Comparison of arthroscopic and radiographic abnormalities in the hip joints of juvenile dogs with hip dysplasia

Ian G. Holsworth, Kurt S. Schulz, Philip H Kass, William E. Scherrer, Brian S. Beale, James L. Cook, William J. Hornof

Research output: Contribution to journalArticle

23 Scopus citations

Abstract

Objective - To compare radiographic and arthroscopic abnormalities in juvenile dogs with clinically apparent hip dysplasia. Design - Case series. Animais-52 dogs (70 hip joints) with clinical signs of hip dysplasia scheduled to undergo triple pelvic osteotomy. Procedure - A ventrodorsal radiographic projection of the pelvis was evaluated by a radiologist unaware of clinical and arthroscopic findings, and radiographic osteoarthritic abnormalities were judged and scored as absent (0), mild (1), moderate (2), or severe (3). Arthroscopy was performed by a surgeon unaware of clinical and radiographic findings, and arthroscopic abnormalities were graded from 0 (normal) to 5 (exposed, eburnated subchondral bone). Results - In 30 of the 70 (43%) hip joints, no radiographic osteoarthritic abnormalities were seen. Severe, full-thickness articular cartilage lesions (grade 4) of the femoral head or acetabulum were seen arthroscopically in 14 (20%) joints. Lesions ≥ grade 2 were seen in 60 (86%) joints. Partial tearing of the ligament of the femoral head was present in 57 (81%) joints, and complete rupture was seen in 5 (7%). Radiographic abnormalities were seen in 13 of the 14 (93%; 95% confidence interval, 66% to 99.8%) joints with grade 4 arthroscopic abnormalities but in only 23 of the 46 (50%; 95% confidence interval, 35% to 65%) joints with grade 2 or 3 arthroscopic abnormalities. Conclusions and Clinical Relevance - Results suggest that radiography is not a sensitive method for identifying moderate cartilage lesions in juvenile dogs with hip dysplasia. If moderate cartilage lesions are an important prognostic indicator for the success of triple pelvic osteotomy, then methods other than radiography should be used to detect these lesions.

Original languageEnglish (US)
Pages (from-to)1091-1094
Number of pages4
JournalJournal of the American Veterinary Medical Association
Volume227
Issue number7
DOIs
StatePublished - Oct 1 2005

ASJC Scopus subject areas

  • veterinary(all)

Fingerprint Dive into the research topics of 'Comparison of arthroscopic and radiographic abnormalities in the hip joints of juvenile dogs with hip dysplasia'. Together they form a unique fingerprint.

  • Cite this