Bilateral femoral capital physeal fractures in an adult cat
                    with suspected congenital primary hypothyroidism

Diehm, Marius; Dening, Ricarda; Dziallas, Peter; Wohlsein, P.; Schmicke, Marion; Mischke, R.

doi:10.1055/a-0806-8986

Cited by 5 publications

(3 citation statements)

References 26 publications

(30 reference statements)

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“…Recent studies revealed that 1 out of 2000 babies is born with CH 15. In dogs and cats, this condition is rare with only a few cases reported for each species 4 5 13 14 16–28. When a young dog or cat is presented with lethargy, disproportionate dwarfism and a juvenile hair coat, CH should always be considered in the differential diagnosis 29.…”

Section: Discussionmentioning

confidence: 99%

Clinical and diagnostic findings in a dog and a cat with congenital hypothyroidism

Hermans

Burger

Kromhout

et al. 2020

Vet Record Case Reports

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A seven‐year‐old Miniature Schnauzer and a 16‐month‐old Domestic shorthair with clinical features of disproportionate dwarfism, presented with progressive thoracolumbar and cervical myelopathies, respectively. CT and MR imaging were performed in both patients revealing multiple thoracolumbar intervertebral disc protrusions located between T10 and L3 in the dog, and a cervical spinal arachnoid diverticulum at C2 in the cat as the cause for their myelopathic signs. Additionally, epiphysial dysgenesis of the vertebral column and shortened vertebrae were noticed. The history of hypothyroidism in the dog and the low serum thyroxine and elevated thyroid stimulating hormone concentration in the cat, together with the clinical presentations and the skeletal deformities, resulted in the diagnosis of congenital hypothyroidism in both patients. Congenital hypothyroidism is known to cause vertebral deformities and joint laxity, which possibly contributed in both cases to the development of the myelopathic disorders. Surgical treatment, combined with levothyroxine therapy, resulted in successful outcomes.

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Section: Discussionmentioning

confidence: 99%

Clinical and diagnostic findings in a dog and a cat with congenital hypothyroidism

Hermans

Burger

Kromhout

et al. 2020

Vet Record Case Reports

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“…These typically occur secondarily to physeal dysplasia and metaphyseal disorders, with a higher incidence in overweight, male, neutered cats and in certain breeds of pedigree cat. 30,[35][36][37][38][39][40][41][42] They can usually be identified by the lack of a history of trauma, often progressive clinical signs, a potential for bilateral lesions and signalment. Two pathological entities are described.…”

Section: Proximal Physeal Fractures and Femoral Neck Fracturesmentioning

confidence: 99%

Feline Femoral Fracture Fixation: What are the options?

Roberts

Meeson

2022

Journal of Feline Medicine and Surgery

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Practical relevance: The femur is the most commonly fractured bone in cats. Femoral fractures usually result from high-velocity trauma such as a road traffic accident or fall from a height and, as such, are associated with a wide variety of concurrent injuries. The initial focus of treatment should always be on assessment and stabilisation of the major body systems. Once any concurrent injuries have been addressed, all femoral fractures need surgical stabilisation, with the notable exception of greenstick fractures in very young cats, which can heal with cage rest alone. A number of different surgical options are available depending on the fracture type, location, equipment, surgeon experience and owner finances. Clinical challenges: Femoral fractures can vary hugely in complexity and the small size of feline bones can limit the choice of implants. Furthermore, cats can present unique challenges in the postoperative period due to their active nature and the limited means to control their exercise level. Audience: This review is aimed at general and feline-specific practitioners who have some experience of feline orthopaedics, as well as those simply wishing to expand their knowledge. Aims: The aim of this review is to help clinicians assess, plan and manage feline femoral fractures. It provides an overview of diagnostic imaging and a discussion of a range of suitable surgical options, including the principles of different types of fixation. It also highlights cat-specific issues, approaches and implants pertinent to the management of these cases. Evidence base: A number of original articles and textbook chapters covering many aspects of femoral fractures in cats and dogs have been published. Where possible, this review draws on information from key feline research and, where necessary, extrapolates from relevant canine literature. The authors also offer practical guidance based on their own clinical experience.

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“…Despite this, there is a lack of information related to non-traumatic "acetabular physeal fractures" (APFs). The acetabular physis closes between 20 and 24 weeks of age [1], and it is unknown whether APFs share an etiological link with "Feline Epiphyseal Dysplasia Syndrome", where spontaneous fractures of the femoral head are described [5][6][7][8] in male patients, typically early-neutered, young, obese [8], and/or hypothyroid [9]. There are no data in the literature supporting a similar theory for the origin of APF.…”

Section: Introductionmentioning

confidence: 99%

A Bilateral Acetabular Physeal Fracture Treated with External Fixation in an Immature Cat

Flores,

Rovesti,

Rodriguez-Quiros

2024

Animals

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This study aimed to assess the outcome of a bilateral acetabular physeal fracture treated with external fixation in an immature cat, a surgical technique not usually employed in immature patients. The fixator took 40 days, and it was removed after radiographic bone healing was achieved. No significant complications related to the technique were identified, and the outcome was classified as good based on the functional assessment and pain scales employed. The use of external fixation for stabilising acetabular fractures in immature cats should be considered a viable technical option, especially for minimally invasive stabilisation.

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Bilateral femoral capital physeal fractures in an adult cat with suspected congenital primary hypothyroidism

Cited by 5 publications

References 26 publications

Clinical and diagnostic findings in a dog and a cat with congenital hypothyroidism

Clinical and diagnostic findings in a dog and a cat with congenital hypothyroidism

Feline Femoral Fracture Fixation: What are the options?

A Bilateral Acetabular Physeal Fracture Treated with External Fixation in an Immature Cat

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