{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,11]],"date-time":"2026-11-11T08:32:41Z","timestamp":1794385961034,"version":"4.9.0"},"reference-count":22,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T00:00:00Z","timestamp":1789603200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T00:00:00Z","timestamp":1789603200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Feline Medicine and Surgery"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>The objective of the study was to describe radiographic skeletal changes in cats affected by patella fracture and dental anomaly syndrome (PADS), with particular focus on the femora and tibiae, including bone density alterations, evidence of stress fractures and femoral morphology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Cats were retrospectively selected from a database of PADS-affected cats. Radiographs were independently evaluated by five veterinary radiologists and three orthopaedic surgeons for cortical thickening, medullary opacity changes, the presence of osteopetrosis, degenerative joint disease and additional fractures, and subjective assessment of the femoral shape.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 126 cats met the inclusion criteria. All had patellar fractures and 28 (22.2%) had additional fractures, most commonly involving the proximal tibia in 17 (13.5%) cases, proximal fibula in 15 (11.9%) cases and the pelvis. Four cats showed an incomplete radiolucent line in the cranioproximal tibia with surrounding sclerosis, consistent with developing stress fractures. Medullary opacity changes in the femora and\/or tibiae were present in 11\/126 (8.7%) cats, more often patchy than diffuse in appearance. In five (4.0%) cases, a generalised increase in bone opacity compatible with osteopetrosis was identified. Femoral shape was assessed in 74 cats, with 26 (35%) having a normal morphology, and seven (9.5%) and two (2.7%) having a stovepipe or champagne-fluted morphology, respectively. Consensus was not reached in 39 (52.7%) cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions and relevance:<\/jats:title>\n                    <jats:p>Most PADS-affected femora and tibiae appeared radiographically normal; however, a subset of cats demonstrated radiographic features of osteopetrosis, altered femoral morphology and proximal tibial fissure lines suggestive of early stress fractures. These findings suggest that specific structural and morphological changes in the long bones may be present or may predispose cats to the insufficiency fractures characteristic of PADS, and emphasise the importance of clinicians recognising these subtle radiographic features to aid earlier diagnosis and appropriate case management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1098612x261492121","type":"journal-article","created":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T10:16:03Z","timestamp":1789640163000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Radiographic findings of the femora and tibiae in cats affected by patella fracture and dental anomaly syndrome"],"prefix":"10.1177","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-0156-8040","authenticated-orcid":false,"given":"Sam","family":"Boulton","sequence":"first","affiliation":[{"name":"Langford Small Animal Hospital, University of Bristol, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7662-8601","authenticated-orcid":false,"given":"Tom","family":"Hernon","sequence":"additional","affiliation":[{"name":"Langford Small Animal Hospital, University of Bristol, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sumari","family":"Dancer","sequence":"additional","affiliation":[{"name":"Anderson Moores Veterinary Specialists, Winchester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3513-9112","authenticated-orcid":false,"given":"Helen","family":"Dirrig","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences and Services, The Royal Veterinary College, Hatfield, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8843-4051","authenticated-orcid":false,"given":"Alison C.","family":"Major","sequence":"additional","affiliation":[{"name":"Langford Small Animal Hospital, University of Bristol, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0537-4864","authenticated-orcid":false,"given":"Alexandros","family":"Bourbos","sequence":"additional","affiliation":[{"name":"Langford Small Animal Hospital, University of Bristol, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3182-733X","authenticated-orcid":false,"given":"Valentina","family":"Piola","sequence":"additional","affiliation":[{"name":"Vet.CT Specialists, Cambridge, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raquel","family":"Salg\u00fcero","sequence":"additional","affiliation":[{"name":"Veterios, Madrid, Spain"},{"name":"Diagnostic Imaging Service, Complutense Veterinary Teaching Hospital, Faculty of Veterinary Medicine, Complutense University of Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shane","family":"Guerin","sequence":"additional","affiliation":[{"name":"Veterinary Specialists Cork, Little Island, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4397-5150","authenticated-orcid":false,"given":"Sorrel J.","family":"Langley-Hobbs","sequence":"additional","affiliation":[{"name":"Langford Small Animal Hospital, University of Bristol, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,17]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"crossref","unstructured":"Langley-Hobbs S. 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