Ultrasound-guided (US-guided) loco-regional anesthesia can provide significant analgesia and anesthetic-sparing effects when used in rabbits. The aims of this study were to investigate the thoraco-lumbar anatomy of the rabbits, particularly the quadratus lumborum (QL) muscle, to design an appropriate US-guided quadratus lumborum block (QLB) specific for rabbits, and to define the most adequate volume of injectate required to consistently cover the ventral branches of T11 to L3 without affecting the pelvic limb innervation (L4, L5 and L6). Sixteen adult rabbit cadavers were included in the study. After randomization, four different volumes of injectate (0.1 mL/kg, 0.2 mL/kg, 0.3 mL/kg and 0.4 mL/kg) were tested, with these volumes additionally randomized to two sites of injection (right or left QL fascia). An ultrasound-guided QLB was performed with a solution of lidocaine, iodinated contrast and tissue dye (in a proportion of 3:1:1 volume, respectively), with subsequent computed tomography (CT) and anatomical dissection, to evaluate the spread of the injectate. In all but one case, the US-guided QLB performed with a dorsolateral approach using 0.3 mL/kg was adequate, while a dose of 0.4 mL/kg consistently reached the targeted nerves but also extended to L4 and caudally. This may suggest that an injectate volume of 0.3 mL/kg may be the most appropriate to produce adequate spread while not affecting pelvic limb innervation.
Fragmented medial coronoid process is common in dogs, but has only been described in the cat once historically. This case describes a case of presumed traumatic fragmented medial coronoid process in a cat, which presented for right thoracic limb lameness of 3‐month duration, which did not respond to medical management. A computed tomography study demonstrated the fragmented medial coronoid process, and surgical removal of the fragment was performed via arthrotomy without complication. Histological examination of the fragment did not show microdamage of the bone or osteocyte loss, which is evident in developmental cases of fragmented medial coronoid process, and was suggestive of a historical fracture that resulted in non‐union. The patient improved postoperatively, but still experiences intermittent lameness after periods of exertion.
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