Page 76 - The Pembroke & Cardigan Welsh Corgi Worldwide Magazine
P. 76

That is why for early diagnosis of hip dysplasia
             and  treatment  in  the  juvenile  patient
              additional ventrodorsal view with distraction
                measurement (PennHip), frog (compression)
      HEALTH      measurement  of  Subluxation  indeks  (SI)
                 view,  DAR  view,  lateral  view  and

                   and Distraction index (DI) are suggested.


                  Currently  accepted  treatments  include
                medical    management       and    surgery.
             Conservative/medical     management        for
            patients with HD involves controlled exercise,
            weight  control,  antiinflammatory  agents,  and
            analgesics. Medical therapy is oriented toward
            alleviating pain and slowing the deterioration of
            the  joint.  Surgical  treatments  include:  juvenile                           PennHIP Standard
            pubic symphysiodesis (JPS), DPO (Double Pelvic
            Osteotomy),  DAR  (Dorsal  Acetabular  Rim)
            Arthroplasty, femoral head and neck ostectomy
            (FHNO), and total hip replacement (THR).


            Clinical signs of CHD can be seen as early as at
            5 to 6 months of age in severe cases or in the
            mature  age  according  to  the  physical  activity
            and to the degree of degenerative joint disease
            developed. In dogs the disease can be detected
            radiographically when they are between 4 and
            8 months old, although in some individuals the
            disease  is  not  evident  radiographically  until                             PennHIP Distraction
            they are 12 to 24 months old.

            Combining  a  physical  orthopedic  evaluation
            and a dynamic radiographic study it is possible
            to  anticipate  the  diagnosis  of  CHD  in  every
            susceptible dog at the age of 6 months which
            is  very  useful  for  dog  selection  in  controlled
            breeding programs; it is also a good opportunity
            to  assess  the  patient  for  future  hip  problems
            according  to  the  owner's  expectations  for
            performance and to provide the possible more
            appropriate conservative or surgical treatments.

            The Pembroke Welsh Corgi was suggested to
            have  unique  hip  joint  conformation,  including                           PennHIP Compression
            joint laxity, CFHO (circumferential femoral head
            osteophyte), and CCO (caudolateral curvilinear    every  1  kg  increase  in  body  weight,  the  odds
            osteophyte)  and  their  unstudied  relationship   for CFHO is increased by 1.5 times. Dogs with
            with  hip  dysplasia.  Their  probability  for    CFHO  had  greater  odds  for  having  subjective
            OA  (osteoarthritis)  increased  as  they  have   subluxation  on  radiographs  and  greater  odds
            contemporaneous coxofemoral subluxation. For      for conventional hip dysplasia.



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