Hip dysplasia in dogs

Hip dysplasia is a common disease in dogs. It means that the hips are disformed. The femoral heads do not fit properly into the hip socket. This causes pain and often makes walking difficult.

The hip joint

Dogs’ hip joint consists just as a human hip joint of a hip socket into which the round femoral head of the upper leg turns. The joint is covered with cartilage and the joint contains joint fluid which ensures that the different parts can rotate smoothly. Around the joint is a joint capsule. A ligament and the pelvic muscle ensure that the femoral heasd stay firmly in the hip socket.

Hip dysplasia

When hip dysplasia occurs this means the hip joint is not well developed. Often a puppy’s ligaments and pelvic muscles are not yet strong enough and often the femoral hip heads sits looser in the hip socket. Too much playing can lead to problems.

  • The joint capsule is stretched
  • The cartilage is damaged by wrong movements in the joint
  • The femoral hip socket is not sufficiently developed
  • The femoral hip head flattens
  • These discrepencies are the cause that all part of the joint no longer fit well together. There were the damage arrises, artose can develop The cartilage becomes thicker and  more rigid  which leads to a less supple hip joint.

How does hip dysplasia develop?
The predisposition for hip dysplasia is often heriditary, but many factors play a role:

  • Too much movement as a puppy
  • Wrong movements as a puppy
  • Growing too fast
  • Overweight puppy
  • Wrong nutrition

All these factors can have a negative influence on the development of the hip joint.

At what age does hip dysplasia become apparent?
The first symptons often appear when the puppy is between 4 and 10 months. The symptons can vary:

  • Your puppy can limp
  • Your puppy plays less or plays often sitting or lying down
  • Your puppy has difficulty getting up or laying down
  • Puppies sways its backhand
  • When your puppy runs he uses both back paws at the same time instead of putting his paws diagonally. It so called “bunny hopping”.
  • The puppy’s back paws are often close together

Also older dogs can suffer from hi pdysplasia. Older dogs have more symptons typical for artrosis.

  • Stiff backhand
  • Limping after making an effort
  • Difficulty getting up
  • Muscles of the backhand are less developed
  • Difficulty jumping and climbing stairs
  • These symptons are not sufficient to make a diagnosis

How is a diagnosis of hip dysplasia made?

The vet makes the diagnosis. The ananmesis and bodily examination often provide an indication. The diagnosis is confirmed by X-rays of the hips. It is advised to make the x-rays under sedation to allow a good evaluation. If your puppy has complaints it is best to have hip dysplasia diagnosed before he is 6 months old; this offers most options and the best success with treatment.

How is hip dysplasia treated?

There are several options to treat hip dysplasia. The treatment often depends on the stage/age when the condition is discovered, the weight of the dog, the change that are or are not visible in the joint, but also the financial resources of the owner.

Treatment options:

Conservative approach (supportive)
Hip dysplasia causes pain. This needs to be addressed. The most used drugs are the non-steroid anti-inflamatory medication (NSAID’s) This relieves the pain. Apart from this also the inflammatory reaction in the joint is addressed. Apart from addressing the pain and the inflammatory response also your dog’s movement pattern needs to be examined and your dog needs to have a healthy weight or keep it. This treatment can be combined with fysiotherapy where the development of muscle is targetted. Food additives can be used to support the joints. Think of Omega-3 fat-acid and/or glucosamine/chondroitine sulfate and products specifically aimed to treat damage to the cartilage such as Flexadin Advanced. Also special nutrition can be given to support the joints.

Operation
Depending on the age of the dog, its size and the changes already present in the joint you can opt for an operation to treat hip dysplasia. There are several techniques:

Juvenile pubic symphysiodesis: This technique can be used on very young dogs(12-18 weeks). This surgery involves adapting the development of the pelvis, so the joint can develop better. This surgery is not often used, because at that age puppies don’t yet have complaints and a diagnosis is difficult to make. At this moment you do not know whether your puppy will in fact suffer from hip dysplasia.

Pelvic tilt Triple pelvic osteotomy or TPO: This surgery is only done when there is no osteoperosis and the hips are not to far out off the socket. The pelvis is surgically tilted in 3 places so that there is a better connection between the hip head and the hip socket. An alternative is the double pelvic osteotomy. After this operation there is more stability in the pelvis immediately after the operation and the dog heals more quickly.

Hip head resection: In this operation the hip head is removed. The musces and the cartilage round the hip joint will stabilise the hip. This operation can also be done when there is already osteoperosis, but is less suitable for large/heavy dogs.

Artificial hip: As a last option a artificial hip can be used. This is an expensive operation, but is a good help when a vast amount of osteoperosis has formed in the joint.

The purpose of these operation is mainly to lessen the pain. Every operation entails risks and complications. You also need to bear in mind that a lot of after-care will be required after the operation. This can take several weeks. Your dog needs to rehabilitate. Get all the information prior to the operation re the pro and cons of the operation, the cost and of course the prognosis for your dog.

What can I do to avoid that my dog develops hip dysplasia.

You have very little influence on the heriditary of hip dysplasia. Some breeds are very sensitive for hip dysplasia. If you are interested in getting a breed that is sensitive for hip dysplasia contact the breeders’ association. Often breeders have to comply to very strict rules before they can breed with this dog. These dog often have a pedigree. A pedigree is not a guarantee, but provides the security that the parents were examined for hip dysplasia and ( to a certain extent) are free of this condition

What can you do?

Make sure your dog has or gets the right weight: avoid obesitas. This is not only important to avoid hip dysplasia but also many other conditions!
Linear exercsing is the best e.g. biking (but not for very young dogs!) and swimming. Avoid exercise where your dog has to turn a lot, like playing with a ball. This also applies when playing with other dogs. Playing with other dogs is important for the social development but make sure your puppy does not play with too big, heavy or wild dogs. No running up or down stairs. Climbing stairs can but slowly. You need to train this. Don’t let your puppy play on a slippery surface because here again he can slip and that is bad for his joints.
Give your dog the correct nutrition adjusted to its age and the (adult) weight of your dog. A puppy of a small breed needs other nutrition than the pupppy of a big breed. It is important that all nutritional substances are present but also in the right proportions. Very important for the growth of your dog is the balance between calcium and fosfate.

And Finally...
Pay close attention to your dog’s weight, exercise and nutrition.
Watch the growth of your puppy. If you are worried about your pup’s growth take him to the vet rather early than late. The sooner you have a diagnosis the more chance you have that the treatment will be successful.
Hip dysplasia is to some extent hereditary.

Be sure you are wellinformed before buying a pup. Ask the breeder for the examimations results of both parents.

The club impose the following norms:

  • HD-A X HD-A is allowed
  • HD-A X HD-B is allowed
  • HD-A X HD-C is allowed
  • HD-B X HD-B is allowed

Other combinations are not allowed!!