Fibrotic myopathy of the iliopsoas muscle in a dog

Adrega C. Da Silva; F. Bernard; J.F. Bardet; V. Théau; P. M. Krimer

doi:10.3415/VCOT-08-03-0031

Veterinary and Comparative Orthopaedics and Traumatology, Inhaltsverzeichnis

Vet Comp Orthop Traumatol 2009; 22(03): 238-242
DOI: 10.3415/VCOT-08-03-0031

Case Report

Schattauer GmbH

Fibrotic myopathy of the iliopsoas muscle in a dog

Autoren

Adrega C. Da Silva

¹Bardet Referral Clinic, Neuilly-sur-Seine, France
F. Bernard

²University Veterinary Hospital, University College Dublin, Dublin, Republic of Ireland
J.F. Bardet

¹Bardet Referral Clinic, Neuilly-sur-Seine, France
V. Théau

³Laboratoire d’Anatomie Pathologique Vétérinaire d’Amboise, Amboise, France
P. M. Krimer

⁴Athens Veterinary Diagnostic Laboratory, College of Veterinary Medicine, University of Georgia, Athens, Georgia, USA

Abstract

Summary

Fibrosis of the iliopsoas muscle can result in pelvic limb lameness in dogs. In this case report we describe fibrosis after an initial injury of the iliopsoas muscle in a dog. A seven-year-old hunting dog developed an acute onset of lameness and pain of the left pelvic limb after an intense period of exercise. Two months later, the dog was referred for evaluation of a non-weight-bearing left pelvic limb lameness. Orthopaedic examination revealed pain on hyperextension and internal rotation of the left coxofemoral joint. Neurological examination revealed a decreased patellar reflex in the left pelvic limb. Computed tomographic images showed non-uniform, contrast enhancement of the left iliopsoas muscle. The animal was treated with an iliopsoas tenomyectomy. Histopathological examination of the affected iliopsoas muscle revealed endomysial and perimysial mature fibrous replacement tissue. Sixteen weeks after surgery, the dog had returned to pre-injury levels of exercise.

Keywords

Canine - iliopsoas muscle - fibrotic myopathy - computed tomography

Volltext

Referenzen

References
1 Montgomery R, Fitch R. Muscle and tendon disorders. In: Slatter (ed): Textbook of Small Animal Surgery. 3^rd ed. Saunders 2002; 2264-2271.
2 Taylor J, Tangner CH. Acquired muscle contractures in the dog and cat. A review of the literature and case report. Vet Comp Orthop Traumatol 2007; 20: 79-85.
3 Morelli V, Smith V. Groin injuries in athletes. Am Fam Phys 2001; 64: 1405-1414.
4 Nikolaou PK, Macdonald BL, Glisson RR. et al. Bio-mechanical and histological evaluation of muscle after controlled strain injury. Am J Sports Med 1987; 15: 9-14.
5 Blebea J, Kerr JC, Shumko JZ. et al. Quantitative histochemical evaluation of skeletal muscle ischemia and reperfusion injury. J Surg Research 1987; 43: 311-321.
6 Steiss J. Muscle disorders and rehabilitation in canine athletes. Vet Clin North Am Small Anim Pract 2002; 32: 267-285.
7 Vaughan LC. Muscle and tendon injuries in dogs. J Small Anim Pract 1979; 20: 711-736.
8 Eaton-Wells RD. Muscle injuries in the Racing Greyhound. In: Bloomberg, Dee, Taylor (eds): Canine Sports Medicine and Surgery. Philadelphia: W.B. Saunders Company 1998; 84-91.
9 Fitch RB, Jaffe MH. et al. Muscle injuries in dogs. Compend Contin Educ Pract Vet 1997; 19: 947-957.
10 Piras A. Muscle and tendon injuries and diagnosis, treatment and prognosis. In: Proceedings 13th Eur Soc Vet Orthop Traumatol Cong. 2006: 121-125.
11 Roe SC. Injury and diseases of tendons. In: Bloom-berg, Dee, Taylor (eds): Canine Sports Medicine and Surgery. Philadelphia: W.B. Saunders Company; 1998: 92-99.
12 El-Khoury GY, Brandser EA, Kathol MH. et al. Imaging of muscle injuries. Skeletal Radiol 1996; 25: 3-11.
13 Johnson JA, Austin C, Breuer GJ. Incidence of canine Appendicular musculoskeletal disorders in 16 veterinary teaching hospitals from 1980 through 1989. Vet Comp Orthop Traumatol 1994; 7: 56-69.
14 Breur GJ, Blevins WE. Traumatic injury of the iliopsoas muscle in three dogs. J Am Vet Med Assoc 1997; 210: 1631-1634.
15 Nielsen C, Pluhar E. Diagnosis and treatment of hind limb muscle strain injuries in 22 dogs. Vet Comp Orthop Traumatol 2005; 18: 247-253.
16 Turner AS, Trotter GW. Fibrotic myopathy in the horse. J Am Vet Med Assoc 1984; 184: 335-338.
17 Carberry CA, Flanders JA. Quadriceps contracture in a cat. J Am Vet Med Assoc 1986; 198: 1329.
18 Valentine BA, Rousselle SD, Sams AE. et al. Denervation atrophy in three horses with fibrotic myopathy. J Am Vet Med Assoc 1994; 205: 332-336.
19 Dabareiner RM, Schmitz DG, Honnas CM. et al. Gracilis muscle injury as a cause of lameness in two horses. J Am Vet Med Assoc 2004; 224: 1630-1633.
20 Lewis DD. Fibrotic myopathy of the semitendinosus muscle in a cat. J Am Vet Med Assoc 1988; 193: 240-241.
21 Shanmugasundarum TK. Post-injection fibrosis of skeletal muscle: a clinical problem. Int Orthop 1980; 4: 31-37.
22 Bardet JF, Hohn RB. Quadriceps contracture in dogs. J Am Vet Med Assoc 1983; 183: 680-684.
23 Lobetti RG, Hill TP. Sartorius muscle contracture in a dog. S Afr Vet Ver 1994; 65: 28-30.
24 Stepnik MW, Olby N, Thompson RR. et al. Femoral neuropathy in a dog with iliopsoas muscle injury. Vet Surg 2006; 35: 186-190.
25 Garrett WE, Califf JC, Bassett 3rd FH. Histochemical correlates of hamstring injuries. Am J Sports Med 1984; 12: 98-103.
26 Rossmeisl JH, Rohleder JJ, Hancock R. et al. Computed tomographic features of suspected traumatic injury to the iliopsoas and pelvic limb musculature of a dog. Vet Radiol Ultrasound 2004; 45: 388-392.
27 Hoskinson JJ, Tucker RL. Diagnostic imaging of lameness in small animals. Vet Clin North Am Small Anim Pract 2001; 31: 165-180.
28 Siems JJ, Breur GJ, Blevins WE. et al. Use of two-dimensional real-time ultrasonography for diagnosis contracture and strain of the infraspinatus muscle in a dog. J Am Vet Med Assoc 1998; 212: 77-80.
29 Bohndorf K, Kilcoyne RF. Traumatic injuries: imaging of peripheral musculoskeletal injuries. Eur Radiol 2002; 12: 1605-1616.
30 Garrett WE, Rich FR, Nicolaou PK. et al. Computed tomography of hamstring muscle strains. Med Sci Sports Exerc 1989; 21: 506-514.
31 Genant HK, Wilson JS, Bovill EG. et al. Computed tomography of the musculoskeletal system. J Bone Joint Surg 1980; 62 A 1088-1100.
32 Speer KP, Lohnes J, Garrett Jr WE. Radiographic imaging of muscle strain injury. Am J Sports Med 1993; 21: 89-96.
33 Gupta AK, Cohan RH. The retroperitoneum. In: CT and MRI Imaging of the Whole Body. vol 2. 4th ed Haaga JR, Lanzieri CF, Gilkeson RC. Mosby. 2002: 1705-1714.
34 Akermark C, Johansson C. Tenotomy of the adductor longus tendon in the treatment of chronic groin pain in athletes. Am J Sports Med 1992; 20: 640-643.
35 Lorenz MD, Kornegay JN. Handbook of Veterinary Neurology. 3rd ed. ((place)): W.B. Saunders Company, 2004.
36 Giuliani G, Poppi M, Acciarri N. et al. CT scan and surgical treatment of traumatic iliacus hematoma with femoral neuropathy: case report. J Trauma 1990; 30: 229-231.
37 Kumar S, Anantham J, Wan Z. Posttraumatic hematoma of iliopsoas muscle with paralysis of the femoral nerve. J Orthop Trauma 1992; 6: 110-112.
38 Lorei MP, Hershman EB. Peripheral nerve injuries in athletes. Sports Medicine 1993; 16: 130-147.
39 Seijo-Martínez M, Castro del Rio M, Fontoira E. et al. Acute femoral neuropathy secondary to an iliacus muscle hematoma. J Neurol Sci 2003; 209: 119-122.
40 Takami H, Takahashi S, Ando M. Traumatic rupture of iliacus muscle with femoral nerve paralysis. J Trauma 1983; 23: 253-254.
41 Tucker DW, Olsen D, Kraft SL. et al. Primary hemangiosarcoma of the iliopsoas muscle eliciting a peripheral neuropathy. J Am Anim Hosp Assoc 2000; 36: 163-167.