May 2011, Small Animals Case

Clinical history The swelling centered on the elbow and had been present for 2 months during which time antibiotics had been administered several times. Radiographs were made of the forelegs Radiographs of a rabbit Radiographic features

  • Highly destructive lesions involve the humerus, radius, and ulna as well as causing destruction of the elbow joint permitting displacement of the radial head laterally
  • Cortical destruction is prominent
  • Periosteal new bone is minimal and limited to the caudal and medial surfaces of the ulna
  • The zones of transition are rather short
  • Soft tissue swelling is prominent laterally and caudally
  • Remaining joints are radiographically normal

Differential diagnosis

  • Primary bone tumor - not likely because of involvement of multiple bones on both sides of the elbow joint
  • Metastatic bone tumor - not likely because of the magnitude of destruction and the tendency to center around the elbow joint
  • Bone infection - most likely because of the degree of bone destruction, joint destruction, and adjacent soft tissue masses - severity of change is probably due to the chronic nature of the lesions

Comments

  • The infection probably spread to the bones from adjacent soft tissue lesions
  • The expected infection would be Pasteurellosis - culture was negative in this rabbit -
  • The radiographic features of bone disease in the exotic species are generally similar to that seen in the dog - differences in frequency of certain diseases is noted in exotic species -
  • Radiographic techniques for exotic species are similar to that used in the dog and cat except for studies of the teeth -