Palierne S, Palissier F, Raymond-Letron I, Autefage A
Ecole Nationale Vétérinaire, 23 chemin des Capelles, Toulouse, 31076, France.
Vet Comp Orthop Traumatol. 2010;23(2):128-33. doi: 10.3415/VCOT-09-06-0066. Epub 2010 Feb 11.
Fracture of the patella associated with bilateral osteochondrosis of the superior pole of the patella in a 14-week-old cat is reported with histological findings. Patellar osteochondrosis has been described in humans, horses, pigs, and dogs and is characterised by incomplete union of the ossification centres related to an abnormal process of endochondral ossification. However this disease has not yet been described in cats. Macroscopically, two main fragments separated by interposed tissue were identified on the left patella. In contrast, no fracture but only a fissuration of the articular cartilage was observed on the right patella. Bilateral partial patellectomy was performed. Histological examination of the excised fragments from the left patella revealed two main areas of trabecular bone separated by a wide irregular band of hyaline cartilage. The microscopic aspect of the right patella was similar to that of the left. Serial sections showed the initial appearance of an area of necrosis in the central band of hyaline cartilage, and that this hyaline cartilage was subsequently replaced by fibrovascular connective tissue. These findings indicate that some patellar fractures may be due to patellar osteochondrosis.
本文报告了一例14周龄猫髌骨骨折合并双侧髌骨上极骨软骨病的病例,并给出了组织学检查结果。髌骨骨软骨病已在人类、马、猪和犬类中有所描述,其特征是与软骨内成骨异常过程相关的骨化中心不完全愈合。然而,这种疾病在猫中尚未见报道。肉眼可见,左侧髌骨上有两个主要碎片,中间由插入组织分隔。相比之下,右侧髌骨未见骨折,仅观察到关节软骨有裂隙。遂实施了双侧部分髌骨切除术。对左侧髌骨切除碎片的组织学检查显示,有两个主要的小梁骨区域,中间被一条宽阔的不规则透明软骨带分隔。右侧髌骨的微观表现与左侧相似。连续切片显示,透明软骨中央带出现了坏死区域,随后该透明软骨被纤维血管结缔组织取代。这些发现表明,某些髌骨骨折可能是由髌骨骨软骨病引起的。