NAVLE Musculoskeletal

Feline Hip Luxation Study Guide

Coxofemoral luxation (hip luxation) is the most common joint luxation in cats, accounting for up to 90% of all joint luxations in this species.

Overview and Clinical Importance

Coxofemoral luxation (hip luxation) is the most common joint luxation in cats, accounting for up to 90% of all joint luxations in this species. The condition involves displacement of the femoral head from the acetabulum, resulting in significant pain, lameness, and functional impairment. Understanding the anatomy, diagnosis, and management of coxofemoral luxation is essential for the NAVLE examination and clinical practice.

Hip luxation in cats is most commonly caused by vehicular trauma (motor vehicle accidents), accounting for the majority of cases. Other causes include kicks, fights, falls from height, and unknown trauma. Concurrent injuries occur in approximately 55% of patients, making thorough patient evaluation critical before addressing the luxation.

High-YieldCoxofemoral luxations account for 90% of all joint luxations in cats and dogs. In immature cats (less than 10 months), trauma to the proximal femur is more likely to result in a capital physeal fracture (Salter-Harris Type I) rather than luxation.
Structure Function and Clinical Significance
Ligament of the Femoral Head Extends from the fovea capitis of the femoral head to the acetabular fossa. Rupture is required for luxation to occur. No significant blood supply to femoral head via this ligament.
Joint Capsule Attaches medially near the acetabular rim and laterally on the femoral neck. Must be torn for luxation. Capsule integrity affects surgical approach selection.
Dorsal Acetabular Rim Provides bony buttress preventing dorsal displacement. Fracture precludes closed reduction; requires surgical intervention or salvage procedure.

Anatomy of the Coxofemoral Joint

The coxofemoral joint is a diarthrodial ball-and-socket joint formed by the articulation of the femoral head with the acetabulum. The spherical femoral head fits into the cup-shaped acetabulum, allowing multiaxial movement including flexion, extension, abduction, adduction, and rotation.

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