chapter  9
FRACTURES AND DISORDERS OF THE HINDLIMB
Pages 94

Concomitant injuries occur in the majority of cats (59-72%) with pelvic fractures6,7. In one report, 56.4% of cats with pelvic fractures had other musculoskeletal injuries; these may include sacral fractures, coxofemoral luxations, femoral head and neck injuries, and femoral fractures3,7,8. Ischial fractures often occur concurrently with sacral fractures6. Twenty-three percent of cats with pelvic fractures had concurrent injuries to the thorax or abdomen, including pneumothorax, hemothorax, urinary tract injuries, gastrointestinal injuries, abdominal hernia, diaphragmatic hernia, and rupture of the prepubic tendon7,9. Twenty percent had injuries of the nervous system, including lumbosacral plexus injury and sciatic nerve damage7,10,11. Many cats with pelvic fractures have injuries to multiple body systems. A complete physical examination, orthopedic evaluation, and neurologic examination, and radiographs of the thorax and abdomen should be obtained to identify concurrent injuries and allow initiation of proper treatment.