Type I Monteggia fracture in a kitten; a review on diagnostic and therapeutic methods

Year 2018, Volume: 11 Issue: 2, 115 - 117, 31.12.2018

Uğur Aydın , Sadık Yayla

Abstract

In this paper, it was aimed to report the type I
Monteggia fracture in a kitten and its treatment results. In clinical
examination of a 4-month-old female kitten brought to our clinic with
complaints of lameness in the front left leg after automobile trauma it was
diagnosed with a fracture in 1/3 proximal diaphyseal of ulna with cranial
dislocation of the radial head. Following general anesthesia, ulnar fracture
was fixed with intramedullary nail that was sent as anterograde from the
processus olecrani, and the reduction of the radius head was easily placed.
Then, it was repaired suturing with polypropylene of the ligamentum radii
annulare. It was understood that the kitten could use the extremity smoothly
and functionally in postoperative 2 months. Consequently, the internal fixation
with intramedullary nail was sufficient, and therefore it was thought to be a
successful method for type I Monteggia fracture in kittens or cats.

Keywords

Type I Monteggia fracture, Radius, Ulna, Intramedullary nail, Kitten

Bir yavru kedide Tip I Monteggia kırığı; tanı ve tedavi yöntemleri

Abstract

Bu olgu sunumunda yavru bir kedide karşılaşılan
tip I Monteggia kırığı ve tedavi sonuçlarının bildirilmesi amaçlandı. Trafik
kazasından sonra ön sol ekstremitesinde topallık şikayeti ile kliniğimize
getirilen 4 aylık dişi bir kedi yavrusunun klinik muayenesinde radial başın
kraniale dislokasyonu ile ulnanın 1/3 proksimalinde diafizer kırık belirlendi.
Genel anestezi altında ulnar kırık processus olecraniden anterograd olarak
gönderilen intrameduller çivi ile fikse edildi ve radiusun redüksiyonu kolay
bir şekilde gerçekleştirildi. Daha sonra ligamentum radii annulare polypropylene
ile dikilerek onarıldı. Postoperatif 2. ay kontrollerinde kedinin
ekstremitesini düzgün ve fonksiyonel bir şekilde kullanabildiği görüldü. Sonuç
olarak kedi veya yavrularında Monteggia tip I kırıklarında intrameduller çivi
ile sağlanan internal fiksasyonun yeterli olduğu ve bu yüzden başarılı bir
yöntem olduğu düşünüldü.

Keywords

Tip I Monteggia kırığı, Radius, Ulna, İntramedüller çivi, Yavru kedi

References

• 1. Sardinas JC, Montavon PM, (1997). Use of medial bone plate for repair of radius and ulna fractures in dogs and cats: A report of 22 cases. Vet Surg. 26: 108-113.
• 2. Scott H, (2005). Repair of long bone fractures in cats. In Pract. 27: 390-397.
• 3. Irubetagoyena I, Lopez T, Autefage A, (2011). Type IV Mon-teggia fracture in a cat. Vet Comp Orthop Traumatol. 24: 483-486.
• 4. Bado JL, (1967). The Monteggia lesion. Clin Orthop Relat Res. 50: 71-86.
• 5. Saglam M, Bilgili H, Kürüm B, Candaş A, (2000). Treatment of ulnar fracture with dislocation of caput radii (Monteggia lesion) in 2 dogs and 3 cats. Ankara Univ Vet Fak Derg. 47: 73-80. 6. Saglam M, Bilgili H, (1997). Type II Monteggia lesion and operative treatment in a cat. Ankara Univ Vet Fak Derg. 44: 1-4.
• 7. Schwarz PD, Schradcr SC, (1984). Ulnar fracture and dislocation of the proximal radial epiphysis (Monteggia lesion) in the dog and cat: a review of 28 cases. JAVMA. 185: 190-194.
• 8. Leclerc A, Greunz EM, Lagrave AD, (2014). Surgical treat-ment of a type III Monteggia fracture in a ring-tailed lemur (Lemur catta). Revue Med Vet. 165 (11-12): 313-317.
• 9. Singh A, Moens NM, Nykamp S, Bruce CW, (2007). What is your diagnosis? Type 1 Monteggia fracture. JAVMA. 231: 1345-1346.