What is this condition?
The Hip is known as a ball and socket joint. The Socket being the Acetabulum and the Ball being the Head of the Femur. Hip Dysplasia occurs when the Acetabulum becomes shallow and fails to hold the head of the femur in the correct position and thus limits the range of normal movement in that limb. As well as bone abnormalities, laxity in the surrounding muscles, ligaments and tendons also strongly contribute to the degree of dysplasia.
Who does Hip Dysplasia affect?
Hip Dysplasia is not exclusive to dogs, cats and even humans can have it too. However in practice it is most commonly seen in medium to large breeds of a range of ages, such as the:
- Golden Retriever
- Great Dane
- German Shepard
What influences whether a dog will have Hip Dysplasia or not?
- Genetics - It is known that Hip Dysplasia is a genetic condition, which will most likely result in offspring of suffering dogs displaying some degree of the condition as they age.
- Nutrition - Research shows that obesity increases the likelihood of a dog of development dysplasia as well as leading to the develop of arthritis. As well as this a diet rich in protein and calcium at a too young age can lead to rapid growth thus effecting the bone development of the hip joint.
- Exercise - Incidences of Hip Dysplasia are higher in dogs which have been over exercised from a young age.
What are the Clinical Signs to look out for?
- Intermittent Lameness
- Pain and Discomfort after exercise
- Difficulty sitting down
- Difficulty getting up
How is Hip Dysplasia diagnosed?
Hip Dysplasia is most commonly diagnosed in practice through a:
- Series of Pelvis/Hip/Stifle X-rays - Pelvis RADs can be sent to the Kennel Club where they can be scored on quality.
- Clinical Signs - Pain and Discomfort etc.
- Health Check - Crepitus at the joint resulting in lameness and pain.
- Orthopaedic Exam assessing range of movement - Limited range of movement.
How do you treat Hip Dysplasia?
TPO (Triple Pelvic Osteotomy) - Require surgically breaking the pelvic bones and realigning the acetabulum and femoral head to restore comfortable weight bearing. This procedure is incredibly expensive with a long recovery time, it is usually only offered to patients less than ten months old and who are only showing laxity in the joint. However the success rate is high.
Total Hip Replacement - A procedure similar to human hip replacements, where the joint is replaced with a artificial more durable version. Again a expensive procedure but does produce good results if recovery is smooth. However is only completed at specialised referral centres.
FHNE (Femoral Head and Neck Excision) - This is usually the last surgical option offered in cases where the joint has extensively degenerated and expenses restrict the use of other surgical procedures i.e. Total Hip Replacements. It involves removing the femoral head so that a fibrous psuedo-joint forms. After recovery patients are pain free and can increase their everyday activities, however range of movement becomes limited and the joint is not as stable as it once was.
Weight Management - A healthy weight reduces the pressure put on the joint and therefore will slow down the degeneration of the joint itself. Surgical correction procedures also have higher success rate if the patient is at optimal weight.
Exercise Regimes - Breeds prone to Hip Dysplasia, should have small amounts of exercise often while their bones are developing to ensure they form correctly. Older dogs with Hip Dysplasia benefit from short lead walks and plenty of rest after walks in order to reduce the stress put on the joints.
Oral Supplements - Supplements such as Glucosamine and Omega-3 aid in keeping bone healthy are have high success rates in patients suffering from arthritis.
Non Steroidal Anti-Inflammatory Drugs - The use of NSAIDs are only good at reducing the pain caused by this condition. While older dogs show significant improvement on drugs such as Rimadyl or Metacam, they can detrimental in that the patient becomes to comfortable and strains themselves causing more pain and problems. These drugs also effect the liver and Kidneys when used long term, therefore blood testing is recommended every 6mths before further meds are dispensed.
How can you prevent Hip Dysplasia?
Selective Breeding is the key, by breeding sires and bitches which have good hip scores the incidents of Hip Dysplasia in future generations will be significantly lower.
I’ve been sick and unable to exercise for three weeks. I feel so crowded by everyone around me, I needed space so much that I pushed myself to go for a walk tonight. And I’m glad I did.
There’s something about walking on a pitch black road alone that really clears your mind. Maybe it’s that you’re focusing too hard on not falling over. Or that you suddenly remember what it is too feel, smell and hear everything around you, without vision dominating and overwhelming you all the time.
I need a break so very badly.
Worst part about moving out of home: no Mum and Dad to care for you when you’re so sick you can’t do it yourself. They always did look after me so well, especially when I was sick.
thIS IS MY FAVORITE THING EVER I AM CRYING
The “Reflection” series of older people looking at their younger selves in mirrors.
This is so beautiful
Oh my god this is amazing
On the Outside
On the Inside
Ain’t this the truth!
the scrub tech is like
Having boobs and a butt makes this so likely for me
There are certain pearls of wisdom that you really want to hear before you have a chance to make these mistakes yourself. Note: This list is by no means exhaustive.
- When expressing anal glands, do not stand directly behind the animal and do not talk. Keep your mouth shut, do not talk.
Average contact hours per week: 40
No. Courses: 3 (one double)
Courses: disease, nutrition and neurology
No. Exams this semester: 11 (about 1 every fortnight + end sems
No. Assignments this semester: 6
No. Quizzes this semester: 5
No. Hours tutoring each week: 2 + 1 hr prep
No. Hours sleep each night: 6.5
Km to walk this semester: 224
No. Weeks placement to do/organise this year: 10 weeks
So you can see I’m having a really tough time just getting through all the assessment, let alone understanding and remembering the content which is really difficult stuff.
Ofcourse I am not complaining, there is no where I would rather be than dying in this degree, but I thought this would help you guys understand why I’ll be a hermit in my room for most of the year.