CC BY 4.0 · VCOT Open 2020; 03(02): e140-e145
DOI: 10.1055/s-0040-1717105
Case Report

Modified Circumcostal Suture Stabilization of Scapular Avulsion in a Maine Coon Cat

Victoria J. Roberts
1  Pride Veterinary Centre, Riverside Road, Derby, United Kingdom
,
Oliver Gilman
2  Highcroft Veterinary Referrals, Whitchurch, Bristol, United Kingdom
,
3  IVC Evidensia Netherlands Dierenziekenhuis Hart van Brabant, Waalwijk, the Netherlands
,
Ricardo De Sousa
4  Hamilton Specialist Referrals, Buckinghamshire, United Kingdom
› Author Affiliations

Abstract

This study describes the surgical management of a traumatic scapular avulsion including complications and clinical outcome in a 3-year-old Maine Coon cat. Traumatic scapular avulsion was diagnosed clinically and confirmed on a computed tomography scan, alongside severe scapula displacement. The scapula was stabilized surgically by the placement of two circumcostal sutures, through paired bone tunnels drilled both cranial and caudal to the base of the scapular spine, and two sutures passing through bone tunnels in the dorsal border of the scapula bone secured to the serratus ventralis muscle. The cat was able to bear weight on the affected limb within 48 hours of surgery; however, limb function subsequently deteriorated at home. Revision surgery was required 14 days postoperatively to replace failed polydioxanone suture with ultra-high molecular weight polyethylene suture (Fiberwire). Following revision surgery, the cat had a very acceptable functional outcome, with scapular stability and only intermittent lameness/stiffness noted in the medium-term follow-up. The present case report demonstrates that the described modified surgical technique may be used successfully in the treatment of scapular avulsion in cats and restores acceptable function to the affected limb.



Publication History

Received: 31 March 2020

Accepted: 24 August 2020

Publication Date:
07 October 2020 (online)

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Georg Thieme Verlag KG
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