Distal Extremities

Authors: Goldfinch N, Argyle D.
Journal: J Feline Med Surg

Practical relevance Feline 'lung-digit syndrome' describes an unusual pattern of metastasis that is seen with various types of primary lung tumours, particularly bronchial and bronchioalveolar adenocarcinoma. Tumour metastases are found at atypical sites, notably the distal phalanges of the limbs; the weightbearing digits are most frequently affected, and multiple-digit and multiple-limb involvement is common. Often primary lung tumours in cats are not detected because of clinical signs referable to the primary tumour; rather, many cases present with signs referable to distant metastases.

Authors: Little JP, Horn TJ, Marcellin-Little DJ, Harrysson OL, West HA.
Journal: AJVR

Objective-To design and fabricate fiberglass-reinforced composite (FRC) replicas of a canine radius and compare their mechanical properties with those of radii from dog cadavers. Sample-Replicas based on 3 FRC formulations with 33%, 50%, or 60% short-length discontinuous fiberglass by weight (7 replicas/group) and 5 radii from large (> 30-kg) dog cadavers. Procedures-Bones and FRC replicas underwent nondestructive mechanical testing including 4-point bending, axial loading, and torsion and destructive testing to failure during 4-point bending.

Authors: Fitzpatrick N, Smith TJ, Pendegrass CJ, Yeadon R, Ring M, Goodship AE, Blunn GW.
Journal: Vet Surg

To report clinical application of intraosseous transcutaneous amputation prosthesis (ITAP) for limb salvage.
Retrospective case series.
Client owned dogs with malignant neoplasia of the distal aspect of the limb.

Authors: Proks P, Necas A, Stehlik L, Srnec R, Griffon DJ.
Journal: Vet Surg

To quantify humeroulnar incongruity on elbow radiographs in Labrador Retrievers with or without medial coronoid disease (MCD).
Retrospective study of 92 elbows.
Radiographic projections of elbow joints from Labrador Retrievers with MCD (n = 42 elbows; 26 dogs) and without MCD (n = 50 elbows; 25 dogs).

Authors: Burton NJ, Owen MR, Kirk LS, Toscano MJ, Colborne GR.
Journal: Vet Surg

To investigate, using objective gait analysis, the long-term outcome of dogs with medial coronoid process disease (MCPD) treated with conservative management (CM) versus arthroscopic treatment (AT).
Prospective clinical trial.
Dogs (n = 20) with unilaterally confirmed MCPD.

Authors: Boston SE, Barry M, O'Sullivan ML.
Journal: Can Vet J

A 7-year-old, spayed, female great Pyrenees with a primary tumor of the distal radius was treated with placement of a bone plate that spanned the tumor. The goals were palliation and prevention of pathologic fracture. This is an option for select patients with osteosarcoma.

Authors: Hall JL, Lee KC, Priestnall S, Lamb CR.
Journal: Vet Surg

Objective: To report the diagnosis and treatment of a radial artery pseudoaneurysm in a cat. Study Design: Clinical report. Animal: Maine Coon cat (8-year-old neutered male). Methods: Ultrasonographic and angiographic examination of a fluctuant, nonpainful, 3 cm × 1.5 cm subcutaneous swelling on the craniomedial distal aspect of the right radius that occurred 40 days after suspected cat bite trauma was consistent with a radial artery pseudoaneurysm. After ligation of the radial artery proximal to the lesion, the pseudoaneurysm was surgically excised.

Authors: Irubetagoyena I, Lopez T, Autefage A.
Journal: VCOT

A one-year-old neutered male cat was referred for a grade IIIA open radius and ulna fracture. The mid-diaphyseal radial and ulnar fractures were associated with lateral radio-humeral and radio-ulnar dislocations. From these abnormalities, a diagnosis of type IV Monteggia fracture was made. The annular ligament was found to be intact on examination and the radial head was correctly positioned and stable after fracture reduction and plate fixation. Eighteen months postoperatively, the cat did not exhibit any signs of lameness or any signs of pain on palpation and mobilisation.

Authors: Papazoglou LG, Ellison GW, Farese JP, Bellah JR, Coomer AR, Lewis DD.
Journal: JAAHA

Eight animals underwent fusion podoplasties for the treatment of chronic interdigital furunculosis (n=3), ectrodactyly (n=1), digit abnormalities associated with tendonectomy (n=1), redundant indertigital skin (n=1), conformational deformity (n=1), and necrotizing fasciitis of the paw (n=1). Median duration of bandaging was 14 days, and median duration of hospitalization was 5 days. Four dogs had dehiscence, which occurred at a mean time of 11 days after surgery. Clinical abnormalities necessitating podoplasty resolved in six animals and improved in two.

Authors: Kulendra E, Grierson J, Okushima S, Cariou M, House A.
Journal: VCOT

The medical records of all cats with tarsocrural joint instability that were treated between June 2002 and December 2008 at the Royal Veterinary College were retrospectively reviewed. A total of 32 cats were identified. Information gathered included signalment, type of injury (subluxation or luxation), concurrent fractures, presence of soft tissue wounds, transarticular external skeletal fixation (TESF) type, configuration of TESF (number of pins proximal and distal to the joint), duration of hospitalisation, duration of TESF prior to removal, complications and cost.