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Shell Repair

Damien N. Oxier, CWR Arrowhead Reple Rescue

Last updated December 8, 2014 What is a turtle?

Turtle vs ?

Has shell, consists of upper , lower plastron, and connecng bridges, carapace fused to vertebrae and ribcage, pectoral and pelvic girdles inside ribcage

Bony shell covered with keran , seams do not match, sheds scutes

320+ known living , half are listed on IUCN as vulnerable, endangered, or crically endangered EXAMPLE: eastern Terrepene carolina carolina • Family • Found in northern states (pond ) to Michigan peninsula • Terrapene (turtle) and Maine at elevaon below 1000 • Species carolina (box turtle) • Found in south to Florida • and Mexico at elevaons Ssp carolina (eastern) below 6000 • NOT a pond turtle • Prefer forest floor, like • NOT a tortoise shallow pools and mud • IS a turtle puddles • IS a terrepene • Species of concern in • IS a reple most localies

• Protected species in Ohio, • Omnivore Indiana, Kentucky • Ectothermic • State reple of NC and TN. • Seasonal brumaon and Rejected in PA, VA. aesvaon • Oen collected for pets • Hinged shell • Not considered edible • Only lay 2-3 eggs • Iris color not determinaon • Poor swimmers of sex • Difficult to determine level • Live over 100 years of fear and pain • Grow enre life and exhibit • Live enre life in area 100 growth rings meters square • Suscepble to dietary • Thought to exhibit hypovitaminosis rehoming insnct Turtle Fast Facts • Must be within POTZ (preferred opmum Temp zone) for healing to take place • Reple wounds take longer to heal than mammals • Openings in turtle shells should not be sealed closed, wound should be managed • Movable pieces of fractured shell with blood supply should be immobilized • Do not impede hinge on shell • So shell turtles not treated same as hard shelled • All turtles egg layers, females may benefit from nesng box • Wild turtles should not be expected to recognize commercial turtle diets as food • Daylight cycle is a factor in appete and brumaon, will fast • Brumate instead of hibernate, need water in brumaon, occurs in varying degrees, most aquac species brumate under water • Cover glass to reduce stress for terrestrial turtles and , need hide box • Over filtraon and basking areas necessary • House alone to reduce stress, compeon for food, prevent injuries and disease transmission • Natural sunlight best, broad spectrum with UVA/UVB necessary, can forego in short term rehab cases • Base drug dosages on total weight, shell is bone- do not subtract from weight • Gular pumping assists olfactory, not respiraon • Sexual dimorphism- colors, claws, tail length, plastron shape • Apnea makes gas anesthesia difficult

Intake exam and triage

• Head and neck should move freely around, extend and retract. May pump head/neck. • Eyes should be clear, open, and reacve. Cloudy, blue, or crusty eyes are no normal. • Mouth should be shut with no blood, fluid, or bubbles present • Limbs and appendages should be moveable with no obvious injuries • Shell should be intact without damage or fractures. Old, healed injuries OK. Should be able to close shell completely if hinged. • May hiss, bite, retract into shell. • Check for aural abscesses, URI, eye infecon.

Shell repair No repair needed if: REPAIR NEEDED IF:

One fracture less than 2” long, not at the • Any fracture over 2” long edge, no blood present, no gap or • Crack at edge of shell separaon of pieces, no pieces are movable • Any pieces are movable • Blood or ssue present through wide crack Other problems that require care and • Open fracture and you can see inside treatment: • More than one fracture Eye problems: crusty, blue, opaque, or missing eyes • Internal organs exposed mouth/nose problems: discharge, fluid, blood, or bubbles present Foot and toe infecons, missing limbs, CONSIDER EUTHANASIA IF: self amputaon (if new injury) • Gurgling, bubbles, and/or blood from Maggots present mouth accompanied by severe shell fracture • Skull fracture or crushed head Always use minimal repair to accomplish immobilizaon without sealing wound • More than 1/3 shell missing Large area patches covering wound used • Large pools blood with severe trauma as last resort for severe fractures with • Severe bridge fractures mulple pieces of shell where reconstrucon is necessary. Long term • Obvious major internal injuries, entrails or rehab case. organs prolapsed

Infecon control

CHECK WITH YOUR VET FOR PROPER ANTIBIOTIC TO USE

TERRESTRIAL- CLEAN AND DRY NO SUBSTRATE AQUATIC- SHOULD HAVE WATER AS MUCH AND QUICKLY AS POSSIBLE Release consideraons

• Many turtles thought to have • Three legged turtles can be a rehoming insnct, release in released if normal mobility same area found and able to retract and close • Do not allow witnesses, they shell may return to capture the • Open holes need wound turtle managed, do not release unl • Do not release near obvious shell openings have closed hazards (roads, railroad tracks, • Never release with any cliffs) fractures that have not been • Should not be released with immobilized large area patches on shell • Do not release if cannot • Water turtle wounds should completely close shell with all be healed enough to be limbs pulled inside (hinged waterproof prior to release turtles) DISCUSSION OF SHELL REPAIR MATERIALS AND TECHNIQUES

OLD METHOD:

LONG RECOVERY INVASIVE PAINFUL COSTLY

Resources hp://www.arrowheadreplerescue.org/rehab username: wildlife password: rehab

• Minimum Standards for • ARR turtle triage guide Wildlife Rehabilitaon • Second Chance Wildlife Ohio (IWRC/NWRA) 2014 rehab manual reple • LafeberVet Herp chapter Veterinary Guide • inaturalist.org • Merck Veterinary Manual • Natureserve.org • ARR Reple formulary • Reple Medicine and • Chelonian Emergency and Surgery, 2e (Mader, Crical Care Douglas) • Reple clinician’s handbook (Frye, Fredric)