Page 996 - Problem-Based Feline Medicine
P. 996

988   PART 11  CAT WITH AN ABNORMAL GAIT



          OSTEOCHONDROSIS DISSECANS                     Clinical signs
                                                        Vague, progressive hindlimb lameness.
           Classical signs
                                                        May be bilateral.
           ● Onset of forelimb lameness in the cat less
             than 1 year of age.
                                                        Diagnosis
          Pathogenesis                                  Radiographically, see radiolucency of the femoral
                                                        neck and proximal femoral metaphysis.
          Very rare in the cat.
          Has been reported as cause of shoulder lameness.
                                                        Differential diagnosis
          Occurs due to a defect in osteochondral ossification.
                                                        Traumatic fracture of the femoral neck.
          Clinical signs
                                                        Treatment
          Insidious forelimb lameness in cats less than 1 year of
          age.                                          Femoral head and neck osteotomy.

          Pain identified on full extension and flexion of the
          shoulder joint.                               Prognosis
                                                        Excellent.
          Diagnosis

          Radiographically a thickened flap of cartilage or joint  FELINE MUCOPOLYSACCHARIDOSIS
          mouse can be identified in the shoulder joint.
                                                         Classical signs
          Treatment
                                                         ● Rare inherited disorder in Siamese and
          Surgical removal of the cartilaginous flap.      Siamese cross cats.
                                                         ● Causes a stiff gait and paraparesis.
          Prognosis                                      ● Cats also have a broad maxilla, corneal
                                                           clouding, pectus excavatum and
          Excellent.                                       neurological abnormalities.


          FEMORAL NECK METAPHYSEAL                      Clinical signs
          OSTEOPATHY                                    Rare inherited disorder that occurs as a result of a lyso-
                                                        somal enzyme deficiency in Siamese and Siamese cross
           Classical signs                              cats.
           ● Onset of hindlimb lameness in the cat less  Usually present at less than 6 months of age.
             than 1 year of age.
                                                        Typically have dysmorphic facial features (a broad
                                                        maxilla), plump paws (from thickened skin) and
                                                        corneal clouding.
          Pathogenesis
                                                        Generally exhibit a stiff gait and paraparesis with dif-
          Uncommon condition.
                                                        fuse neurological signs.
          Reported in male cats less than 2 years of age.
                                                        Also present with a chronic mucoid ocular discharge
          Idiopathic necrosis of femoral neck.          and chronic respiratory tract infections.
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