CANINE HIP DYSPLASIA By Dr. Max Banwell DVM
Hip dysplasia is a multifactorial disease. Genetics, growth rate and environment all play a role in the degree predisposed dogs are affected. Malformation of the hip joint and laxity in the surrounding soft tissue of the joint lead to abnormal articulation. The resulting abnormal inflammation and pain further osteoarthritis. Signs associated with the disease can be mild to severe depending on the activity level of the dog and severity of the osteoarthritis. Clinical signs associated with hip dysplasia can be seen in two different age groups of dogs. Young dogs (3-9 months) may show lameness and decreased activity. These dogs can be slow to rise from a lying position, or may just seem less playful than the average puppy. Older dogs (2+ years) may show severe lameness and pain after athletic activity. Performance dogs may fall behind due to the pain associated with the resultant osteoarthritis that has formed in the hip joints. There are a variety of surgical and non-surgical treatments for dogs with hip dysplasia. The aim of surgical treatments are to increase coverage of the femoral head and decrease laxity (triple pelvic osteotomy), or salvage procedures aiming to decrease the pain associated with the osteoarthritis (total hip replacement / femoral head and neck osteotomy). Not all dogs with hip dysplasia require surgery to improve their quality of life and performance ability. Many dogs can be managed long-term with a very favorable outcome non-surgically. Non-surgical treatments revolve around weight control, exercise control, pain control, and the use of chondroprotective agents such as glucosamine. Glucosamine will function to assist the dog in two main ways. The first is to minimize the inflammation found within an injured joint the second is to help maintenance of the cartilage and aid in repair and some degree of regeneration.
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