06/12/2026
***Patient of the Week***Update***
We don’t often deal with a “goldilocks situation” but luxations tend to fit the bill. Luxations (or dislocations) can’t be too loose or they won’t stay in place, even with surgical care. They can’t be too tight (or old) or we can’t manually reduce a joint back into place causing the joint to heal in a locked position. They have to be just right for us to be able to fix them. Thankfully, our patient of the week fell into that ‘just right’ category and were not only repairable but have been successfully released!
In April, an adult bald eagle presented with an acute elbow luxation from unknown trauma. (Here is her original featured post when we were still very unsure of her prognosis: https://www.facebook.com/share/p/1D2sAywbTq/?mibextid=wwXIfr) As we have mentioned before, we try not to anesthetize patients right at intake as they aren’t always the most stable due to significant underlying or internal trauma. However, some injuries, when not addressed immediately, can become irreparable. As there were no other obvious concerns, she was anesthetized at intake and her elbow was manually reduced back into place. With some elbow luxations, we place pins on either side of the joint and lock it into place with external fixators. However, at her recheck a few days later, we noted that the elbow was still firmly in place, so we elected to manage her just with rigid bandages for a couple of weeks.
We have never successfully managed an elbow luxation in a bird this size (mostly mid-size and smaller raptors and waterfowl), so we were cautiously optimistic from the start. They are challenging to repair, sometimes harder than a fracture, as a bird needs to heal the soft tissue with minimal scar tissue to retain perfect joint range of motion. Arthritis can also develop at the joint if there was damage to any boney structures.
Surprisingly, once the bandages were removed and she moved to larger and larger flight spaces, we realized that not only had her swelling resolved and she maintained great range of motion but she was pretty quick to regain flight. We have found that birds with elbow luxations almost always retain a very mild wing droop on their affected side. However, as long as they are appropriately reconditioned, it doesn’t worsen with repeated exercise (which is important to extensively test out while in care as they can be on the wing for much longer periods of time).
This week, we had the privilege of releasing this bald eagle back into her suspected territory. While it’s likely too late for her to hatch out chicks this year, she did get a brief opportunity to engage with some eaglets during the last portion of her stay with us. Did she enjoy it? Who knows. But the eaglets sure did.
In the last week, we admitted two late fledgling eaglets from two different nests. It is unclear if they ended up out of their nests due to accidents or if they were just going through the fledgling process and landed a little too hard. One of them appears to be minimally affected and frankly, unenthused to be in care, so we are in contact with the property that they came from to hopefully return home soon. The other is still showing some mentation changes (quiet, easy to handle, intermittent appetite), that could be related to head trauma or even an early West Nile Virus infection, but their radiographs and bloodwork have been unremarkable so we are also hopeful this kid will return home soon!