08-23-2010, 08:00 AM
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YT 2000 Club Donating Member
Join Date: Oct 2009 Location: Huntsville,Ont,Canaada
Posts: 12,335
| Leggs Perthe Here is one article found on Leggs Perthe - Not the bolded area Article Written by Dr. Daniel A. Degner, Board-certified Veterinary Surgeon (DACVS) Key Points A disease of the hip joint that results in abnormal deformity of the ball of the hip joint This is a disease primarily seen in small breed dogs Treatment is femoral head and neck excision Prognosis is very good, providing that rehabilitation therapy is done after surgery Same disease but different names (synonyms) Calve-Perthes disease Legg-Perthes disease Avascular necrosis of the femoral head Coxa plana Osteochondritis juvenilis What is it? A disease of the hip joint that results in abnormal deformity of the ball of the hip joint The disease starts with an insult to the blood supply to the head of the femur bone As the blood supply is damaged, the bone dies off The bone in the femoral head collapses and the cartilage coating of the femoral head becomes cracked and deformed Arthritis or inflammation of the hip joint results, which causes pain and lameness Cause Not completely understood Genetics - can be autosomal recessive gene in some dogs Injury - compression of the vessels of in the femoral head Abnormal sex hormone activity - preconcious Because of the potential heritability of this disease, affected dogs should not be bred Signalment Typically dogs that are less than 1 year of age (5 to 8 months of age is most common with peak incidence around 7 months of age) Breeds commonly affected
<UL type=circle> Yorkshire Terriers - most common breed Westies Many other small breed dogs
</UL> Equal risk for males versus females Clinical signs Irritability Chewing at hip of flank region Progressive lameness (may take about 2 months until dog is not bearing any weight on limb) Stiffness of affected limb (85 to 90% of dogs have only one hip affected) Atrophy of muscles of affected limb Pain when moving the hip - especially when extending the limb backward and also to the side Crepitus or crunchy feel of the hip joint on range of motion Diagnosis Physical examination - hip pain Radiographs
<UL type=circle> flattening of femoral head lucencies of femoral head bone spurs - arthritic degeneration increased joint space Below is a radiograph of the hips of a Yorkie that has the disease; take note of the moth-eaten appearance of the femoral head (below left and right)
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