Hip dysplasia is a common issue that affects many breeds, particularly large and giant breeds. It's estimated that up to 70% of German Shepherds and up to 60% of Golden Retrievers are born with some degree of hip dysplasia.
Hip scores are a way to measure the likelihood of a dog developing hip dysplasia or other hip problems. The most widely used system is the Orthopedic Foundation for Animals (OFA) rating, which assigns a score from 0 to 192 based on the dog's hip joint.
Hip scores can be a valuable tool for breeders and owners, but they're not a guarantee of a dog's health. A dog with a high hip score may still live a long and healthy life, while a dog with a low score may still develop hip problems.
Here's an interesting read: Hip Dysplasia in Dogs Breeds
What Is Dysplasia?
Hip dysplasia is a condition where the "socket" of the joint is too shallow for the "ball", usually with abnormally sloping sides and a very small rim.
This abnormal joint structure leads to abnormal movement of the ball, resulting in pain and arthritis.
In many cases, dogs can appear fine until early middle age, when progressive arthritis becomes obvious.
For your interest: Hip & Joint Dog Treats
Causes of Dysplasia
Dysplasia is a condition that can be caused by a variety of factors.
Genetic mutations can lead to dysplasia, as seen in conditions like Turner syndrome and Down syndrome.
Infections, such as human papillomavirus (HPV), can also cause dysplasia, particularly in the cervix.
Smoking and other environmental exposures can increase the risk of developing dysplasia.
Radiation exposure has also been linked to dysplasia, particularly in the bone marrow.
Certain medications, such as chemotherapy, can cause dysplasia as a side effect.
Dysplasia can also be caused by a lack of proper cell development during fetal development.
Types of Dysplasia
Dysplasia is a degenerative condition that affects joints, causing them to deteriorate over time. This can lead to severe pain and limited mobility.
There are different types of dysplasia, but one of the most common is hip dysplasia. Hip dysplasia is a condition where the hip joint doesn't form properly, leading to arthritis and other complications.
Elbow dysplasia is another type of dysplasia that affects the elbow joint. It's characterized by the abnormal growth of bone or cartilage, which can cause pain and stiffness in the elbow.
In some cases, dysplasia can cause primary lesions, such as ununited bones or bone chips inside joints. These lesions can be managed with medical treatment, including using bone screws to reattach ununited bones or removing bone chips from inside joints.
While there's no cure for dysplasia, certain treatments can help manage the condition. These include reducing body weight, controlling exercise, and taking joint supplements to alleviate pain and discomfort.
Hip Dysplasia Scoring
The Hip Scoring Scheme requires a very specific X-ray of the hips under general anaesthetic.
The X-ray is carefully positioned to capture the hip joints from a precise angle, allowing experts to assess the condition of the hips.
Each hip is graded on nine different criteria, including the Norberg Angle, subluxation, and the shape of the socket and femur head.
These criteria are scored from 0 to 6, with 0 being perfect and 6 indicating severe damage that renders the joint non-functional.
The scores for each hip are summed up and reported as a Left and Right Hip score for the dog.
Diagnosis and Treatment
Dysplasia is a degenerative condition that can't be cured, but certain primary lesions can be managed.
Reducing body weight and exercising control are crucial in managing the condition, and joint supplementation and pain relief are also main treatment options.
In severe cases, hip or elbow replacement surgery is possible and very effective, but also very expensive.
Diagnosing Bad Hips
A hip replacement is usually recommended for people with severe hip arthritis, with over 90% of people undergoing the surgery having osteoarthritis.
The doctor will assess your overall health and medical history to determine if you're a good candidate for surgery.
X-rays and other imaging tests can help doctors diagnose hip problems, such as hip fractures or osteonecrosis.
Hip pain can be a symptom of various conditions, including hip fractures, osteonecrosis, and hip arthritis.
The severity of your hip pain will influence your treatment options, with surgery often being the best choice for severe cases.
Your doctor may also perform a physical examination to assess your hip mobility and strength.
For more insights, see: Hip Dysplasia Surgery Cost
Treatment Options for Developed Dysplasia
Dysplasia is a degenerative condition that can't be cured, but certain primary lesions can be managed.
Using bone screws to reattach ununited bones and removing bone chips from inside joints are two examples of management options.
Reducing body weight is a crucial part of treatment, as it can help alleviate symptoms.
Exercise control and joint supplementation are also important components of treatment.
Pain relief is another key aspect of managing dysplasia.
In severe cases, hip or elbow replacement surgery may be necessary and can be very effective.
Consider reading: English Bulldog Hip Dysplasia Treatment
Usefulness and Studies
The Oxford Hip Score (OHS) is a valuable tool in assessing outcomes of Total Hip Replacement (THR) surgery. It's primarily used to evaluate the effectiveness of different treatments and interventions.
The OHS has been adopted by the UK Department of Health (DoH) for assessing approximately 120,000 hip operations conducted annually in National Health Service (NHS) hospitals. These scores form part of the nationwide Patient Reported Outcome Measure program launched by the UK DoH.
Private healthcare providers, such as Nuffield Health (UK), have also benefited from using the OHS to develop care pathways that achieve the best possible results for patients.
The OHS is used to evaluate patient outcomes following alternative non-surgical interventions, including physical therapy, joint supplements, and anti-inflammatory medications. These interventions can be just as effective as surgery in some cases.
Public and private healthcare providers have used the OHS to assess patient outcomes across multiple facilities as a measure of the performance of individual treatment centers. This allows for the identification of high-performing centers and the sharing of best practices to improve standards.
The OHS has also been used in the context of hip dysplasia in dogs, where it provides an indication of how severe the dysplasia is. A hip score of 0-3 is usually considered normal and healthy, and dogs with a score below the breed average should be bred from to improve the breed overall and minimize the risk of hip dysplasia.
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Sources
- Hip scores: A current concept review (nih.gov)
- British Veterinary Association (bva.co.uk)
- The Oxford Hip Score (OHS) (ox.ac.uk)
- How to diagnose "bad hips" with hip scoring (stablerandhowlett.com.au)
- Find link tool (edwardbetts.com)
- Total Hip Replacement Surgery: Principles and Techniques (google.com)
- "Oxford Hip Score" (thefreedictionary.com)
- FREE Oxford Hip and Knee Scores for NHS and Medicare/Medicaid patients (quolo.org)
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