Page 79 - The Pembroke & Cardigan Welsh Corgi Worldwide Magazine
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EJCAP - Vol. 17 - Issue 2 October 2007




            The OFA scoring system                                                                                This allows the radiologist to assess for progressive arthritic changes that
                                                                                                                  would be expected if the dog was truly dysplastic. Most dogs (over 50%)
            OFA  exclusively  represents  the  USA                                                                with this grade show no change in hip conformation over time and receive
            and  Canada.  Dogs  must  be  older  than  2                                                          a normal hip rating; usually a fair hip phenotype.
            years of age for official scoring. A 7 point                                                       Mild CHD (Figure 5): The femoral head is partially subluxated causing an
            scoring system is used, dividing the dogs                                                             incongruent and widened joint space. The acetabulum is usually shallow
            in 2 groups of 3 grades each: Normal hip                                                              only  partially  covering  the  femoral  head.  There  are  usually  no  arthritic
            conformation  with  excellent,  good,  and                                                            changes present and if the dog is young (24 to 30 months of age), a
            fair score on one side, and dysplastic hip                                                            second radiograph may be submitted for re-evaluation when the dog is
            conformation  with  mild,  moderate,  or                                                              older. Most dogs will remain dysplastic showing progressive DJD. Since
            severe CHD on the other side.                                                                         CHD is a chronic, progressive disease, the older the dog, the more accurate
                                                                                                                  the diagnosis of CHD (or lack of CHD).

            Diagnostic criteria are signs of subluxation                                                       Moderate CHD: There is significant subluxation present with the femoral head

            and DJD. Scoring is done independently by                                                             barely seated into a shallow acetabulum. There are secondary arthritic changes
            3 trained radiologists from a consulting pool                                                         usually along the femoral neck and head (remodelling), acetabular osteophytes
            of certified veterinary radiologists. The score                                                       and various degrees of trabecular bone pattern changes called sclerosis.
            reflects  their  pooled  consensus  which  is                                                      Severe CHD (Figure 6): Radiographic evidence of marked dysplasia. There is
            reported back to the owner. Excellent, good                                                           signifi cant subluxation with the femoral head partly or completely out of a
            and  fair  hip  grades  are  considered  to  be                                                       shallow acetabulum. There are massive secondary arthritic bone changes
            within  normal  limits.  Such  animals  receive                                                       along the femoral neck and head, acetabular rim changes and large
            an OFA number, and their results are placed                                                           amounts of abnormal bone pattern changes.
            in  the  public  domain  and  are  available  on
            the  OFA’s  website.  For  dysplastic  dogs                                                        The BVA/KC scoring mode
            (borderline,  mild,  moderate  and  severely                                                       BVA/KC is used in Britain, Ireland, and Australia/New Zealand to score each hip
            dysplastic) a radiographic report is given to                                                      joint based on the severity of changes of 9 specifi c morphological radiographic
            the owner. Unless the owner has chosen the                                                         criteria examined. They are NA, subluxation (2 criteria), shape and depth of
            open database, dysplastic hip grades are not                                                       acetabulum (5 criteria), as well as shape and signs of DJD at the femoral head
            in the public domain.                                                                              and neck (2 criteria). Each criterion is scored from 0 (ideal) to 6 (worst). Final
                                                                                                               hip score is offered as the sum between 0 and 53 for each hip joint and as
                                                                                                               the sum of both hips (0-106) (Table 2). Scoring is done by 3 panellists out of a
            Some  cases  may  be  scored  as  borderline.                                                      group of certifi ed radiologists or small animal surgeons jointly.
            There  is  no  consensus  between  the
            radiologists  to  place  the  hip  into  a  given                                                  What are the pros and cons of each scheme?
            category  of  normal  or  dysplastic.  There  is
            usually more incongruence present, but no                                                          FCI accepts scores made by anyone considering himself expert in the
            arthritic  changes  that  would  definitively                                                      radiological evaluation of canine hip conformation. The individual breed club
                                                                                                               selects a veterinarian of its preference as scrutineer. Training and competence
            diagnose  the  hip  joint  being  dysplastic.                                                      of the scrutineers vary enormously from self trained practicioners and in some
            There  also  may  be  a  normal  anatomic                                                          occasions even lay persons to highly skilled certifi ed veterinary radiologists or
            variant for that individual breed. To increase                                                     small animal surgeons. Quality of scoring varies accordingly. Comparison of

            the  accuracy  of  a  correct  diagnosis,  it  is                                                  final grades between coutries may become extremely diffi cult or simply not be
            recommended to repeat the radiographs at a                                                         possible. Furthermore one single breed within a country may have broken up
            later date (usually 6 months). This allows the                                                     into different breed clubs and these clubs may work with different scrutineers
                                                                                                               hampering comparison of the results even within a country. Estimated
            radiologist to assess for progressive arthritic                                                    heritability of an average of 30% (reaching 50% in well designed studies) is
            changes that would be expected if the dog                                                          somewhat lower than that of BVA/KC, but still offers ample information for
            was  truly  dysplastic.  Most  dogs  with  this                                                    selection of breeding stock against CHD.
            grade show no change in hip conformation
            over time and receive a normal hip rating.                                                         The website of FCI (www.fci.org) does not provide much help for the breeder,
                                                                                                               since FCI considers its most important duties to keep track of the standards
                                                                                                               for each of the 338 recognized breeds, to provide internationally accepted
                                                                                                               pedigree form (but does not issue any pedigree), to train judges and to collect
             Scoring  radiographs  for  canine  Hip  Dysplasia  -  The  big
             three  organisations  in  the  world:  Figs.  1-6:  Schematic                                     and list the results of dogs in shows and trials. Good information on the
             drawings of the 6 OFA gradings.                                                                   procedure can be found on th website of the Italian fondazione salute animale
                                                                                                               (FSA) (www.fondazionesaluteanimale.it/CENTRALE/index.html)
                                                                   Figs. 1-6: Schematic drawings of the 6 OFA gradings.

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