Holding Power of Three Different Pin Designs in the Femur and Ulna of the Common Buzzard ( Buteo buteo )

Predisposing Anatomical Factors of Humeral Fractures in Birds of Prey: A Preliminary Tomographic Comparative Study

The aim of this study was to identify possible predisposing anatomical factors associated with humeral fractures in birds of prey through comparison of specific anatomical features in different raptor species. An anatomical study of bone features in birds of prey was performed on 3 male subjects from 5 different species. The selected species included in this investigation were 3 diurnal species (the common buzzard [Buteo buteo], the peregrine falcon [Falco peregrinus], and the European honey-buzzard [Pernis apivorus]) and 2 nocturnal species (the barn owl [Tyto alba] and the tawny owl [Strix aluco]). Humeral bone samples were tomographically analyzed with a micro-macro-focus computed tomographic machine. Specific humeral anatomical points were selected (foramen pneumaticum and tuberculum dorsale for the proximal humerus; corpus humeri for the diaphyseal humerus; and above the condylus dorsalis for the distal humerus) to measure foramen pneumaticum diameter (in millimeters), cortical thickness (in millimeters), and trabeculae number and sizes (in millimeters). Apparent density, measured with the Hounsfield unit, was used to assess the degree of bone resistance. Statistical analysis was performed with a Spearman's correlation, and significance was set at P < .05. The differences among the observed bone volumes were highly significant (P = .00). Trabeculae number and the humeral anatomical point measurements showed differences in all 5 avian species investigated. However, those differences were not significant, except at the condylus dorsalis; in which, a significant interspecies difference (P = .002) was recorded. Trabecular size, cortical thickness, bone density, and diameter of the foramen pneumaticum were all different in all raptor species; however, these variations were not significant. The study confirms the existence of humeral bone volume differences between diurnal and nocturnal species. Furthermore, the data suggest that the humeri of peregrine falcons and European honey-buzzards may be stronger than the humeri of common buzzards, tawny owls, and barn owls.

A RETROSPECTIVE STUDY OF FEMORAL FRACTURES IN WILD BIRDS OF PREY: 119 CASES

A retrospective study was performed to describe patient and fracture characteristics, treatments, complications, and outcomes associated with femoral fractures in free-ranging birds of prey. Cases were identified from the electronic database and included raptors admitted with femoral fractures at the Bird of Prey Clinic of the Université de Montréal, from 1986 to 2018. In total, 119 individuals from 24 species, with 123 femoral fractures, were included in the study. Twenty-seven birds (23%) were declared dead upon arrival. Ninety-two birds (77%) were admitted alive; 80 with acute fractures and 12 with a fracture that had already healed. A conservative treatment (cage rest) was used to manage eight fractures. Surgical repair was attempted on 34 femoral fractures in 33 birds. An intramedullary pin alone was used in 28 cases (82%), and an external skeletal fixator-intramedullary pin tie-in fixator was used in 6 cases (18%). For surgically treated fractures, 19 healed (in 18 birds), 4 did not heal, and 11 birds died or were euthanized before healing could be achieved. Of the 23/34 fractures where the healing process could be assessed, healing rate for comminuted fractures (11/23) was 91% (10/11). Surgical complications occurred in 10 cases (including 7 cases of migration and loosening of the pin, and 1 case of osteomyelitis), leading to euthanasia in 4 cases. Out of the 21 birds with acute femoral fracture upon presentation that were released, 14 had received a surgical treatment and 7 had received a conservative treatment. Nine of the 21 released birds (43%) had at least one other fractured bone. The majority of deaths and euthanasia occurred within 2 wk after admission (51/59; 86%). Thirteen birds were euthanized primarily because of their femoral fracture. Thirteen birds died in treatment and 33 were deemed nonreleasable and euthanized because of a comorbidity not related to the femoral fracture.

Release Rates and Complications for Birds of Prey With Antebrachial Fractures at a Veterinary Teaching Hospital

A retrospective case series that included 253 free-ranging birds of prey admitted to a rehabilitation center was conducted to describe the treatment and outcome of antebrachial fractures. Medical records from birds of prey belonging to 21 species admitted with antebrachial fracture between 1989 and 2015 at the University of California, Davis, were reviewed. Species distribution on admission, treatment, outcome, and complications were described by fracture category and species. Among 134 birds treated after initial triage on the day of admission, 4 bone/ wing categories were identified: 83 birds had an ulnar fracture only; 18 birds had a radial fracture only; 28 birds had a concomitant fracture of the radius and ulna on the same wing; and 5 birds had bilateral antebrachial fractures. Logistic regressions were performed to determine which factors were associated with a positive outcome within each of these 4 categories. Among birds having only an ulnar fracture, those with a closed fracture were significantly more likely to be released than birds with open fractures (P = .03; odds ratio = 5.43, 95% confidence interval: 1.29-28.12). In addition, birds with a fracture of the middle third of the ulna were significantly more likely to be released than birds diagnosed with a single fracture of the proximal third of the ulna (P = .02; odds ratio = 4.54, 95% confidence interval: 1.35-16.64). No significant prognostic factor was detected in other fracture categories.

Fracture Management in Avian Species

In treating avian species with fractures, the clinician must be prepared to think laterally and assess each case individually, taking into account the unique characteristics of the fracture, the temperament of the species and the individual, its lifestyle, and the desired outcome. All this should be considered during the decision making process, which should involve the owner or career of the patient. The clinician should aim for a result as close as possible to the original functional anatomy. The degree of perfection required for postoperative return to normal function is dictated by the species and the lifestyle of the patient.

Avian Skull Orthopedics

Because the avian skull is the reflection of the wide biodiversity of birds, many anatomic, morphologic, and functional variations are encountered. The main objectives of this article are to review the surgical considerations associated with the functional anatomy of the avian jaw apparatus and its variation among species, and to describe the general medical and surgical management of head traumatic and developmental disorders in birds.