Page 997 - Problem-Based Feline Medicine
P. 997

45 – THE CAT WITH LAMENESS  989


           Diagnosis                                      Pathogenesis

           Constellation of clinical signs suggests the diagnosis.  Inherited disorder of fold-ear cats.
           Radiographs show dysplastic femoral heads and necks  Get shortening of the coccygeal vertebrae, metacarpal
           and subluxated hip joints.                     and metatarsal bones and phalanges.

           Excessive granulation of neutrophils, and vacuolation  They may develop periarticular exostoses and joint
           of lymphocytes are suggestive.                 ankylosis.
           Positive urine toluidine test for sulfated beta glycos-
           aminoglycans is consistent with diagnosis.     PECTUS EXCAVATUM
           Definitive diagnosis is via enzyme assays of leukocytes
                                                           Classical signs
           and skin fibroblasts to demonstrate deficient beta glu-
           curonidase activity.                            ● A congenital disorder characterized by
                                                             dorso-ventral flattening of the thorax.
                                                           ● Kittens and cats show variations in
           OSTEOGENESIS IMPERFECTA
                                                             respiratory and cardiovascular
                                                             abnormalities.
            Classical signs
                                                           ● Also associated with lateral limb deviation.
            ● A defect in osteogenesis results in multiple
               spontaneous fractures.                     Clinical signs
            ● Present with multiple sites of bony pain
               due to fractures, or unwilling to ambulate.  A deformity of the sternal and costal cartilages result-
            ● Lameness generally of young cats.           ing in narrowing of the thorax.
                                                          Occurs as a congenital abnormality of cats, with the
           Clinical signs                                 specific cause unknown.
           A heritable disease with failure of osteoprogenitor cells  Can be associated with the so-called “wimmer’s”syn-
           to develop into mature osteoblasts.            drome, in which there is lateral deviation of the limbs
                                                          and impaired ambulation.
           Results in bones that are very brittle and fracture
           spontaneously.                                 Kittens and young mature cats < 1 year of age may
                                                          show respiratory and cardiovascular abnormalities
           Spontaneous fractures can occur in any bones, although
                                                          associated with flattening of the thorax.
           the long bones are more commonly affected.
                                                          Diagnosis
           Diagnosis
                                                          Based on clinical signs and radiographic findings of
           Radiographically the cortical bone is very osteopenic,  dorso-ventral flattening of thorax and lateral deviation
           with multiple fractures present.               of limbs.


           SCOTTISH FOLD                                  SPINA BIFIDA
           OSTEOCHONDRODYSPLASIA
                                                           Classical signs
            Classical signs
                                                           ● Congenital disorder caused by a closure
            ● Disease affecting cats with at least one
                                                             defect of the vertebral arches.
               fold-eared parent.                          ● Inherited with the gene for taillessness in
            ● Lameness generally occurs at 5–6 months
                                                             Manx cats.
               of age.
                                                                                            (continued)
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