Tibial crest avulsion in a cat.

Re: Tibial crest avulsion in a cat.

Clive Ansell — Fri, 12 Aug 2011 19:22:26 GMT

Hi Ben,

Patella felt normal during euga. acute onset about 4 days ago. presented and rads 2 days ago, very active cat, jumps fences etc.

Responding well to cage rest and metacam, and using the limb so far, so conservative management the way to go i feel.

Re: Tibial crest avulsion in a cat.

Ben Walton — Fri, 12 Aug 2011 19:16:27 GMT

Hi Clive,

Speed of onset?

There's mineralisation in the meniscus, possible enthesiophyte distal PT, and it seems like there might be patellar alta. Is the patella stable?

Cheers,

Ben

Re: Tibial crest avulsion in a cat.

Evelyn Barbour-Hill — Fri, 12 Aug 2011 18:08:16 GMT

I'm no orthopod, but: ()

I don't think there's a displacement. I'm puzzled by the appearance of the other stifle!

Flexed views can help.

Re: Tibial crest avulsion in a cat.

Chris Barker — Fri, 12 Aug 2011 18:00:09 GMT

Sorry to be contrary but I see no displacement, no avulsion here. Certainly delayed fusion of the 'physis' underlying the tibial crest, although the tibial plateau seems fairly 'stuck down' with closure of that part of the physis No idea if such 'pathology' is painful, but I certainly wouldn't be diving in surgically

Chris B

Re: Tibial crest avulsion in a cat.

Clive Ansell — Fri, 12 Aug 2011 16:58:04 GMT

[quote user="Evelyn Barbour-Hill"]

Eeee, I'm that old-fashioned, I'd want to see the un-modified radiograph before deciding anything!

[/quote]

OK best I can do

Left, affected limb.

Right, normal limb

Re: Tibial crest avulsion in a cat.

Evelyn Barbour-Hill — Fri, 12 Aug 2011 15:46:45 GMT

Eeee, I'm that old-fashioned, I'd want to see the un-modified radiograph before deciding anything!

Re: Tibial crest avulsion in a cat.

jamie winstone — Fri, 12 Aug 2011 14:07:05 GMT

Although I have never seen this injury in a cat, I would cage rest everytime assuming the origonal injury had a traumatic origon.

In dogs within 2-3 weeks they are practically sound. In fact the only dog that had had a persistent problem was one that had extensive metal work put in it.

Jamie