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Dog Health:
Hip Dysplasia

 

Hip Dysplasia affects mainly large breed dogs, but can be seen in smaller breeds as well.  German Shepherds, Rottweilers, Golden Retrievers, Chow Chow, and Labrador Retrievers, all seem to have a genetic tendency towards this disease, and therefore are considered breeds at risk for hip dysplasia.

Just what is hip dysplasia?  This disease occurs in the hip joint itself.  The hip joint is made up of a ball and socket mechanism, in which the ball fits inside the socket tightly.  This tight fit allows for the ball to rotate about in the socket, but does not allow for movement of the ball away from the socket itself. 

In hip dysplasia cases, the ball and or socket may be deformed.  This deformity usually results in a loosely fitting ball and socket, in which rotation and movement of the ball away from the socket can occur.  In other cases of hip dysplasia, the tendons and ligaments which help hold and support the ball in its socket, can be loose, even though the ball and socket themselves may not be deformed.  Again, this looseness allows for movement of the ball away from the socket itself. 

When movement of this nature is allowed, the bones of the ball and socket can "rub" against one another, and cause pain.  Eventually, if left untreated, the hip joint can develop arthritis, which is a collection of calcium deposits around the hip joint.  Arthritis can occur as a result of the looseness of the hip joint.

Typical symptoms of patients with hip dysplasia include walking with an awkward gait in the hind quarters, sometimes "bunny hopping" or using the rear legs together when trotting quickly.  Difficulty getting up from a laying down position can also be seen.  Keeping the hock or ankle joint straight, rather than at a natural angle, is one way a dog compensates for poor hip joints.  Symptoms of pain and reluctance to run can result in more severe cases.  Some dogs will run hard, and then come up lame the following day due to hip dysplasia.

What can be done?  Well, if caught early enough, before the start of arthritis occurs, surgery can offer a variety of potential cures for hip dysplasia.  Reconstruction of the hip socket to conform around the ball is one procedure which can be done.  Replacement of the entire hip (ball and socket) with a metallic implant (total hip replacement) can also be done.  Surgery centers with qualified surgeons are recommended to perform these types of surgeries. 

Finally, removal of the ball of the joint can be done which prevents the bone on bone contact from occurring.  This procedure known as the femoral head ostectomy (FHO), has been available for many years.  Quite successful especially in dogs weighing 60 pounds or less, the procedure relies on the patient's body to produce scar tissue in place of the removed ball, creating then what is known as a "false joint". 

This procedure, along with the total hip replacement procedure, are the only available surgical procedures in dogs with arthritis associated with their hip dysplasia.  Reconstruction of the hip socket around the ball works best in dogs under one year of age, and in patients without arthritis.

Prevention of hip dysplasia can be accomplished as it is a known inherited trait.  Therefore, x-ray evaluation of the hips to determine if dysplasia is present prior to breeding dogs at risk is highly recommended.  Most reputable dog breeders with breeds that fall into the hip dysplasia risk group, have their dogs x-rayed and certified free of dysplasia prior to breeding.  

Before purchasing a puppy from a high risk breed for hip dysplasia, be sure and ask the breeder if the mother and father's hips have been certified free for hip dysplasia.