Quadriceps Contracture and Fracture Disease

Bardet, J

doi:10.1016/s0195-5616(87)50087-0

Cited by 25 publications

(29 citation statements)

References 41 publications

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“…When comparing the etiological factors, clinical, radiological and pathological examinations in our cases with available literatures, they are accorded with a number of limited articles [1][2][3][4]6,11,12,16,17 . Recurrent extreme passive motions caused bleeding, rupture of muscle and adhesions in the region 6 .…”

Section: Discussionmentioning

confidence: 99%

“…Before any treatment, QC must be considered as a complicated disease and for this reason 3 ; radiological and clinical examinations must be done attentively 1,4 . The ultimate outcome of cases with QC depends on the duration of immobilization 18 , age, and extent to which other complications such as hip luxation, patella alta, osteo- .…”

Section: Discussionmentioning

confidence: 99%

“…The metabolical, biomechanical, biochemical and structural changes are indicated on the soft tissues, are aff ected by long-term immobilization 18,19 . These changes are seen on youngs more frequently than the older dogs 1,4,18,20 . Some colleagues reported various techniques on treatment of QC, such as; isolation of adhesions, "Z" type myoplasty of FQM, femoral cuneiform osteotomy, Kirschner-Ehmer External Skeletal Fixator [1][2][3][4]6,16,17 .…”

Section: Introductionmentioning

confidence: 93%

“…These changes are seen on youngs more frequently than the older dogs 1,4,18,20 . Some colleagues reported various techniques on treatment of QC, such as; isolation of adhesions, "Z" type myoplasty of FQM, femoral cuneiform osteotomy, Kirschner-Ehmer External Skeletal Fixator [1][2][3][4]6,16,17 .…”

Section: Introductionmentioning

confidence: 93%

“…Quadriceps Contracture (QC) is a disease which is seen as a congenital deformity [1][2][3] or as a complication of puppies fractures of the femur [1][2][3][4][5] . This disease is also known as İleti şim (Correspondence) +90 312 3170315 hbilgilitr@yahoo.com Quadriceps contracture generally occurs in 3-monthold puppies 1,2,4 , is also known as the critical period, as a result of improper treatment of distal femoral fractures [6][7][8][9] and fixation methods 2,5,[10][11][12][13][14] , long-term immobilization in a bandage 4,5 , besides, traumas on distal region of the femur, local ischemia, haematoma, contusion of muscle, repeated patellar luxation, fractures of the tibia 1,6,15 and complication of toxoplasmosis 3 .…”

Section: Introductionmentioning

confidence: 99%

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İki Kedi ve On Köpekte Quadriceps Femoris Kası Kontraktürünün Sağaltım Teknikleri

Ulusan¹,

Captug-Ozdemir²,

Gul-Sancak³

et al. 2009

Kafkas Univ Vet Fak Derg

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SummaryThis study was performed on 10 dogs and 2 cats, were shown quadriceps contracture (QC). The etiological history was indicated that QC occurred as a result of improper bandage application or operations due to femoral fractures in 11 cases or congenital in one case. Long-term immobilization (for 35-45 days) in a bandage and deficiency of rigid fixation with hyperextention on stifl e joint caused QC. Hyperextension on stifl e and hock joints, hardness on femoral quadriceps muscle (FQM), atrophy of FQM and aff ected limb, genu recurvatum, patella alta and coxofemoral luxations were observed on cases. According to the degrees of QC, combined treatment methods such as; external skeletal fixation, cuneiform osteotomy of femur, isolation of adhesions, "Z" type myoplasty of FQM, tibial tuberosity transposition, stifl e arthrodesis or extremity amputation were applied on cases. The outcomes were "good" for 9 cases, "poor" for 2 cases and one case couldn't be followed. Prognosis of QC is altered for ages, immobilization time and period, femoral shortening, coxofemoral luxation and patella alta, etc. The whole recovery of QC is extremely poor and lameness is permanent on aff ected limb, in spite of treatment. In conclusions, distal femoral fractures on juvenile dogs and cats (especially 0-3 months age period) should be treated with an appropriate method and performed rigid fixation. In postoperative period, long-term immobilization in a bandage can be prevented. Keywords: Cat, Dog, Femoral quadriceps muscle contracture, Stifl e joint İki Kedi ve On Köpekte Quadriceps Femoris Kası Kontraktürünün Sağaltım Teknikleri ÖzetBu çalışma Quadriceps kontraktürlü (QK), 10 köpek ve 2 kedi üzerinde gerçekleştirildi. Olguların etiyolojilerinde QK'nün 11 olguda femur kırıklarının ardından hatalı bandaj uygulanması ya da operasyonu sonucunda, 1 olguda ise, konjenital olarak şekillendiği görülmüştür. Uzun süreli bandaj uygulaması (35-45 gün) ve hiperekstensiyondaki diz ekleminde rijid fiksasyonun bozulması QK'ne yol açmaktadır. Olgularda diz ve tarsal eklemlerinde hiperekstensiyon, quadriceps kasında sertleşme, atrofi ve coxofemoral luksasyon görülmüştür. Quadriceps kontraktürü'nün derecesine bağlı olarak, olgulara; eksternal fiksatör, femurun kuneiform osteotomisi, adezyonların açılması, quadriceps kasının "Z" tip miyoplastisi, tuberositas tibia'nın transpozisyonu, diz eklemi artrodezi ya da amputasyon şeklinde kombine sağaltım seçenekleri uygulanmıştır. 9 olguda "iyi", 2 olguda "zayıf" sonuç elde edilirken, 1 olgu'nun takibi yapılamamıştır. Quadriceps kontraktürü'nde prognoz; yaşa, immobilizasyonun süresi ve periyoduna, femoral kısalığa, coxofemoral luksasyona ve patella alta'ya bağlı olarak değişmektedir. Quadriceps kontraktürü'nde iyileşme genelde zayıftır ve ilgili ekstremite de topallık kalıcıdır. Sonuç olarak; juvenil köpek ve kedilerde (genellikle 0-3 aylık dönemde) distal femur kırıkları uygun tedavi yöntemi ile sağaltılmalı ve rijid fiksasyon uygulanmalıdır. Postoperatif dönemde ise bandaj ile uzun süreli immobilizasyondan ...

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%