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Help me to understand

Published on: October 05, 2022 • By: Marisska19 · In Forum: Cats
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Marisska19
Participant
October 05, 2022 at 11:22am
Hello. We found a cat. She didn't use her front paws and we thought it might be congenital. When they took an x-ray, they saw a terrible picture. Fracture of the spine in two places that has grown together. Broken front legs. Fractured tail (no x-ray) Fracture of the bridge of the nose. Absence of radii on the forelegs. Missing one of the fingers. They said that the bones were dissolved due to trauma. The version of the radiologist that she fell from a height on her front paws received fractures and dislocations. We turned to one "good" surgeon with the question whether it is possible to do something about this? also online. because in my country animals are not treated very well, and there are no veterinarians, and even more so surgeons. The surgeon said that this is congenital, which does not correspond to the picture obtained as a result of the x-ray. To begin with, I wanted to ask if there are orthopedists and traumatologists here on the forum. What is your opinion about the origin of the injuries. Depending on the answer, we will then decide what operations to do and whether to do them. I am using a translator. Sorry in advance for mistakes.9999_000672239999_000672229999_00067228
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Liz Buchanan BVSc MRCVS
Keymaster
October 05, 2022 at 11:48pm
Hello - and what a sad story for so many reasons.  Let me start by being honest:  I am not an expert in either of those areas, but a "normal" vet.  I am further, not in a position to give advice on a particular animal that is not under my care.  I must confess that I am quite relieved about that, because it is what we call in the trade, a 'difficult case,' both emotionally and from a veterinary perspective.  We avoid interpreting radiographs on this site - that is, indeed, your vets' job and we are not here to replace them - but you mention that there is only only one bone in the forearm where usually there would be two.  I can't imagine how this would come about as a result of trauma - usually both bones would be seen, even if one was in smithereens.  I note that the radiographs are not the easiest to interpret - they were taken in a conscious animal, held at difficult angles, as shown by the human bones over top of the picture.  We never see this in the UK these days either, although I have seen it in the past.  Your veterinary team must be aware that they are putting themselves into danger in order to get these pictures.  They sound very devoted to their patient but I hope that they will take better care of themselves.
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Liz Buchanan BVSc MRCVS
Keymaster
October 06, 2022 at 12:18am
We have a saying in our industry that vets should not 'x-ray owners wallets,' meaning that we do not know what funds are available for a case and should always give owners the full range of choice, whatever they look like.  However, I suspect that in a clinic that is unable to protect its staff sufficiently from x-ray beams, there may not be the available funds or perhaps expertise to attempt reconstruct a radius in a cat that does not have one. It may be that if the symptoms are severe, euthanasia will need to be considered.
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