7 - Hip Disorders Flashcards

(49 cards)

1
Q

What is hip dysplasia

A

Abnormal development of the hip joint

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2
Q

Hip dysplasia is initially

A

Laxity of the hip join that ultimately results in joint instability and secondary OA

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3
Q

What % is a genetic component of hip dysplasia

A

20 - 35%

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4
Q

Prevalence of hip dysplasia is approximately

A

3.5%

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5
Q

Why is hip dysplasia prevalence artificially low

A

May not submit radiographs for observation when the dog obviously has hip dysplasia

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6
Q

Breeds with highest incidence of hip dysplasia

A

Newfoundland, Saint Bernard, Old ENglish sheep dog, GS,

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7
Q

Neutered dogs have what odds ration for hip dysplasia

A

1.2

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8
Q

What should you do in regard for neutering to help delay progression of OA - hip dysplasia

A

Delay neutering until sexual maturity

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9
Q

What plays a major role in expression of hip dysplasia in young developing dogs

A

Diet

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10
Q

Repeated subluxation may result in

A

Acetabular micro fractures that contribute to pain

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11
Q

The hips develop instability between what age

A

4 and 12 months

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12
Q

Bunny hopping gait is a key early sign of

A

Hip dysplasia

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13
Q

Evaluation of hip dysplasia means pain with

A

Extension of the hip joint

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14
Q

Diagnosis of hip dysplasia may be made by palpation of

A

Joint laxity - Ortolani sign

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15
Q

With progression of subluxation of the hips, what might cause the pain to decrease

A

Periarticular fibrosis improves the joint stability

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16
Q

What is the classic method of assessing joint laxity in young dogs

A

Ortolani sign

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17
Q

What is the process of the Ortolani sign

A

Adduct , push dorsal, abduct, feel pop while your Thumb is on the greater trochanter

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18
Q

Barden’s maneuver

A

Direct lateral displacement of the femoral head from teh acetabulum

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19
Q

Radiograph for hip dysplasia primarily concerned with

A

VD view

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20
Q

Penn Hip

A

V - D radiograph with distraction to calculate distraction index

21
Q

What is the minimum age for final grading of OFA view

22
Q

OFA views are rated as

A

Excellent, good, fair, borderline, dysplasia

23
Q

Which hip dysplasia test can be diagnostic at earlier ages

A

Penn Hip or Distraction Index

24
Q

What is an abnormal distraction index

A

Greater than 3.5

25
Surgical options for hip dysplasia include
Pubic symphysis desks, triple pelvic osteotomy, femoral head and neck osteoctomy, total hip replacement
26
Juvenile Pubic SYmphysiodeis is performed when
16 and 18 weeks of age
27
Describe juvenile pubic symphysiodeis
Pubic symphysis is surgicallly damaged, causing it to fuse and alter pelvic growth
28
What is cut in a triple pelvic osteotomy
Ilium, pubis, and ischium
29
TPO is for
Young dogs with minimal OA
30
TPO aftercare
Towel support for 2 weeks, leash walk for 4 - 6 weeks
31
Complications of TPO
Implant loosening, sciatic nerve paresis, subluxation, stranguria
32
FHO
Femoral head and neck excision
33
FHO may provide
Pain control
34
Who benefits the most from FHO
Dogs in severe pain
35
What are some late diagnosis clinical findings associated with OA
Lameness, crepitus, muscle atrophy, decreased range of motion
36
What happen to the femoral head during hip dysplasia
Eburnation flattening of femoral head
37
What is the first treatment of choice for hip dysplasia
Medial - NSAIDs, weight loss, exercise modification , adequan
38
Surgical options for hip dysplasia
Total hip replacement, femoral head and neck ostectomy
39
Total hip replacement may offer better function in what dogs
Large dogs
40
Cannont perform THR is what is unsuccessful
FHO
41
What are some components cemented prosthesis
Polyethylene socket, stainless steel femoral head and stem
42
Legg - Calve - Perthes Disease
Avascular necrosis of the femoral head
43
Legg - Calve Perthes Disease breed
Toy, terrier, and other small breeds
44
Legg - Calve Perthes is usually unilateral or bilateral
Unilateral
45
What is the age category of Legg-Calve Perthes DIease
3 - 13 months
46
Legg-Calve Perthes Disease will peak at
7 months of age
47
Clinical signs of Legg - calve - Perthes disease
Pain, decreased or no weight bearing, inability to jump, sitting improperly
48
Pathophysiology of Legg - Calve - Perthes
Loss of blood supply to the dorsal area of the proximal femoral epiphysis , tissue becomes necrotic, bone collapses
49
Surgical Treatment of LCPD
Excision of femoral head and neck