Cantatore M, Clements D N
Hospital for Small Animals, Royal (Dick) School of Veterinary Studies, Easter Bush Veterinary Centre, Roslin, Midlothian EH25 9RG.
J Small Anim Pract. 2015 Jun;56(6):417-21. doi: 10.1111/jsap.12358. Epub 2015 Apr 30.
Two cats that developed bilateral calcaneal stress fractures are reported. One cat developed lameness associated with incomplete fractures at the base of both calcanei, both of which progressed to acute, complete fractures 2 months later. The second cat presented with acute complete calcaneal fracture, with evidence of remodelling of the contralateral calcaneus, which subsequently fractured two years later. The calcaneal fractures were successfully stabilised with lateral bone plates in each case. Stress fractures were suspected because of the bilateral nature, the simple and similar configuration, the consistent location of the fractures, the absence of other signs of trauma in both cases and the suspected insidious onset of the lameness. The feline calcaneus is susceptible to stress fracture, and cats presenting with calcaneal fractures without evidence of trauma should be evaluated for concurrent skeletal pathology.
本文报告了两只发生双侧跟骨应力性骨折的猫。一只猫出现跛行,双侧跟骨底部有不完全骨折,两个月后均发展为急性完全骨折。第二只猫表现为急性完全跟骨骨折,对侧跟骨有重塑迹象,两年后该侧跟骨也发生了骨折。在每例中,通过外侧接骨板成功稳定了跟骨骨折。由于骨折具有双侧性、形态简单且相似、骨折位置一致、两例均无其他外伤迹象以及跛行疑似隐匿性发作,故怀疑为应力性骨折。猫的跟骨易发生应力性骨折,对于出现跟骨骨折且无外伤证据的猫,应评估是否存在并发的骨骼病变。