Muscle Rupture in Cats
Normal activity can cause a disruption in a muscle. A normal muscle can be stretched, pinched, or injured directly, resulting in fiber disruption, weakening, and immediate or delayed separation of the uninjured portions. Alternatively, the muscle structure may be compromised by systemic or iatrogenic (physician-caused) conditions. The rupture may be complete or incomplete, and may be in the middle of the muscle or at the muscle-tendon junction. The acute (sudden and severe) stage is characterized by a typical inflammatory reaction that becomes chronic over time, with cross-linking, and adhesion development over time. Frequently, the acute phase is overlooked, as the signs may be temporary and respond well to rest. The chronic effects are often progressive and unresponsive to support therapies.
The muscles of the limbs, and the chewing muscles are the primary structures affected. Traumatic injury is indiscriminate, though certain activities may predispose a cat to muscle injury because of exposure. This is a relatively rare condition in cats.
Symptoms and Types
- Immediate lameness that is characterized by the specific muscle affected
- Localized swelling, heat, and pain
- Generally present for a few days to a week
- Chronic phase (if it develops)
- Usually associated with scar tissue that impedes normal function of an extremity
- Myositis (inflammation)
- Degenerative (unknown etiology)
- Myopathy (a neuromuscular disease), secondary to medical conditions
Your veterinarian will conduct a thorough physical examination on your cat, looking for evidence of neurologic dysfunction and tendon rupture. Diagnostic imaging will include X-rays to look for evidence of bone fragment defects and translocations, and ultrasound to look for swelling and disorientation of the normal muscle fiber at the site of injury in acute cases. Scar tissue and contracted areas of fibrous tissue can be seen in the muscle in chronic cases. Magnetic resonance imaging (MRI) can be used to look for edema and hemorrhage, and to achieve localization of the problem that will help to identify the type of problem.
Your doctor will also test your cat’s joints for evidence of joint instability or malalignment. Measurable differences between normal and abnormal sides may be useful in documenting the affected muscle site. Another thing your doctor can do is conduct a biopsy of the affected muscle to detect the presence of fibrous tissue and loss of muscle cells. Differentiating atrophy due to disuse from neurologic atrophy, and from injury-induced scarring, may be impossible without corroborating evidence.