NAVLE Musculoskeletal

Feline Patellar Luxation Study Guide

Patellar luxation (PL) is the displacement of the patella (kneecap) from its normal position within the trochlear groove of the femur.

Overview and Clinical Importance

Patellar luxation (PL) is the displacement of the patella (kneecap) from its normal position within the trochlear groove of the femur. While less common in cats than dogs, patellar luxation represents an important cause of pelvic limb lameness in feline patients. Unlike dogs, many clinically normal cats have physiological laxity in the patellofemoral joint, making diagnosis more nuanced.

Approximately 80% of cats with patellar luxation have bilateral involvement. Medial patellar luxation (MPL) accounts for approximately 95% of cases in cats, with lateral patellar luxation (LPL) being rare.

High-YieldPatellar subluxation is considered a NORMAL finding in cats due to their wider, flatter patella relative to the trochlear groove. This is distinct from pathological patellar luxation. Do not confuse physiological laxity with clinical disease on the NAVLE.
Breed Clinical Significance
Devon Rex Highest predisposition; genetic component suspected
Abyssinian 38% prevalence reported in some studies; may have concurrent hip dysplasia
Siamese Genetic predisposition reported
British Shorthair Overrepresented in some studies
Domestic Shorthair Most commonly affected breed overall (62% of cases due to population prevalence)
Bengal Emerging breed predisposition in referral populations

Anatomy of the Feline Stifle

The stifle joint (knee) connects the femur to the tibia and fibula. The patella is a sesamoid bone embedded within the quadriceps tendon that articulates with the trochlear groove on the cranial distal femur.

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