Vet Comp Orthop Traumatol 2011; 24(06): 468-473
DOI: 10.3415/VCOT-11-03-0036
Case Report
Schattauer GmbH

Partial scapulectomy for treatment of an articular fracture of the scapula in a cat

R. L. Plesman
1   Western College of Veterinary Medicine, Saskatoon, Saskatchewan, Canada
,
S. French
2   Veterinary Emergency Clinic and Referral Center, Toronto, Ontario, Canada
,
S. Nykamp
3   Ontario Veterinary College, Guelph, Ontario, Canada
,
P. B. Ringwood
2   Veterinary Emergency Clinic and Referral Center, Toronto, Ontario, Canada
› Author Affiliations
Further Information

Publication History

Received: 02 March 2011

Accepted: 15 June 2011

Publication Date:
17 December 2017 (online)

Summary

A seven-month-old cat was referred, after having been missing for one week, for evaluation and treatment of a right forelimb injury and facial fractures. On physical examination, a moderate partial weight-bearing lameness of the right forelimb was present, with palpable crepitus in the glenohumeral joint. Dental radiographs revealed a midline palatal fracture and rostral fractures of the left maxillary canine alveolar bone. Radiographs of the right shoulder revealed a Type III or intraarticular fracture of the scapula with moderate displacement of the fracture at the articular surface. Early fibrous healing of the fracture was observed and the caudal aspect of the medial glenohumeral ligament was ruptured. Due to the chronicity, reduction and stabilization was not attempted. Instead, the caudal aspect of the medial glenohumeral ligament was incised along its origin and approximately 30% of the glenoid was removed. The caudal glenohumeral ligament was attached to the subscapularis muscle. Three years after surgery, the owner reported that the cat continued to experience no visible lameness and led an active lifestyle. This case report demonstrates that a partial caudal scapulectomy can result in full return of function of the forelimbs in cats with scapular fractures, especially when joint involvement is severe and the articular cartilage is affected. To the authors’ knowledge, this is the first report of a partial scapulectomy, utilized for fracture management, in the veterinary literature.

 
  • References

  • 1 Johnston SA. Articular fractures of the scapula in the dog: a clinical retrospective study of 26 cases. J Am Anim Hosp Assoc 1993; 29: 157-164.
  • 2 Jerram RM, Herron MR. Scapular fractures in dogs. The Compendium 1998; 20: 1254-1260.
  • 3 Cook JL, Cook CR, Tomlinson JL. et al Scapular fractures in dogs: epidemiology, classification, and concurrent injuries in 105 cases (1988–1994). J Am Anim Hosp Assoc 1997; 33: 528-532.
  • 4 Piermattei DL, Flo GL, DeCamp CE. Fractures of the scapula. In: Brinker, Piermattei, and Flo’s Handbook of small animal orthopedics and fracture repair. 4th ed. St. Louis: Saunders Elsevier; 2006: 255-261.
  • 5 Norton D, Drenen CM, Emms SG. Subtotal scapulectomy as the treatment for scapular tumour in the dog: a report of six cases. Aust Vet J 2006; 84: 364-366.
  • 6 Trout NJ, Payletic MM, Kraus KH. Partial scapulectomy for management of sarcomas in three dogs and two cats. J Am Vet Med Assoc 1995; 207: 585-587.
  • 7 Gibbons CLMH, Bell RS, Wunder JS. et al Function after subtotal scapulectomy for neoplasm of bone and soft tissue. J Bone Joint Surg 1998; 80 B 38-42.
  • 8 Kirpensteijn J, Straw RC, Pardo AD. Partial and total scapulectomy in the dog. J Am Anim Hosp Assoc 1994; 30: 313-319.
  • 9 Piermattei DL, Johnson KA. Approach to the caudolateral region of the shoulder joint. In: An atlas of surgical approaches to the bones and joints of the dog and cat. 4th ed. Philadelphia: Saunders Elsevier; 2004: 124-129.
  • 10 Parker RB. Chapter 134: Scapula. In: Slatter D, editor. Textbook of small animal surgery. 3rd ed. Volume 2. Philadelphia: WB Saunders; 2003: 1891-1897.
  • 11 Piermattei DL, Flo GL, DeCamp CE. The shoulder joint. In: Brinker, Piermattei, and Flo’s Handbook of small animal orthopedics and fracture repair. 4th ed. St. Louis: Saunders Elsevier; 2006: 262-296.
  • 12 Piermattei DL, Flo GL, DeCamp CE. The hip joint. In: Brinker, Piermattei, and Flo’s Handbook of small animal orthopedics and fracture repair. 4th ed. St. Louis: Saunders Elsevier; 2006: 461-511.
  • 13 Syme J. Excision of the scapula. Edinburgh: Edmonston and Douglas 1864
  • 14 Bardet JF. Diagnosis of shoulder instability in dogs and cats: a retrospective study. J Am Anim Hosp Assoc 1998; 34: 42-54.
  • 15 Craig E, Hohn RB, Anderson WD. Surgical stabilization of traumatic medial shoulder dislocation. J Am Anim Hosp Assoc 1980; 16: 93-102.
  • 16 Vasseur PB, Moore D, Brown SA. et al Stability of the canine shoulder joint: An in vitro analysis. Am J Vet Res 1982; 43: 352-355.