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Vet Comp Orthop Traumatol 2009; 22(03): 225-228
DOI: 10.3415/VCOT-08-06-0048
Case Report
Schattauer GmbH

Type-IV variant Monteggia fracture with concurrent proximal radial physeal fracture in a Domestic Shorthaired Cat

Mark A. Bush
1   The Downs Veterinary Practice, Westbury-on-Trym, Bristol, UK
,
Martin R. Owen
2   Department of Clinical Veterinary Science, University of Bristol, Bristol, UK
› Author Affiliations
Further Information

Publication History

Received:04 June 2008

Accepted:22 March 2008

Publication Date:
17 December 2017 (online)

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Summary

A fracture of the proximal 1/3 of the ulna, with concurrent fractures of the proximal radial physis and the distal 1/3 of the diaphysis of the radius occurred in a three-month-old, male, neutered, Domestic Shorthaired cat. The ulnar fracture was stabilised with an intramedullary pin. The proximal radial physeal fracture was reduced and stabilised with two crossed Kirschner wires. The proximal radius was secured to the ulna with an additional Kirschner wire. The distal radial diaphyseal fracture was stabilised with a five-hole, 2.0 mm dynamic compression plate (DCP). Six weeks postoperatively the cat was using the limb comfortably and demonstrated a full range of motion of the elbow joint. There were radiographic signs of fracture union and the radioulnar pin had migrated. The Kirschner wires were removed. Follow-up at 18 months postoperatively revealed that the cat was using the limb normally without any lameness. A full, pain-free range of motion was present in the joints of the left thoracic limb.

Keywords

Monteggia - physeal - radius - feline
 

  • References

  • 1 Bado JL. The Monteggia Lesion. Clin Orthop Relat Res 1967; 50: 71-86.
    PubMedGoogle Scholar
  • 2 Bruce WJ. Radius and Ulna. In: Manual of Small Animal Fracture Repair and Management. Coughlan A, Miller A. (eds) Cheltenham: BSAVA; 1998: 197-215.
    Google Scholar
  • 3 Schwarz PD, Schrader SC. Ulnar fracture and dislocation of the proximal radial epiphysis (Monteggia lesion) in the dog and cat: A review of 28 cases. J Am Vet Med Assoc 1984; 185: 190-194
    PubMedGoogle Scholar
  • 4 Piermattei DL, Johnson KA. An Atlas of Surgical Approaches to the Bones and Joints of the Dog and Cat. 4th ed. Philadelphia: W.B. Saunders.; 2004. i 236-237 ii 250–253, iii 242–245.
    Google Scholar
  • 5 Piermattei DL, Flo GL. Fractures of the Radius and Ulna. In: Brinker, Piermatti and Flo’s Handbook of Small Animal Orthopaedics and Fracture Repair. 4th ed. Philadelphia: W.B. Saunders Co.; 2006: 365-368.
    Google Scholar
  • 6 Prassinos NN. Fractures combination of the proximal antebrachium in the immature dog that resembles Monteggia fracture. Vet Comp Orthop Traumatol 2006; 18: 184-186.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 7 Boudrieau RJ. Fractures of the Radius and Ulna. In: Textbook of Small Animal Surgery. 3rd edition. Slatter (ed.). Philadelphia: W.B. Saunders.; 2003: 1955-1973.
    Google Scholar
  • 8 Salter RB, Harris WR. Injuries involving the epiphyseal plate. J Bone Joint Surg (Am) 1963; 45: 587-622.
    CrossrefPubMedGoogle Scholar
  • 9 Piermattei DL, Flo GL. Fractures in Growing Animals. In: Brinker, Piermatti and Flo’s Hand-book of Small Animal Orthopaedics and Fracture Repair. 4th ed. Philadelphia: W.B. Saunders Co; 2006: 737-746
    Google Scholar
  • 10 Berg RJ, Egger EL, Konde LJ. et al. Evaluation of prognostic factors for growth following distal fe-moral physeal injuries in 17 dogs. Vet Surg 1984; 13: 172-180.
    CrossrefPubMedGoogle Scholar
  • 11 Johnson JM, Johnson AL, Eurell JOC. Histological appearance of naturally occuring canine phy-seal fractures. Vet Surg 1994; 23: 81-86.
    CrossrefPubMedGoogle Scholar
  • 12 Hardie EM, Chambers JN. Factors influencing the outcome of distal femoral physeal fracture fixation: A retrospective study. J Am Anim Hosp Assoc 1983; 20: 927-931.
    PubMedGoogle Scholar