Hip Flashcards

1
Q

Abnormal development of the coxofemoral joint is defined as ____ _____

A

hip dysplasia

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2
Q

hip dyspasia leads to ____ ____ in young dogs

A

joint laxity

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3
Q

Laxity and malarticulation leads to ____ as the dog matures

A

DJD

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4
Q

How does this happen often with young large breed puppies

A

disproportionately rapid skeletal growth and relatively delayed muscle growth leading to joint instability

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5
Q

_____ changes result from failure of soft tissue to maintain congruity between Articular surfaces of the ____ head in the ______

A

Bone femoral acetabulum

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6
Q

How can you delay signs with hip displasia predisposed dogs

A

if congruty is maintained as the acetabulum ossifes when they are growing

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7
Q

Dogs with greater ________ ______ are more likely to have normal hips

A

pelvic mass

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8
Q

Incidence of hip dys. is higher in _____ breed dogs

A

large (labs GSD)

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9
Q

When hip dysplasia is developing young animals show ____ ____ while order more chronic pateints present with ___/____

A

young-joint laxity older DHD/osteoarthritis

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10
Q

True or False: males or females get HD more

A

false both equal

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11
Q

Bunny hopping difficulty rising nd exercise intolerance with intermitten lameness tells you what

A

probably HD

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12
Q

60% of the weight placed on _____ 40% on _____

A

60-forelimb 40-hindlimb

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13
Q

Early or late phase of HD lame, pain on extension, bunny hopping, straight stifles, hea and neck extended, narrow base rear wide front muscle atrophy reluxatnat to rise restricted extension, muscle atropthy pin on extnesion and creptiation

A
  • Top early phase
  • bottom late phase
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14
Q

______ ______: uses to assess joint laxity in immature dogs with early signs of HD. dorsal recumbency with femurs at 90 degrees if you head the head return its positive, done before rads while sedated

A

ortolani sign

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15
Q

The greater the angle of _____ the greater the degree of _____ ____

A

-reduction joint laxity

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16
Q

In the early acute form animals typically take weight off rear limbs by doing this?

A

shiting weight forward onto front limbs

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17
Q

will we see muscle atrophy early on with HD

A

no its chronic over time

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18
Q

What are the 2 DX imaging tools we can use to assess HD

A
  1. Normal rads VD Penn hip distraction or stress radiography
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19
Q

What do we see early on with HD/ what about late stage -Increased _____ space -Flattened ______ -_____ valga -_____phytes

A

joint flatt acetabulum coxa valga osteophytes late stage above + DJD

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20
Q

True or False we can rely on rads to tell us how bad the CS are

A

false do not always correlate

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21
Q

How do we med. manage HD

A

reduce food intake is number one lower fat and protein to keep dog lean (swimming) -avoid pain manage the exercise and allev with NSAIDS if you need to (long slow walks) -improve strength and joint motion growth supple with CA promotes expression of faulty genes so avoid

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22
Q

How do we med. manage HD

A

reduce food intake is number one lower fat and protein to keep dog lean (swimming) -avoid pain manage the exercise and allev with NSAIDS if you need to (long slow walks) -improve strength and joint motion (physical herapy) acupuncture growth supple with CA promotes expression of faulty genes so avoid

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23
Q

What age of HD predisposed dogs do we consider for sx and what is the procedure called, does it compl eliminate the need for future sx, what does it do

A

young puppies less than 20 weeks does not preclude further sx treatment juvenile pubic symphysiodesis-alters growth of pelvis and degree of ventroversion of acetabulum low compli rate

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24
Q

What age of HD predisposed dogs do we consider for sx and what is the procedure called, does it compl eliminate the need for future sx, what does it do

A

young puppies less than 20 weeks does not preclude further sx treatment juvenile pubic symphysiodesis-alters growth of pelvis and degree of ventroversion of acetabulum low compli rate

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25
When is TPO considered for HD,
immature dogs 5-8 months of age without evid of DJD osteotomy of pubis ischium and ilium, ili
26
TPO improves _____ coverage of the head of the femur by _____ rotation and _____ of acetabulum
dorsal coverage axial rotation lateralization of acetabulum
27
Which surgery has the most favorible prognisis of HD and what is the angle of reduction reduced to? Solid distinctive reduction of _____ head What is minimal to none
TPO minimal to no DJD femoral head reduction \<30 degrees
28
In immature dogs we do ____ for sx management to yield best results, what about mature dogs?
immature-TPO mature;total hop replacemetn and FHO
29
With total hip replacement: degenrative hip is replaced with ____ acetabular \_\_\_, femoral ____ and head can be done at \_\_\_-\_\_\_ months of age success depends on experience of surgean
prosthetic acetabular cub and femoral stem and head 7-8 months of age
30
Large breed mature dogs have more success better fucntion with this procedure compared to this with HD
better fucntion with THR than with FHO
31
How lond do we restrict movement after THR
8 weeks
32
How long do we restrict movement after THR
8 weeks
33
With THR ______ types of implants can harbor bacterial and cause infection. we often use these though for greater stabiliz in older HD dog
cemented
34
Can we perform FHO for best results for a puppy
Nope best done after skeletal maturity
35
With THR and FHO we take the \_\_\_\_-\_\_\_ directional approach to hip joint
craniolateral
36
When doing a FHO, be sure not to take off the _____ \_\_\_\_\_ bc the ___ and ____ \_\_\_\_ muslces attach there
greater trochanter middle and deep gluteals
37
What is the most common problem with FHO
leaving a shelf of bone caudally (harder to visualize)
38
For FHO: ______ is formed using gluteal mm and tendons to support weight
pseudorthrosis
39
What do you need to do immediatele after FHO
use of the limb!!!! necessary for good fucntion, ROM and PT daily
40
Compare and contrast sucess with prognosis for: who has 75-95% success rate -juvenile pubic symphysiodesis after 20 weeks -TPO -THR -RHO
-juvenile pubic symphysiodesis poor -TPO-long term good to excellent, progr. degen changes -THR-excellent to normal 75-95% succcess rate -FHO smaller pattents better results improved limb function and QOL
41
What is the most commonly luxated joint in the dog and cat
coxofemoral
42
coxofemoral luxations are mostly come from \_\_\_\_\_, asc with ____ pelvic or long bone fracture, _____ injury, and ____ trauma (fell down stairs)
HBC contralateral pelvic... thoracic injury slient trauma fell down
43
coxofemoral luxation has what type of lameness andwhat age.breed
acute unilateral non weight bearing lameness, any breed of dog or cat and skeletally mature
44
What is essential todo assess on rads of propsed coxofemoral luxations before dx
rule out fractures
45
WHat direction is most common for coxofemoral luxations and why
craniodorsal luxation bc greater trochanter displaced dorsally gluteals attach their and pull it that way
46
\_\_\_\_ luxation is most common form of CF luxation. WHat is significant about Caudoventral luxatio
Craniodorsal MC Caudoventral luxation: asc with falls the splits resulting in severe AbDuction of limb
47
Descirbe the CS of caudovental CF luxation \_\_\_\_\_\_\_\_state type of lamenss whats difficult to palpate they will hold their leg out and ____ \_\_\_\_\_ is internally rotated Affected limb ____ on extension
Non weight bearing whats difficult to palpate -greater trochanter -femoral head in obturator foramen they will hold their leg out and flexed stifle is internally rotated Affected limb longer on extensions
48
WHat are you not allowed to use with a caudoventral CF luxation and why. what do you use to prevent abduction
ehmer sling bc it pushes caudoventral and its already doing that make it worse. place legs in hobbled to prevent abduction 10-14 days
49
With the caudoventral CF luxation Dorsal joint capsule ____ Ventral joint capsule \_\_\_\_
dorsal intact ventral torn
50
What direction of coxofemoral luxation is this?
caudoventral
51
What direction of coxofemoral luxation is this?
craniodorsal
52
With the _____ luxation of CF the affected limb is longer on extension but with the ____ luxation for CF the affected leg is shorter on extension
affected limb longer caudoventral affected limb shorter craniodorsal
53
Which direction of CF luxation has loss of normal triangular relationship and pain and creptus on palpation
craniodorsal
54
Which dorection of CF luxation is most common
craniodorsal
55
State the direction of CF luxation Stifle externally rotated Stifle internally rotated
Stifle externally rotated-craniodorsal internally-caudoventral
56
What structures are involved in the triangluar relationship that is lost with craniodorsal luxation
crest of the ilium tuber ischii greater trochanter craniodorsal luxation it turns into a straight line
57
When cant we use closed reduction for CF luxation
if theres a fracture or if unstable or if hip dysplasia
58
after performing closed reduction, if stable place in ____ \_\_\_\_ for 7-10 days and rad b4 and after and after 2weeks after removal
ehmer sling
59
When is surgical treatment for open reduction isrecommended for CF luxation (these 3) (1)Avulsion of ____ \_\_\_\_ (2-3)Closed reduction unsuccessfull or unable to maintain
avulsion of fovea capitis
60
The approach for CF luxation is a \_\_\_\_\_-\_\_\_\_ approach to the hip joint dorsal approach by ____ of greater trochanter
cranial alteral osteotomy
61
Capsulorraphy and translocation of greater trochanter are examples of ____ repairs
reconstruction
62
What prostehttic implant acts like the ligament of the head of the femur and is the only procedure to not require coaptation
toggle pin
63
toggle pins mimic this
round ligament of the head of the femur
64
protected post op using a ____ sling and _____ restrict activity to leash walks for __ weeks
ehmer and hobbles; 4
65
Compare and contrast prognosis with closed reduction versus open
closed 50% lower wth dysplasia r prev trauama open is 85-90% gof
66
Aseptic necrosis of femoral head is known as this? causes OCD (but not true type). what in terms of genetics is it
Legg parthes disease autosomal recessive gene so neuter them
67
Legg perthes DZ young or old? large or toy breeds commonly \_\_-\_\_ months of age what unique CS progressive weight bearing or acute non weightbearing varies MM or surgery?
young prior to capital physis closure toy and small 6-7 months chewing at skin over hip MM not good atrophy and dissuse, so surgery ASAP