Notes:
For the sake of time, I will gloss over surgical aspects of the following cases. First we have Sila, a 7-month-old female at Seneca Park Zoo. She was observed to slip and fall between rocks while playing with her brother in the exhibit and was subsequently non-weight-bearing lame in the right forelimb. Physical exam revealed crepitus and abnormal movement in the right antebrachium. Radiographs demonstrated concurrent radial and ulnar fractures. Sila’s fractures were repaired by internal fixation with double plating, cerclage wires and screws.
RADIUS - displaced, complete and comminuted short-obliqued mid-diaphyseal fracture with butterfly fragment at the cranial aspect of the bone;
ULNA - distal diaphyseal fracture with similar configuration as radial fracture
RADIUS: 8-hole, 4.5mm broad DCP on craniolateral surface with 4.5mm cortical screws; butterfly fragment reduced and secured with two 18g cerclage wires at proximal and distal aspect of fragment; 3.5mm cortical screw placed through center of fragment for rotational stability;
ULNA:7-hole, 4.5mm narrow DCP on lateral aspect with 4.5mm cortical screws and (1) 6.5mm cancellous screw in most distal plate hole; butterfly fragment secured with (2) 3.5mm cortical screws at proximal and distal aspect of fragment