Page 75 - The Pembroke & Cardigan Welsh Corgi Worldwide Magazine
P. 75

Name: Lea Kreszinger dr.med.vet.
             Canine Hip Dysplasia (CHD)                            Country: Croatia
             is an inherited, developmental                        Affix: Small animal veterinary clinic
             condition that involves a lack of                     Kreszinger, Sesvete, Croatia
             conformity between the femoral                        Website: klinika-kreszinger.com/

             head and acetabulum and                               Email: kreszinger@gmail.com
             invariably leads to osteoarthritis.




            Laxity of the hip joint has been recognized as    Canine  hip  dysplasia  is  an  osteoarthritic
            a  constant  feature  of  CHD  and  it  appears  to   disease  that  causes  mild  to  severe  pain  and
            have an hereditary basis. CHD, in contrast to     variable degrees of disability in affected dogs.
            a similar disease in human beings, cannot be      CHD disease mechanism is multifactorial with
            diagnosed  at  birth  as  it  develops  during  the   genetics,  nutrition  and  environment  playing
            growth  phase  as  a  consequence  of  several    a major role in its clinical expression. Hip joint
            factors  leading  to  joint  laxity  and  incongruity   pain associated with dysplasia probably results
            like  collagen  disease,  imbalance  between      from  a  combination  of  several  mechanisms.
            hip  adductor  and  abductor  muscles,  sloped    Mechanical  instability  stimulates  nociceptors
            orientation of the acetabular roof, overweight.   within  the  stretched  round  ligament  and  joint
            Hip dysplasia is a dynamic process and all the    capsule directly resulting in pain. Bone on bone
 Hip        separate acetabular hip dysplasia from femoral    molecules that initiate the inflammation. There
                                                              friction generates pain. These processes result
            aspects of the disease depend on the time in
                                                              in tissue damage, exposure and release of tissue
            which it is evaluated. Generally it is possible to
            hip  dysplasia,  both  leading  to  hip  laxity  and
                                                              is a wide variety of treatment, both conservative
            joint degeneration.
                                                              and surgical, and understanding the course of
                                                              the disease helps veterinarians make decisions
                                                              on  the  appropriate  management  for  each
            Most  cases  of  CHD  involve  acetabular  hip
 Dysplasia  dysplasia  which  is  characterized  by  excessive   individual dog.   between     joint   laxity/
            slope  of  the  dorsal  rim  of  the  acetabulum
            and  its  secondary  osteoarthritic  changes.
                                                                     association
                                                              The
                                                              subluxation,  and  degenerative  joint  disease
            This  excessive  slope  could  be  caused  during
            growth by an insufficient magnitude or incorrect
                                                              (DJD) has been accepted. Affected dogs usually
            direction  of  forces  pushing  the  femoral  head
            into the developing acetabulum which becomes      develop joint laxity after 3 months of age and
                                                              radiographic DJD after 5-6 months of age. The
            shallow.  During  weight  bearing  the  femoral   vast  majority  of  dogs  with  CHD,  particularly
            head is laterally deviated by the inclined plane   those with milder forms of osteoarthritis, show
            of  the  sloped  dorsal  acetabular  rim  stretching   no  significant  clinical  signs  until  the  geriatric
            the joint capsule which becomes inflamed and      years, if ever. If and when clinical signs develop,
            causing  microfractures  of  the  cartilaginous   the clinical significance of these clinical signs is
            labrum. Femoral hip dysplasia is characterized    unpredictable, particularly in the milder forms of
            by  abnormalities  in  the  femoral  neck  length,   the disease. Because development of the DJD is
            inclination  and  anteversion  which  lead  to    latent, early diagnosis in puppies based only on
            uneven  loading  of  the  articular  surfaces,  joint   clinical  examination  and  conventional  ventro-
            incongruence and joint capsule stretching.        dorsal view is unreliable.



                                                                     The Pembroke & Cardigan Welsh Corgi Worldwide Magazine | 75
   70   71   72   73   74   75   76   77   78   79   80