Joanna G ODEK, Marta MIESZKOWSKA, Zbigniew ADAMIAK

Low-field Magnetic Resonance Imaging of Changes Accompanying Slipped Capital Femoral Epiphysis in a Cat

A one-year-old neutered Maine Coon cat was admitted to the clinic with sudden onset of lameness in the right pelvic leg persisting for around 2 days. A clinical examination revealed lack of weight bearing on the right pelvic limb, minor bilateral atrophy of gluteal muscles and acute pain upon palpation of the right hip joint. Radiographs taken in the dorsoventral projection revealed a large radiolucent area in the proximal femoral epiphysis, surface remodeling of the femoral head and subcartilaginous sclerotization in the right pelvic limb, which were indicative of slipped capital femoral epiphysis. Radiolucent foci on the femoral head was observed in the left pelvic limb. The patient was examined in the Esaote Vet-MRI Grande scanner (0.25 T). The scans revealed complete separation of the femoral head, the presence of a hematoma and bone marrow edema in the right limb, as well as widening of the growth plate, bone marrow edema and the presence of a subcartilaginous cyst in the left limb. Resection arthroplasty of the right femoral head was performed, and the slipped femoral head was subjected to a histopathological examination. The aim of this study was to evaluate the use of low-field MRI for diagnosing slipped capital femoral epiphysis.

Bir Kedide Kaymış Femur Başı Epifizine Bağlı Değişikliklerin Düşük-alan Manyetik Rezonans Görüntüleme İle Belirlenmesi

Bir yaşlı ve kısırlaştırılmış Maine Coon ırkı kedi, sağ arka bacakta aniden başlayan ve yaklaşık 2 gün devam eden topallık şikayeti ile kliniğe kabul edildi. Klinik muayenede sağ arka bacağa ağırlık verememe, gluteal kasların hafif bilateral atrofisi ve sağ kalça ekleminin palpasyonu sırasında akut ağrı saptandı. Dorsoventral radyografik görüntülemede proksimal femoral epifizde geniş bir radyolusent alan, femur başında yüzeysel şekil değişikliği ve sağ arka bacakta kaymış femur başı epifizinin göstergesi olan sub-kartilaginöz sklerotizasyon belirlendi. Sol arka bacak femur başında radyolusent odaklar izlendi. Hasta Esaote Vet-MRI Grande cihazı ile (0.25 T) incelendi. Taramalarda sağ bacakta femur başında tam ayrılma, hematom ve kemik iliği ödeminin yanı sıra sol bacakta büyüme plağı genişlemesi, kemik iliği ödemi ve sub-kartilaginöz kist tespit edildi. Sağ femur başına rezeksiyon artroplastisi uygulandı ve kaymış femur başı histopatolojik incelemeye tabi tutuldu. Bu çalışmanın amacı, kaymış femur başı epifizinin tanısında düşük-alan MRG kullanımını değerlendirmektir.

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