Langford Veterinary Services, University of Bristol, Langford House, Langford, Bristol BS40 5DU, UK.
J Feline Med Surg. 2021 Jul;23(7):649-661. doi: 10.1177/1098612X211021539.
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.
While some cats with patellar fractures will do well with conservative management, surgical treatment is often indicated and decision-making can be challenging.
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.
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.
虽然猫髌骨骨折在临床上并不常见，但它们往往更容易发生在年轻的猫身上；没有发现任何品种或性别倾向。如果没有创伤病因的证据，猫可能被怀疑患有髌骨骨折和牙异常综合征（PADS）。髌骨骨折在侧位 X 光片上很容易诊断，有几种不同的骨折类型。骨折的类型、猫骨折时的年龄以及是否怀疑有病理病因，在考虑治疗技术时都很重要。
虽然一些髌骨骨折的猫通过保守治疗可以恢复良好，但通常需要手术治疗，因此决策可能具有挑战性。
本综述中提供的信息和建议是基于文献和作者自己的临床经验。有几篇关于 PADS 的出版物，但对于这种疾病的潜在原因仍缺乏证据，管理髌骨骨折的最佳方法仍然是一个需要更多研究的领域。
本综述旨在收集过去几十年发表的论文、病例系列和病例报告，以讨论如何最好地管理不同类型的髌骨骨折。
