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猫科动物膝关节骨软骨病:病例系列及文献综述

Osteochondrosis in the feline stifle: a case series and literature review.

作者信息

Langley-Hobbs Sorrel J, Pérez López Pablo, Gower Jess, Perry Karen L

机构信息

Langford Small Animal Hospital, Langford House, University of Bristol, Bristol, UK.

Pride Veterinary Centre, Derby, UK.

出版信息

J Feline Med Surg. 2025 Mar;27(3):1098612X241297823. doi: 10.1177/1098612X241297823. Epub 2025 Mar 20.

Abstract

Case series summaryInformation is presented on six new cats with stifle osteochondrosis (OC). In the veterinary literature, there are only four single case reports on cats with this condition. Combining the six new cases with the four previously published cases, we have summarised the current knowledge on stifle OC in the cat. Overall, among the 10 cats, the condition was bilateral in three cats and unilateral in seven. The mean age at presentation was 10.5 months (median 7). Seven cats were male, of which six were castrated, and the three female cats were spayed. Of the cats, five were domestic shorthairs, two were Maine Coons and there was one each of Bengal, Devon Rex and Scottish Fold. The OC lesion affected the lateral aspect of the femoral condyle in seven cats and the medial aspect of the femoral condyle in three cats. All the cats with lesions of the medial aspect of the femoral condyle had unilateral lesions and two of these cats had concurrent medial patellar luxation. All three bilaterally affected cats had lateral femoral condylar lesions. Follow-up of at least 4 weeks was available for 8/10 cats. The lameness resolved or improved in all eight cats: in six cats after surgical debridement of an osteochondritis dissecans (OCD) lesion and in two after conservative management.Relevance and novel informationStifle OC or OCD should be a differential diagnosis for immature cats presenting with stifle lameness, stiffness or difficulty jumping and stifle joint effusions. Patellar luxation may be a concurrent diagnosis.

摘要

病例系列总结

介绍了6只患有 stifle 骨软骨病(OC)的新猫的情况。在兽医文献中,仅有4篇关于患有此病的猫的单病例报告。将这6例新病例与之前发表的4例病例相结合,我们总结了目前关于猫 stifle OC 的知识。总体而言,在这10只猫中,3只为双侧患病,7只为单侧患病。出现症状时的平均年龄为10.5个月(中位数为7个月)。7只为雄性猫,其中6只已绝育,3只雌性猫已做卵巢子宫切除术。这些猫中,5只为家猫短毛品种,2只为缅因库恩猫,还有1只孟加拉猫、1只德文卷毛猫和1只苏格兰折耳猫。OC 病变在7只猫中影响股骨髁外侧,在3只猫中影响股骨髁内侧。所有股骨髁内侧有病变的猫均为单侧病变,其中2只同时伴有内侧髌骨脱位。所有3只双侧患病的猫均有股骨髁外侧病变。10只猫中有8只获得了至少4周的随访。所有8只猫的跛行症状均得到缓解或改善:6只猫在对分离性骨软骨炎(OCD)病变进行手术清创后症状改善,2只猫在保守治疗后症状改善。

相关性和新信息

Stifle OC 或 OCD 应作为出现 stifle 跛行、僵硬或跳跃困难以及 stifle 关节积液的未成熟猫的鉴别诊断。髌骨脱位可能是同时存在的诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/daa5/11924091/360761e9b6a6/10.1177_1098612X241297823-fig1.jpg

相似文献

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本文引用的文献

1
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Femoral condyle lesion similar to osteochondritis dissecans.类似于剥脱性骨软骨炎的股骨髁病变。
Vet Comp Orthop Traumatol. 2010;23(5):377-8. doi: 10.3415/VCOT-10-01-0007.
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Etiology and pathogenesis of osteochondrosis.骨软骨病的病因与发病机制。
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