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