Two cases of surgically treated feline patellar fractures

Guillaumot, Pierre; Scotti, Stéfano; Carozzo, Claude; Bouvy, Bernard; Genevois, Jean-Pierre

doi:10.3415/vcot-07-05-0055

Cited by 8 publications

(9 citation statements)

References 3 publications

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“…2–14 Reported types and orientations of fractures include simple, transverse, comminuted, longitudinal, longitudinal oblique, marginal and polar. 2–14 Patellar fractures can also be divided into traumatic or pathological fractures. 7,9…”

Section: Nature Of Patellar Fracturementioning

confidence: 99%

“…A skyline view (cranioproximal to craniodistal oblique view of the patella and trochlear groove) can be a useful addition when identifying longitudinal fractures. 7,8 Stressed views can assist in decision-making for treatment. By taking views with the stifle in both a neutral and then flexed position, the gap between the patellar fracture fragments can be measured, giving an indication of the degree of instability of the fracture (Figure 4).…”

Section: Diagnostic Imagingmentioning

confidence: 99%

“…Kittens usually sustain patellar fractures at 4–6 months of age and present with acute-onset lameness. The fracture is usually unilateral 8 and transverse in origin. These fractures may be traumatic due to excessive contraction of the quadriceps (indirect fracture) but there is often a history of vigorous activity or a fall.…”

Section: Treatment Decision-making and Outcomesmentioning

confidence: 99%

“…A longitudinal patellar fracture with luxation of a large medial fragment in a 2.5-year-old cat was treated by reduction of the large medial fragment and lateral marginal patellectomy, with a good outcome. 8…”

Section: Treatment Decision-making and Outcomesmentioning

confidence: 99%

“…Four further traumatic patellar fractures with simple longitudinal or mildly comminuted longitudinal fracture fragments all treated surgically, 7,8,13 either by removal of small fragments or pin and tension band wire stabilisation of larger fracture fragments, 7 have been reported with good outcomes where follow-up was available. Patellar luxation may need to be addressed by specific techniques such as recession sulcoplasty or tibial tuberosity transposition (Figure 4), although this does not seem to have been necessary in the reported cases.…”

Section: Treatment Decision-making and Outcomesmentioning

confidence: 99%

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Patellar fractures in cats: Repair techniques and treatment decision-making

Langley‐Hobbs

2021

Journal of Feline Medicine and Surgery

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Practical relevance: While feline patellar fractures are not commonly encountered in practice, they tend to be found more often in younger cats; no breed or sex predispositions are recognised. If there is no evidence of a traumatic aetiology, the cat may be suspected of having patellar fracture and dental anomaly syndrome (PADS). Patellar fractures are easy to diagnose on lateral radiographs and there are several different fracture types. The type of fracture, the age of the cat at fracture occurrence and whether there is suspicion of a pathological aetiology are all relevant when considering treatment technique. Clinical challenges: While some cats with patellar fractures will do well with conservative management, surgical treatment is often indicated and decision-making can be challenging. Evidence base: Information and recommendations provided in this review are based on the literature and the author’s own clinical experience. There are several publications on PADS, but there is limited evidence as to what the underlying cause of this condition is, and the best method for managing patellar fractures is still an area where more research is needed. Aim: This review aims to gather the papers, case series and case reports published over the past few decades in order to discuss how best to manage different types of patellar fractures.

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Section: Nature Of Patellar Fracturementioning

confidence: 99%

Section: Diagnostic Imagingmentioning

confidence: 99%

Section: Treatment Decision-making and Outcomesmentioning

confidence: 99%

Section: Treatment Decision-making and Outcomesmentioning

confidence: 99%

Section: Treatment Decision-making and Outcomesmentioning

confidence: 99%

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Patellar fractures in cats: Repair techniques and treatment decision-making

Langley‐Hobbs

2021

Journal of Feline Medicine and Surgery

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Diagnostic Imaging of the Canine Stifle: A Review

Marino

Loughin

2010

Veterinary Surgery

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The stifle joint, a common location for lameness in dogs, is a complex arrangement of osseous, articular, fibrocartilaginous, and ligamentous structures. The small size of its component structures, restricted joint space, and its intricate composition make successful diagnostic imaging a challenge. Different tissue types and their superimposition limit successful diagnostic imaging with a single modality. Most modalities exploit the complexity of tissue types found in the canine stifle joint. Improved understanding of the principles of each imaging modality and the properties of the tissues being examined will enhance successful diagnostic imaging.

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Patella fractures in cats with persistent deciduous teeth — Knees and Teeth Syndrome (KaTS)

Langley‐Hobbs

2016

Companion Animal

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Most patellar fractures are seen in young female and male cats aged between 1–3 years. Many affected cats have a history of persistent or retained deciduous teeth, and in some cats their permanent teeth also do not erupt properly. The patellar fractures are usually unilateral at first presentation but become bilateral within 3–9 months. Pin and tension band wire fixation is associated with a high complication rate and often results in further fragmentation of the patella. A technique that does not involve inserting an implant into the sclerotic patella, such as circumferential wiring, tension band without a pin, or a tibial quadriceps repair may be beneficial, but conservative treatment can yield equally good results and is inevitably associated with a lower complication rate. Further work is needed before definitive statements can be made regarding the best treatment for this condition, as there are too low numbers or too many variables in the published retrospective studies. Many affected cats will fracture other bones as they age. An underlying bone or connective tissue disease is suspected in cats with patellar fractures and persistent deciduous teeth, and for ease of discussion and case recruitment the disease has been termed knees and teeth syndrome or KaTS.

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Two cases of surgically treated feline patellar fractures

Cited by 8 publications

References 3 publications

Patellar fractures in cats: Repair techniques and treatment decision-making

Patellar fractures in cats: Repair techniques and treatment decision-making

Diagnostic Imaging of the Canine Stifle: A Review

Patella fractures in cats with persistent deciduous teeth — Knees and Teeth Syndrome (KaTS)

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