Cusack Lara, Johnson Matthew
St. Matthew's University School of Veterinary Medicine, Grand Cayman, British West Indies.
J Am Anim Hosp Assoc. 2013 Jul-Aug;49(4):267-72. doi: 10.5326/JAAHA-MS-5872. Epub 2013 May 20.
A 4 yr old spayed female domestic shorthair was evaluated for an acute, nonweight-bearing, left hind limb lameness. Following 2 wk of conservative management without clinical improvement, the patient was referred for further examination. The stifle was palpably enlarged with suspected periarticular fibrosis. Radiographs showed a lateral longitudinal patellar fracture as well as a medial patellar luxation. Arthroscopic examination of the stifle and repair of the patellar fracture and luxation were performed with an excellent clinical outcome. Nine weeks postoperatively, the owners reported that the cat was using the leg normally inside, and re-examination revealed no pain or crepitus with manipulation of the limb. To the authors' knowledge, this is the first reported use of arthroscopy as a diagnostic tool and of suture reduction for fracture repair in the management of feline patellar injury.
一只4岁已绝育的雌性家养短毛猫因急性非负重性左后肢跛行前来就诊。经过2周的保守治疗但无临床改善后，该患者被转诊进行进一步检查。触诊发现膝关节明显肿大，怀疑有关节周围纤维化。X线片显示髌骨外侧纵向骨折以及髌骨内侧脱位。对膝关节进行了关节镜检查，并对髌骨骨折和脱位进行了修复，临床效果良好。术后9周，主人报告说这只猫在室内能正常使用该肢体，再次检查发现对该肢体进行操作时无疼痛或摩擦感。据作者所知，这是首次报道在猫髌骨损伤的治疗中使用关节镜作为诊断工具以及使用缝线复位进行骨折修复。
