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Old 11-08-2013, 08:00 PM   #1
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Default My poor bug - Hip dislocation

Hi all,

I'm looking for advice, sympathy, and experiences from others regarding a dislocated hip. I noticed very recently that my Bug stopped using the stairs I have set up for her all over the apartment. Soon after, I noticed that she wasn't putting any weight on her back leg. I did my research and assumed it was probably LP or a torn ACL. I was very wrong.

We were at the vet today and the X-ray showed that her hip was dislocated. Not only that, but it had clearly been an issue for a while without symptoms because she had lost so much muscle mass. I saw the X Ray and the difference in legs was astounding and horrifying.

It also turns out that the socket is almost non-existent. It is very shallow. There would be no way to put it back in place manually. Either she was born that way or the socket ossified because in comparison with the other, again, the damage was obvious. Bug is very tiny, only 2.7 pounds and that's full grown. So it's possible this was the result of an injury, but it's impossible to say. I've never seen her injured or in pain until now.

So she has to have surgery. They need to "clean out" the socket to get the femur back in. The problem is, because she has had so much muscle mass loss, my vet said it's possible it may never come back. if the muscle mass doesn't come back it will seem as if the surgery never took place. I'm going to do it anyway, but it is a risk.

Has anyone experienced anything similar? It sounds like a hip version of LP really, at least to me. Is this hip displasia?
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Old 11-08-2013, 10:13 PM   #2
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Just bumping this for you so more experienced people will see this hopefully. Wondering if a specialist should be seen for this issue?
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Old 11-08-2013, 11:50 PM   #3
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I would suggest you take this pup to an ortho specialist....if the vet is talking FHO surgery, with therapy aftewr the procedure, the muscle mass should be able to be built back up....I can not imagine it has been so long that the muscle would be permanently atrophied.....you need a second opinion from a specialist. If there is a vet school within traveling distance, load up and start that way.....unless you can get the name of a specialist close to you....
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Old 11-09-2013, 12:26 PM   #4
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So sorry to read about ur little bug, I hope all works out well for her, keep us posted x
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Old 11-14-2013, 12:53 PM   #5
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Looking up what FHO is, the vet is definitely NOT doing that, so I guess Bug's condition has nothing to do with Hip Dysplasia as I was wondering. No, if anything from what he described it sound similar to the surgery they do for LP, In that the hip socket is not deep enough to hold the top of the femur, which is either congenital or a result of the issue being there so long it's ossified a bit, it's hard to say. But the plan is to go in and "clean out" the socket so the femur head can be reinserted and the joint fixed.

Thanks for the replies!
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Old 11-14-2013, 01:32 PM   #6
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FHO surgery is for Leggs Calve Perthes. There are many YT'ers that went through this surgery w/their little ones. Still think a specialist should be seen & the surgery (FHO or not) be done by a Board Certified Orthopedic surgeon.
How old is Bug? If it's LCP, it shows up when they're less than a year old, but can also happen when they're older. Will PM Ladyjane for you, she has a lot of experience in this area.
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Old 11-14-2013, 01:48 PM   #7
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Maybe it is dislocated. You need to call and ask the vet! You don't want him to operate without a full understanding of what the diagnosis is and the surgery to correct it!
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Old 11-14-2013, 04:05 PM   #8
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Definitely!! Get an ortho specialist on board. You live in the capital of Canada, and I got to believe you have some good very good university vet teaching hospitals with-in reach.

A shallow hip socket can be genetic, she was born with it, or perhaps due to a chronic dislocated hip joint. Bur one reason for hip dysplasia is from shallow hip sockets :-(

Now FHO surgery is done for Leggs Perthes disease which arises from necrosis of a small artery to the femoral head. The head of the femur essentially over times can dis-integrate.

It sounds like the vet is not going for a full hip replacement, but just deepening the acetabulum of the pelvus where the femoral head is meant to fit snugly into.

This type of surgery is certainly worthy of a second opinion from an ortho surgeon, or another ortho surgeon if you have not already seen an ortho surgeon

I wish you much luck and a very successful surgery.
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Old 11-14-2013, 04:09 PM   #9
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I am shaking my head in confusion a bit. he was symptom free, because he lost so much muscle mass? To my logical mind, that would indicate he should not be symptom free but at the minimum showing qn asymmetrical muscular development over her buttocks. For sure palpable asymmetry.

My boy has asymmetrical muscular development/loss which is certainly palpable, albeit from a different condition then what your gal is going through. But that muscular asymmetry certainly shows up in laboured actions.
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Old 11-14-2013, 07:17 PM   #10
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Quote:
I am shaking my head in confusion a bit. he was symptom free, because he lost so much muscle mass?
I'm saying I *personally* didn't notice any symptoms, including muscle mass loss, until she started lifting up that leg. It was not palpable to me or I would have brought her to the vet sooner, obviously. She's very small at 2.67 pounds, so maybe that's why I never felt it. But it was definitely clear on the X-ray

But no, she wasn't symptom free *because* she lost muscle mass. It's more that because she seemed symptom free to me, I didn't know there was an issue soon enough and it went on so long the muscle mass was lost

Quote:
It sounds like the vet is not going for a full hip replacement, but just deepening the acetabulum of the pelvus where the femoral head is meant to fit snugly into.
Yes, that is what he explained to me what the surgery would entail.

Thank you all again for your feedback!

Last edited by 10thmuse; 11-14-2013 at 07:18 PM.
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Old 11-15-2013, 08:27 AM   #11
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Quote:
Originally Posted by 10thmuse View Post
I'm saying I *personally* didn't notice any symptoms, including muscle mass loss, until she started lifting up that leg. It was not palpable to me or I would have brought her to the vet sooner, obviously. She's very small at 2.67 pounds, so maybe that's why I never felt it. But it was definitely clear on the X-ray

But no, she wasn't symptom free *because* she lost muscle mass. It's more that because she seemed symptom free to me, I didn't know there was an issue soon enough and it went on so long the muscle mass was lost



Yes, that is what he explained to me what the surgery would entail.

Thank you all again for your feedback!

Let us know how it goes! Now I understand, don't beat yourself up. It happens to each one of us, that we fail to notice something. She is very tiney and it would be hard to notice I think any difference in muscle mass.

I also hope her re-hab goes well. This board is very great for support, and also information. Many members here have had dogs that had FHO successful surgery. And even though that is not what your dog is having, rehab might be very similar.
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