BOOK
Feline Orthopedic Surgery and Musculoskeletal Disease E-Book
P. M. Montavon | Katja Voss | Sorrel J Langley-Hobbs | Geoff Sumner-Smith
(2009)
Additional Information
Book Details
Abstract
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Feline Orthopedic Surgery and Musculoskeletal Disease is the first book dedicated specifically to treating cats with disorders in this specific area. The practice of feline orthopedic surgery and traumatology has developed to a great extent over the last ten years as cat ownership is increasing and this textbook discusses new veterinary diagnostic procedures and surgical techniques that have been developed that veterinarians, residents and students working in the field of internal medicine need to know about.
- Covers the basics of feline anesthesia, analgesia, preoperative and postoperative care of the patient, orthopedic instrumentation and implants
- Contains detailed sections on investigation and diagnosis of feline orthopedic diseases and injuries, with specific chapters on diseases of the footpads and nails, tumors of the musculoskeletal system, and polytrauma
- Surgical techniques of feline orthopedic diseases and injuries are explained step-by-step with many schematic illustrations
- Presents both classical treatments using cost-effective implants and new osteosynthesis techniques using modern implants
- Over 20 new and original surgical methods are included
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front cover | Cover | ||
| Half title page | i | ||
| Title page | iii | ||
| Copyright page | iv | ||
| Dedication | v | ||
| Table of contents | vii | ||
| Preface | xiii | ||
| Acknowledgments | xv | ||
| Contributors | xvii | ||
| Foreword | xix | ||
| Part I: Clinical approach to the orthopedic patient | 1 | ||
| Chapter 1: Patient assessment | 3 | ||
| History | 3 | ||
| Handling and restraint | 4 | ||
| General physical examination | 6 | ||
| Orthopedic examination | 8 | ||
| Neurological examination | 10 | ||
| References and further reading | 19 | ||
| Chapter 2: Further diagnostic procedures | 21 | ||
| Diagnostic imaging | 21 | ||
| Arthrocentesis and synovial fluid evaluation | 33 | ||
| Selected biopsy techniques | 34 | ||
| Neurodiagnostic procedures | 36 | ||
| References and further reading | 37 | ||
| Part II: Musculoskeletal diseases | 39 | ||
| Chapter 3: Hereditary and congenital musculoskeletal diseases | 41 | ||
| Hereditary metabolic diseases of the musculoskeletal system | 41 | ||
| Congenital skeletal malformations | 49 | ||
| References and further reading | 52 | ||
| Chapter 4: Diseases of bone | 55 | ||
| Secondary hyperparathyroidism | 55 | ||
| Vitamin D deficiency (rickets) | 57 | ||
| Hypervitaminosis A | 57 | ||
| Hematogenous osteomyelitis | 58 | ||
| Bone cysts | 59 | ||
| Hypertrophic osteopathy | 60 | ||
| Osteocartilaginous exostoses | 60 | ||
| References and further reading | 62 | ||
| Chapter 5: Diseases of joints | 63 | ||
| Degenerative joint disease | 63 | ||
| Polyarthritis | 67 | ||
| Miscellaneous diseases | 72 | ||
| References and further reading | 73 | ||
| Chapter 6: Diseases of the spine and nervous system | 75 | ||
| Compressive diseases of the spinal cord | 75 | ||
| Non-compressive diseases of the spinal cord | 77 | ||
| Infections of the spine and spinal cord | 79 | ||
| Congenital abnormalities of the spine and spinal cord | 80 | ||
| Peripheral nerve and muscle disorders | 81 | ||
| References and further reading | 85 | ||
| Chapter 7: Diseases of soft tissues | 87 | ||
| Diseases of muscles | 87 | ||
| Diseases of tendons | 90 | ||
| Conditions of the feet | 91 | ||
| References and further reading | 94 | ||
| Chapter 8: Tumors of the musculoskeletal system | 97 | ||
| Bone tumors | 97 | ||
| Soft-tissue tumors | 99 | ||
| Oral tumors | 100 | ||
| Tumors of the nervous system | 101 | ||
| Miscellaneous tumors | 102 | ||
| References and further reading | 103 | ||
| Part III: Polytrauma | 105 | ||
| Chapter 9: Etiology and severity of polytrauma | 107 | ||
| Road traffic accidents | 107 | ||
| High-rise syndrome | 108 | ||
| Gunshot injury | 109 | ||
| Dog bite wounds | 109 | ||
| Trauma by entrapment in bottom-hung windows | 109 | ||
| References and further reading | 110 | ||
| Chapter 10: General approach to the trauma patient | 111 | ||
| Reference and further reading | 112 | ||
| Chapter 11: Traumatic hemorrhagic shock | 113 | ||
| Stages of shock | 113 | ||
| Signs of shock in cats | 113 | ||
| Fluid resuscitation | 114 | ||
| References and further reading | 115 | ||
| Chapter 12: Specific injuries in the polytraumatized cat | 117 | ||
| Thoracic trauma | 117 | ||
| Abdominal trauma | 121 | ||
| Brain injury | 124 | ||
| References and further reading | 125 | ||
| Part IV: Introduction to musculoskeletal injuries | 127 | ||
| Chapter 13: Fractures | 129 | ||
| Fracture biomechanics | 129 | ||
| Fracture classification systems | 130 | ||
| Fracture healing | 132 | ||
| Decision-making in fracture treatment | 134 | ||
| Fracture reduction techniques | 142 | ||
| Complications in fracture repair | 143 | ||
| Bone grafting | 147 | ||
| Growth deformities | 148 | ||
| Implant removal | 151 | ||
| References and further reading | 151 | ||
| Chapter 14: Joint injuries | 153 | ||
| Structure and function of joints | 153 | ||
| Healing of joint injuries | 153 | ||
| Diagnosis of joint injury | 154 | ||
| Principles of joint surgery | 155 | ||
| Postoperative management of joint injuries | 158 | ||
| Complications of joint surgery | 158 | ||
| Principles of arthrodesis | 159 | ||
| References and further reading | 160 | ||
| Chapter 15: Injuries of the spine, spinal cord, and peripheral nerves | 161 | ||
| Injuries of the spine and spinal cord | 161 | ||
| Principles of spinal surgery | 164 | ||
| Traumatic neuropathy | 165 | ||
| References and further reading | 167 | ||
| Chapter 16: Soft-tissue injuries | 169 | ||
| Muscle injuries | 169 | ||
| Tendon injuries | 170 | ||
| Degloving injuries | 171 | ||
| Cat bite wounds | 173 | ||
| References and further reading | 174 | ||
| Part V: The surgical patient | 175 | ||
| Chapter 17: Anesthesia | 177 | ||
| Preoperative assessment of the surgical patient | 177 | ||
| Preparation for anesthesia | 179 | ||
| Venous access | 179 | ||
| Premedication | 179 | ||
| Injectable anesthetics | 185 | ||
| Inhalation anesthesia | 186 | ||
| Monitoring | 192 | ||
| Supportive care during anesthesia | 195 | ||
| Cardiopulmonary resuscitation | 196 | ||
| References and further reading | 196 | ||
| Chapter 18: Perioperative analgesia | 199 | ||
| Local anesthetics | 199 | ||
| Opioids | 201 | ||
| Non-steroidal anti-inflammatory drugs | 203 | ||
| Analgesic adjuncts | 204 | ||
| References and further reading | 205 | ||
| Chapter 19: Preparation for surgery | 207 | ||
| Preparation of the patient | 207 | ||
| Preparation of the surgical team | 210 | ||
| References and further reading | 211 | ||
| Chapter 20: Postoperative care | 213 | ||
| Postoperative care of the fracture patient | 213 | ||
| Postoperative care of the patient with joint injuries | 214 | ||
| Postoperative care of the neurological patient | 214 | ||
| Nutritional support | 215 | ||
| References and further reading | 220 | ||
| Chapter 21: Rehabilitation of the cat | 221 | ||
| Principles of rehabilitation | 221 | ||
| Four target areas of rehabilitation | 221 | ||
| Passive and active rehabilitation | 222 | ||
| The rehabilitation program | 227 | ||
| How do you know you have reached a goal? | 227 | ||
| Examples of exercises | 229 | ||
| References and further reading | 235 | ||
| Part VI: Orthopedic materials, instruments, implants, and techniques | 237 | ||
| Chapter 22: External coaptation | 239 | ||
| Bandages | 239 | ||
| Splints and casts | 240 | ||
| Slings, muzzles, and hobbles | 244 | ||
| Aftercare for bandages, splints, casts, and slings | 247 | ||
| References and further reading | 248 | ||
| Chapter 23: Orthopedic instrumentation | 249 | ||
| Instruments used for surgical approaches | 249 | ||
| Instruments used for osteosynthesis | 252 | ||
| References and further reading | 257 | ||
| Chapter 24: Orthopedic implants | 259 | ||
| Orthopedic wire | 259 | ||
| Kirschner wires | 261 | ||
| Intramedullary pins | 262 | ||
| Interlocking nails | 263 | ||
| External skeletal fixation (ESF) | 265 | ||
| Bone screws | 271 | ||
| Bone plates | 274 | ||
| Internal fixators | 279 | ||
| References and further reading | 281 | ||
| Chapter 25: Feline arthroscopy | 283 | ||
| Arthroscopic instrumentation | 283 | ||
| Patient preparation and positioning | 287 | ||
| Postoperative care | 287 | ||
| Arthroscopy of the shoulder | 287 | ||
| Arthroscopy of the elbow | 290 | ||
| Arthroscopy of the hip | 294 | ||
| Arthroscopy of the stifle | 296 | ||
| References and further reading | 307 | ||
| Part VII: Treatment of selected surgical diseases and injuries | 309 | ||
| Chapter 26: Mandible and maxilla | 311 | ||
| Surgical anatomy | 311 | ||
| Diagnosis and general considerations | 311 | ||
| Stabilization techniques | 312 | ||
| Fractures of the mandible | 316 | ||
| Disorders of the temporomandibular joint | 320 | ||
| Fractures of the maxillary bones | 326 | ||
| Postoperative treatment and prognosis | 327 | ||
| References and further reading | 327 | ||
| Chapter 27: Scapula | 329 | ||
| Surgical anatomy | 329 | ||
| Stabilization techniques | 329 | ||
| Fractures of the body and spine | 329 | ||
| Fractures of the scapular neck and glenoid cavity | 332 | ||
| Scapular avulsion | 333 | ||
| Postoperative treatment and prognosis | 335 | ||
| References and further reading | 336 | ||
| Chapter 28: Shoulder joint | 337 | ||
| Surgical anatomy | 337 | ||
| Diagnosis and treatment options | 337 | ||
| Approaches to the shoulder joint | 337 | ||
| Dysplasia of the shoulder joint | 338 | ||
| Biceps tenosynovitis or rupture | 338 | ||
| Accessory centers of ossification | 338 | ||
| Shoulder joint instability and luxation | 339 | ||
| Fractures of the shoulder joint | 341 | ||
| Arthrodesis of the shoulder joint | 341 | ||
| Postoperative treatment and prognosis | 341 | ||
| References and further reading | 342 | ||
| Chapter 29: Humerus | 343 | ||
| Surgical anatomy | 343 | ||
| Stabilization techniques | 343 | ||
| Fractures of the proximal humerus | 347 | ||
| Diaphyseal fractures of the humerus | 348 | ||
| Fractures of the distal humerus | 351 | ||
| Postoperative treatment and prognosis | 356 | ||
| References and further reading | 358 | ||
| Chapter 30: Elbow joint | 359 | ||
| Surgical anatomy | 359 | ||
| Diagnosis and treatment options | 359 | ||
| Approaches to the elbow joint | 360 | ||
| Elbow dysplasia and congenital elbow luxation | 361 | ||
| Synovial cysts | 361 | ||
| Elbow epicondylitis | 361 | ||
| Avulsion of the triceps tendon | 362 | ||
| Elbow luxations | 363 | ||
| Fractures of the elbow joint | 366 | ||
| Arthrodesis of the elbow joint | 366 | ||
| Postoperative treatment and prognosis | 368 | ||
| References and further reading | 369 | ||
| Chapter 31: Radius and ulna | 371 | ||
| Surgical anatomy | 371 | ||
| Stabilization techniques | 371 | ||
| Fractures of the proximal radius and ulna | 373 | ||
| Diaphyseal fractures of the radius and ulna | 375 | ||
| Fractures of the distal radius and ulna | 378 | ||
| Postoperative treatment and prognosis | 383 | ||
| References and further reading | 384 | ||
| Chapter 32: Carpal joint | 385 | ||
| Surgical anatomy | 385 | ||
| Diagnosis and treatment options | 385 | ||
| Approaches to the carpal joints | 387 | ||
| Antebrachiocarpal instability and luxation | 387 | ||
| Hyperextension injury | 389 | ||
| Rare carpal injuries | 390 | ||
| Partial carpal arthrodesis | 390 | ||
| Pancarpal arthrodesis | 391 | ||
| Postoperative treatment and prognosis | 392 | ||
| References and further reading | 396 | ||
| Chapter 33: Metacarpus, metatarsus, and phalanges | 397 | ||
| Surgical anatomy | 397 | ||
| Stabilization techniques | 397 | ||
| Fractures of the metacarpal and metatarsal bones | 399 | ||
| Fractures of the phalanges | 402 | ||
| Metacarpophalangeal, metatarsophalangeal, and interphalangeal luxation | 404 | ||
| Postoperative treatment and prognosis | 405 | ||
| References and further reading | 406 | ||
| Chapter 34: The spine | 407 | ||
| Surgical anatomy | 407 | ||
| Diagnosis and general considerations | 407 | ||
| Decompressive procedures | 407 | ||
| Stabilization of spinal fractures/luxations | 408 | ||
| Surgical conditions of the cervical spine | 408 | ||
| Surgical conditions of the thoracolumbar spine | 409 | ||
| Surgical conditions of the lumbosacral spine | 415 | ||
| Surgical conditions of the sacrococcygeal spine | 419 | ||
| Postoperative treatment and prognosis of spinal fractures and luxations | 420 | ||
| References and further reading | 422 | ||
| Chapter 35: Pelvis | 423 | ||
| Surgical anatomy | 423 | ||
| Diagnosis and general considerations | 423 | ||
| Stabilization techniques | 424 | ||
| Sacroiliac fracture/luxation | 426 | ||
| Fractures of the ilium | 430 | ||
| Acetabular fractures | 434 | ||
| Fractures of the pelvic floor | 437 | ||
| Fractures of the pelvic margin | 437 | ||
| Postoperative treatment and prognosis | 439 | ||
| References and further reading | 440 | ||
| Chapter 36: Hip joint | 443 | ||
| Surgical anatomy | 443 | ||
| Diagnosis and treatment options | 443 | ||
| Approaches to the hip joint | 443 | ||
| Hip dysplasia | 444 | ||
| Conditions of the femoral head and neck | 446 | ||
| Coxofemoral luxation | 447 | ||
| Femoral head and neck excision | 449 | ||
| Total hip replacement | 451 | ||
| Postoperative treatment and prognosis | 451 | ||
| References and further reading | 453 | ||
| Chapter 37: Femur | 455 | ||
| Surgical anatomy | 455 | ||
| Stabilization techniques | 455 | ||
| Fractures of the proximal femur | 458 | ||
| Diaphyseal fractures of the femur | 460 | ||
| Fractures of the distal femur | 466 | ||
| Postoperative treatment and prognosis | 470 | ||
| References and further reading | 472 | ||
| Chapter 38: Stifle joint | 475 | ||
| Surgical anatomy | 475 | ||
| Diagnosis and treatment options | 475 | ||
| Approaches to the stifle joint | 476 | ||
| Meniscal mineralization | 477 | ||
| Disorders of the patella | 477 | ||
| Tendon injury | 481 | ||
| Ligament injuries | 481 | ||
| Stifle joint disruption | 485 | ||
| Arthrodesis | 487 | ||
| Postoperative treatment and prognosis | 488 | ||
| References and further reading | 490 | ||
| Chapter 39: Tibia and fibula | 491 | ||
| Surgical anatomy | 491 | ||
| Stabilization techniques | 491 | ||
| Fractures of the proximal tibia and fibula | 494 | ||
| Diaphyseal fractures of the tibia and fibula | 497 | ||
| Fractures of the distal tibia and fibula | 502 | ||
| Postoperative treatment and prognosis | 504 | ||
| References and further reading | 505 | ||
| Chapter 40: Tarsal joint | 507 | ||
| Surgical anatomy | 507 | ||
| Diagnosis and treatment options | 508 | ||
| Approaches to the tarsal joint | 508 | ||
| Rupture or avulsion of the Achilles tendon | 509 | ||
| Luxation of the superficial digital flexor tendon | 510 | ||
| Tarsocrural instability and luxation | 510 | ||
| Intertarsal and tarsometatarsal instability | 515 | ||
| Fractures of the tarsal bones | 518 | ||
| Partial tarsal arthrodesis | 521 | ||
| Pantarsal arthrodesis | 521 | ||
| Postoperative treatment and prognosis | 523 | ||
| References and further reading | 524 | ||
| Chapter 41: Amputations | 527 | ||
| Preoperative evaluation | 527 | ||
| General principles of amputation | 527 | ||
| Forelimb amputation | 529 | ||
| Hindlimb amputation | 529 | ||
| Tail amputation | 529 | ||
| Metacarpal, metatarsal, and phalangeal amputation | 529 | ||
| Postoperative treatment and complications | 533 | ||
| References and further reading | 534 | ||
| Chapter 42: Bloopers | 535 | ||
| Introduction | 535 | ||
| Knowing when to cut (Fig. 42-1) | 535 | ||
| Recognizing the difference between cats and dogs (Fig. 42-2) | 535 | ||
| The perils of a weaker plate (Fig. 42-3) | 536 | ||
| Three small screws can be better then two big ones (Fig. 42-4) | 538 | ||
| Avoid overdistraction (Fig. 42-5) | 538 | ||
| The consequences of surgery in a young growing cat (Fig. 42-6) | 539 | ||
| Insufficient stability of a small fragment near a high-motion joint (Fig. 42-7) | 539 | ||
| Too large pins and a transarticular fixator (Fig. 42-8) | 539 | ||
| Unexpected fractures (Figure 42-9) | 545 | ||
| Conclusions | 546 | ||
| Index | 547 |