Intra-observer comparison between conventional and oblique radiography of the pelvis of polytraumatized cats and dogs

Authors

  • João Marcelo Azevedo de Paula Antunes Department of Animal Science, Universidade Federal Rural do Semi-Árido, Mossoró, RN, Brazil https://orcid.org/0000-0003-3922-1428
  • Kalyne Danielly Silva de Oliveira Department of Animal Science, Universidade Federal Rural do Semi-Árido, Mossoró, RN, Brazil https://orcid.org/0000-0003-1221-8499
  • Cecília Calabuig Department of Biological Science and Health, Universidade Federal Rural do Semi-Árido, Mossoró, RN, Brazil https://orcid.org/0000-0002-1243-1700
  • Zacarias Jacinto de Souza Júnior Department of Animal Science, Universidade Federal Rural do Semi-Árido, Mossoró, RN, Brazil https://orcid.org/0000-0003-2149-6992
  • José Artur Brilhante Bezerra Department of Animal Science, Universidade Federal Rural do Semi-Árido, Mossoró, RN, Brazil https://orcid.org/0000-0001-6724-6716
  • Moisés Dantas Tertulino Department of Animal Science, Universidade Federal Rural do Semi-Árido, Mossoró, RN, Brazil https://orcid.org/0000-0002-3878-4264

DOI:

https://doi.org/10.1590/1983-21252025v3812705rc

Keywords:

Pelvic cavity. Small animals. Pubis. Orthopedics.

Abstract

Many bone lesions are missed by plain radiography in small animals with polytrauma in the pelvis due to the many bone overlaps.Thus, this study aimed to compare intra-observer agreement between the conventional two-projection technique (laterolateral and ventrodorsal; LL and VD) and the 45° rolling projection (right/left ventromedial oblique to dorsolateral flexed leg; OBL) in the evaluation of fractures  and dislocations in polytraumatized animals. The images were evaluated intra-observer by two radiologists (control group) and compared with the evaluation of two orthopedists,residents and students. When comparing fractures between the projections, a statistical difference was observed between the three projections, LL, VD, and OBL (N=288, df= 2, wald= 24.7 p= 0.0000). The VD projection (n=188) was the most efficient, followed by the OBL (n=174) and the LL (n=105). For the evaluation of sacroiliac dislocations, it was found that the VD (n=33) and OBL (n=33) projections were equal and more sensitive than the LL (n=0) (N= 288, df=2, Wald= 1964.2, P˂0.01-10). In the intra-observer comparison, it was not possible to observe a significant difference in the assessment of fractures, even though the group of radiologists observed a greater number of injuries. In general, abnormalities (fractures and dislocations) were seen with greater accuracy in the VD view (n=237), followed by the OBL (n=225) and LL (n=120) (N= 288, df=2, Wald = 40.2, P˂0.01-10). The study suggests that evaluation by a radiologist should be preferred and that the OBL projection should also be included in the feline routine as it reduces bone overlap.

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References

BOOKBINDER, P. E.; FLANDERS, J. A. Characteristics of pelvic fracture in the cat. A 10 year retrospective study. Veterinary and Comparative Orthopaedics and Traumatology, 5: 122-127, 1992.

BRUCE, C. W.; BRISSON, B. A.; GYSELINCK, K. Spinal fracture and luxation in dogs and cats: a retrospective evaluation of 95 cases. Veterinary and Comparative Orthopaedics and Traumatology, 21: 280-284, 2008.

CRAWFORD, J.; MANLEY, P.; ADAMS, W. Comparison of computed tomography, tangential view radiography, and conventional radiography in evaluation of canine pelvic trauma. Veterinary Radiology and Ultrasound, 44: 619-628, 2003.

DRAFFEN, D. et al. The role of computed tomography in the classification and management of pelvic fractures. Veterinary and Comparative Orthopaedics and Traumatology, 22: 190-197, 2009.

FLORES, J. A. et al. Retrospective Assessment of Thirty-Two Cases of Pelvic Fractures Stabilized by External Fixation in Dogs and Classification Proposal. Veterinary Science, 10: 2-16, 2023.

FROES, T. R. et al. Estudo comparativo e análise interobservador entre dois métodos de avaliação da displasia coxofemoral em cães. Archives of Veterinary Science, 14: 187-197, 2009.

HAINE; D. L. et al. Outcome of surgical stabilisation of acetabular fractures in 16 cats. Journal of Feline Medicine and Surgery, 21: 520-528, 2019.

HARASEN, B. Pelvic fractures. The Canadian Veterinary Journal, 48: 427-428, 2007.

HENRY, G. Fracture healing and complication. In: Thrall, D. (Ed.).Textbook of Veterinary Diagnostic Radiology. St. Louis, MI: Elsevier; 2013. cap. 16, p. 283-306.

KEMPER, B. et al. Consequências do trauma pélvico em cães. Ciência Animal Brasileira, 12: 311-321, 2011.

KIPFER, N. M.; MONTAVON, P. M. Fixation of pelvic floor fractures in cats. Veterinary and Comparative Orthopaedics and Traumatology, 24: 1-5, 2011.

LANGLEY-HOBBS, S. J. et al. Feline ilial fractures: a prospective study of dorsal plating and comparison with lateral plating. Veterinary Surgery, 38: 334-342, 2009.

LANZ, O. Lumbosacral and pelvic injuries. The Veterinary Clinics of North America: Small Animal Practice, 32: 949-962, 2002.

MEESON, R. L.; GEDDES, A. Management and long-term outcome of pelvic fractures: a retrospective study of 43 cats. Journal of Feline Medicine and Surgery, 19: 36-41, 2017.

MEESON, R.; CORR, S. Management of pelvic trauma: neurological damage, urinary tract disruption and pelvic fractures. Journal of Feline Medicine and Surgery, 13: 347-361, 2011.

PIERMATTEI, D. L.; FLO, G. L. Fractures of the Pelvis. In: DeCamp, C.E. (Ed.). Small Animal Orthopedics and fracture Repair. St Louis, MI: Saunders; 2006. cap. 16, p. 433-460.

REIS, A. C. et al. Radiological examination of the hip - clinical indications, methods, and interpretation: a clinical commentary. Journal of Sports Physical Therapy, 9: 256-267, 2014.

RODRIGUEZ, A. R. et al. Treatment of pelvic fractures in cats with patellar fracture and dental anomaly syndrome. Journal of Feline Medicine and Surgery, 23: 375-388, 2021.

ROEHSIG, C. et al. Fixação de fraturas ilíacas em cães com parafusos, fios de aço e cimento ósseo de polimetilmetacrilato. Ciência Rural, 38: 1675-1681, 2008.

SCOTT, H. W.; McLAUGHLIN, R. Fractures and disorders of the hindlimb. In: SCOTT, H. W.; McLAUGHLIN, R. Feline Orthopaedics. London, EN: Manson Publishing; 2007. cap.70, p. 167-180.

SOUZA, M. M. D. et al. Afecções ortopédicas dos membros pélvicos em cães: estudo retrospectivo. Ciência Rural, 41: 852-857, 2011.

STIEGER-VANEGAS, S. M. et al. Evaluation of the diagnostic accuracy of four-view. Veterinary and Comparative Orthopaedics and Traumatology, 28: 155-163, 2015.

VETTORATO, M. C.; MARCELINO, R. S.; SILVA, R. L. Reavaliação de posicionamentos radiográficos para o diagnóstico da displasia coxofemoral em cães. Veterinária e Zootecnia, 24: 266-277, 2017.

ZULAUF, D. et al. Radiographic examination and outcome in consecutive feline trauma patients. Veterinary and Comparative Orthopaedics and Traumatology, 21: 36-40, 2008.

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Published

06-02-2025

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Scientific Article