Langley-Hobbs S J
Department of Veterinary Medicine, University of Cambridge, Madingley Road, Cambridge CB3 0ES.
Vet Rec. 2009 Jan 17;164(3):80-6. doi: 10.1136/vr.164.3.80.
Stress fractures of the patella were diagnosed in 34 cats with a mean age of two years and five months. Eighteen of the cats had bilateral fractures with a median interval of three months between fractures. All the fractures were transverse and occurred in the proximal aspect or base of the patella with no evidence of trauma. In 43 of the patellae there was radiographic evidence of sclerosis. Repairs with a pin and tension band in 18 cats resulted in a further fracture or failure of fixation in 86 per cent of the cases that were followed up. Ten of the cats had suffered fractures of other bones at different times to the patellae fractures. In the majority of the cats the fracture formed a functional non-union but some cats remained stiff and lame.
在34只平均年龄为两岁零五个月的猫中诊断出髌骨应力性骨折。其中18只猫为双侧骨折,两次骨折的中位间隔时间为三个月。所有骨折均为横行骨折,发生在髌骨近端或基部,无外伤迹象。43只髌骨有影像学硬化证据。18只猫采用钢针和张力带修复,在随访的病例中,86%出现再次骨折或固定失败。10只猫在髌骨骨折的不同时间还发生了其他骨骼骨折。大多数猫的骨折形成了功能性骨不连,但有些猫仍然关节僵硬且跛行。