30 dias.

18.
Ci. Rural ; 40(5)2010.
Artículo en Portugués | VETINDEX | ID: vti-706637

RESUMEN

Jaw and maxilla fractures are common in dogs and cats, representing 3-6% of all fractures. Numerous techniques are proposed to reduce the defect such as intramedullary pin, percutaneous skeletal fixation, circumferential wiring, acrylic splints and bone plating. This study aimed to evaluate the use of 2.0mm and 1.5mm titanium microplates in the treatment of mandibular fractures in dogs and cats, respectively. The screws and the mini and microplates used were composed of titanium and their format depended on the location and type of fracture. A total of 6 cases were selected and 4 of them had complete consolidation using the mini microplate method alone or associated with steel wire or tie with noseband. In one case the failure occurred due to plate breakage and other implant failed due to dehiscence of the skin suture. The use of mini titanium microplates was effective in most cases, as a single method or combined with other techniques of osteosynthesis, because it promoted rigid fixation and return to the appropriate function.


Fraturas de mandíbula e maxila são comuns em cães e gatos, correspondendo a cerca de 3 a 6% de todas as fraturas. Muitos tratamentos são propostos para a correção desse defeito, como o uso de pino intramedular, a fixação esquelética externa, a cerclagem e o uso de acrílicos e placas ósseas. Este estudo teve como objetivo avaliar o uso das mini e microplacas de titânio do sistema 2,0 e 1,5mm no tratamento de fraturas mandibulares, em cães e gatos, respectivamente. Os parafusos e as miniplacas utilizadas são compostos de titânio, e o formato dependeu da localização e do tipo de fratura. No total, foram avaliados seis casos, dos quais quatro apresentaram completa consolidação, sendo as placas utilizadas como método único ou associado com fio de aço ou imobilização com focinheira. As causas de insucesso foram a quebra da placa em um dos casos e a contaminação do enxerto, com posterior osteomielite em decorrência da deiscência dos pontos em outro caso. O emprego das miniplacas de titânio mostrou-se eficaz na maioria dos casos testados, promovendo fixação rígida e retorno funcional adequado, sendo utilizado como método único ou associado com outras técnicas de osteossíntese.

19.
Acta sci. vet. (Online) ; 38(2): 217-220, 2010.
Artículo en Portugués | VETINDEX | ID: vti-733176

RESUMEN

Background:  :  :  : Luxating patella is one of the most frequent conditions of the stifle joint in dogs and it can evolve into a degenerative joint disease. The occurrence of the condition can be medial or lateral, unilateral or bilateral. Its origin can be traumatic or congenital and, additionally, it may undergo genetic and environmental influence. Lateral luxation is more common in large breed dogs, and it can rarely affect medium and small breeds, whilst medial luxation is more common in small breed dogs. The classification of patellar luxation comprises four grades, according to the patellar position, clinical signs and seriousness of the bone deformities found. The diagnosis is made based on the clinical evaluation, associated with a radiographic evaluation. The present study aims at describing a case of bilateral grade 3 lateral luxating patella in a Toy Poodle dog. Case: A five-month-old female Toy Poodle dog was presented for difficulty standing and claudication of hind limbs. Orthopedic evaluation revealed internal rotation of the stifle, claudication of hind limbs during walking and jumps during trotting, in addition to a lateral grade 3 luxating patella and slight restriction of the joint motion upon extension of the right and left hind limbs. Radiographic evaluation of both stifles evidenced an ectopic (lateral) position of the right and left patellas. The anima

20.
Acta sci. vet. (Online) ; 38(2): 217-220, 2010.
Artículo en Portugués | VETINDEX | ID: vti-732336

RESUMEN

Background:  :  :  : Luxating patella is one of the most frequent conditions of the stifle joint in dogs and it can evolve into a degenerative joint disease. The occurrence of the condition can be medial or lateral, unilateral or bilateral. Its origin can be traumatic or congenital and, additionally, it may undergo genetic and environmental influence. Lateral luxation is more common in large breed dogs, and it can rarely affect medium and small breeds, whilst medial luxation is more common in small breed dogs. The classification of patellar luxation comprises four grades, according to the patellar position, clinical signs and seriousness of the bone deformities found. The diagnosis is made based on the clinical evaluation, associated with a radiographic evaluation. The present study aims at describing a case of bilateral grade 3 lateral luxating patella in a Toy Poodle dog. Case: A five-month-old female Toy Poodle dog was presented for difficulty standing and claudication of hind limbs. Orthopedic evaluation revealed internal rotation of the stifle, claudication of hind limbs during walking and jumps during trotting, in addition to a lateral grade 3 luxating patella and slight restriction of the joint motion upon extension of the right and left hind limbs. Radiographic evaluation of both stifles evidenced an ectopic (lateral) position of the right and left patellas. The anima

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