AVALIAÇÃO RADIOGRÁFICA DA DISPLASIA COXOFEMORAL EM CÃES
Parole chiave:
Avaliadores, Ângulo de Norberg, Osteófitos, SubluxaçãoAbstract
A articulação coxofemoral é composta por duas estruturas osteoarticulares: a cavidade acetabular e o fêmur. A displasia é uma das doenças ortopédicas mais frequentes desta região e acomete, principalmente, cães de grande porte. A displasia é uma das doenças ortopédicas mais frequentes dessa região e acomete, principalmente, animais de grande porte. É caracterizada por frouxidão articular, formação anormal do quadril e doença articular degenerativa. Apresenta alta herdabilidade e os fatores ambientais contribuem para a expressão fenotípica e a gravidade do distúrbio. Claudicação, dor e redução na amplitude do movimento da articulação são os principais sinais clínicos, no entanto, a apresentação clínica pode ser variável. A radiografia pélvica e a avaliação clínica são os principais métodos para se diagnosticar a doença. Inúmeras técnicas radiográficas podem ser utilizadas no diagnóstico. A projeção ventrodorsal do quadril com os membros posteriores estendidos é usada pela Orthopedic Foundation for Animals (OFA), Fédération Cynologique Internationale (FCI) e British Veterinary Association/Kennel Club (BVA/KC). Contudo, os métodos Pennsylvania Hip Improvement Program (PennHIP), Dorsolateral Subluxation Score (DLS), Flückiger Subluxation Index e Dorsal Acetabular Rim utilizam outras projeções e avaliam a frouxidão articular com intuito de diagnóstico precoce desta afecção. Objetivou-se com este artigo descrever as principais metodologias radiográficas utilizadas para avaliação e diagnóstico da displasia coxofemoral em cães, bem como suas vantagens, desvantagens e limitações de cada técnica.
Riferimenti bibliografici
BROECKX, B.J.G.; VEZZONI, A.; BOGAERTS, E.; BERTAL, M.; BOSMANS, T.; STOCK, E.; DEFORCE, D.; PEELMAN, L.; SAUNDERS, J.H. Comparison of Three Methods to Quantify Laxity in the Canine Hip Joint. Veterinary and Comparative Orthopaedics and Traumatology, v.31, p.23-29, 2018.
BUTLER, J.R.; GAMBINO, J. Canine Hip Dysplasia: Diagnostic Imaging. Veterinary Clinics of North America: Small Animal Practice, v.47, n.4, p.777-793, 2017.
CHALMERS, H.J.; NYKAMP, S.; LERER, A. The Ontario Veterinary College Hip Certification Program- Assessing inter- and intra- observer repeatability and comparison of findings to those of the Orthopedic Foundation for Animals. Canadian Veterinary Journal, v.54, p.42-46, 2013.
COMHAIRE, F.H.; SCHOONJANS, F.A. Canine hip dysplasia: the significance of the Norberg angle for healthy breeding. Journal of Small Animal Practice, v.52, n.10, p.536-542, 2011.
DENNIS, R. Interpretation and use of BVA/KC hip scores in dogs. In Practice, v.34, p.178-194, 2012.
FARESE, J.P.; TODHUNTER, R.J.; LUST, G.; WILLIAMS, A.J.; DYKES, N.L. Dorsolateral subluxation of hip joints in dogs measured in a weight-bearing position with radiography and computed tomography. Veterinary Surgery, v.27, p.393–405, 1998.
FISCHER, A.; FLÖCK, A.; TELLHELM, B.; FAILING, K.; KRAMER, M.; THIEL, C. Static and dynamic ultrasonography for the early diagnosis of canine hip dysplasia. Journal of Small Animal Practice, v.51, p.582-588, 2010.
FLUCKIGER, M.A.; FRIEDRICH, G.A.; BINDER, H.A radiographic stress technique for evaluation of coxofemoral joint laxity in dogs. Veterinary Surgery, v.28, n.1, p.1-9, 1999.
FLUCKIGER, M. Scoring radiographs for canine hip dysplasia – The big three organizations in the world. European Journal of Companion Animal Practice, v.17, p.135–140, 2007.
FONTELES, Z.G.C.; QUESSADA, A.M.; ALCANTARA, D.S.; SOUSA, J.M. Aspectos radiográficos da displasia coxofemoral em um Cebus libidinosus: Relato de caso. Pubvet, v.4, n.24, p.872-878, 2010.
GALA, L.; CLOHISY, J.C.; BEAULÉ, P.E. Hip Dysplasia in the Young Adult. The Journal of Bone and Joint Surgery, v.98, n.1, p.63-73, 2016.
GATINEAU, M.; DUPUIS, J.; BEAUREGARD, G.; CHARETTE, B.; BRETON, L.; BEAUCHAMP, G.; ANJOU, M.A. Palpation and Dorsal Acetabular Rim Radiographic Projection for Early Detection of Canine Hip Dysplasia: A Prospective Study. Veterinary Surgery, v.41, n.1, p.42-53, 2012.
GEISSBÜHLER, U.; DRAZOVIC, S.; LANG, J.; HOWARD, J. Inter-rater agreement in radiographic canine hip dysplasia evaluation. Veterinary Record, v.180, n.14, p.357, 2017.
GINJA M.; GASPAR, A.R.; GINJA, C. Emerging insights into the genetic basis of canine hip dysplasia. Veterinary Medicine: Research and Reports, v.6, p.193-202, 2015.
GINJA, M.M.D.; SILVESTRE, A.M.; GONZALO-ORDEN, J.M.; FERREIRA, A.J.A. Diagnosis, genetic control and preventive management of canine hip dysplasia: a review. The Veterinary Journal, v.182, n.2 p.269-276, 2010.
JENKINS, P.L.; JAMES, D.R.; WHITE, J.D.; BLACK, A.P.; FEARNSIDE, S.M.; MARCHEVSKY, A.M.; MARCHEVSKY, A.M.; MILLER, A.J.; CASHMORE, R.G. Assessment of the medium‐ to long‐term radiographically confirmed outcome for juvenile dogs with hip dysplasia treated with double pelvic osteotomy. Veterinary Surgery, v.49, n.4, p.685-693, 2020.
KELLER, G.G.; DZIUK, E.; BELL, J.S. How the Orthopedic Foundation for Animals (OFA) is tackling inherited disorders in the USA: Using hip and elbow dysplasia as examples. The Veterinary Journal, v.189, n.2, p.197-202, 2011.
KING, M.D. Etiopathogenesis of Canine Hip Dysplasia, Prevalence, and Genetics. Veterinary Clinics of North America: Small Animal Practice, v.47, n.4, p.753-767, 2017.
KRONTVEIT, R.I.; NØDTVEDT, A.; SÆVIK, B.K.; ROPSTAD, E.; TRANGERUD, C. Housing- and exercise-related risk factors associated with the development of hip dysplasia as determined by radiographic evaluation in a prospective cohort of Newfoundlands, Labrador Retrievers, Leonbergers, and Irish Wolfhounds in Norway. American Journal of Veterinary Research, v.73, n.6, p.838–846, 2012.
LAVRIJSEN, I.C.M.; HEUVEN, H.C.M.; MEIJ, B.P.; THEYSE, L.F.H.; NAP, R.C.; LEEGWATER, P.A.J.; HAZEWINKEL, H.A.W. Prevalence and co-occurrence of hip dysplasia and elbow dysplasia in Dutch pure-bred dogs. Preventive Veterinary Medicine, v.114, n.2, p.114-122, 2014.
LUST, G.; TODHUNTER, R.J.; ERB, H.N.; DYKES, N.L.; WILLIAMS, A.J.; BURTON-WURSTER, N.I.; FARESE, J.P. Repeatability of dorsolateral subluxation scores in dogs and correlation with macroscopic appearance of hip osteoarthritis. American Journal of Veterinary Research, v.62, p.1711-1715, 2001.
MANLEY, P.A.; ADAMS, W.M.; DANIELSON, K.C.; DUELAND, R.T.; LINN, K.A. Long-term outcome of juvenile pubic symphysiodesis and triple pelvic osteotomy in dogs with hip dysplasia. Journal of the American Veterinary Medical Association, v.230, n.2, p.206-210, 2007.
OFA. Orthopedic Foundation for Animals. Hip dysplasia by breed (breeds habing at least 100 evaluations January 1974 through December 2014.). Available at: https://www.ofa.org/diseases/breed-statistics#detail. Acesso maio 02, 2018.
PASCUAL-GARRIDO, C.; GUILAK, F.; RAI, M. F.; HARRIS, M. D.; LOPEZ, M. J.; TODHUNTER, R. J.; CLOHISY, J. C. Canine hip dysplasia: A natural animal model for human developmental dysplasia of the hip. Journal of Orthopaedic Research, v.36, n.7, p.1807-1817, 2018.
PERRY, K. Feline hip dysplasia. Journal of Feline Medicine and Surgery, v.18, n.3, p.203-218, 2016.
POWERS, M.Y.; KARBE, G.T.; GREGOR, T.P.; MCKELVIE, P.; CULP, W.T.N.; FORDYCE, H.H.; SMITH, G.K. Evaluation of the relationship between Orthopedic Foundation for Animals’ hip joint scores and PennHIP distraction index values in dogs. Journal of the American Veterinary Medical Association, v.237, p.532-541, 2010.
REAGAN, J.K. Canine Hip Dysplasia Screening Within the United States. Veterinary Clinics of North America: Small Animal Practice, v.47, n.4, p.795-805, 2017.
SCHNELLE, G.B. Some new diseases in dog. American Kennel Gazette, v.52, n.1, p.25-26, 1935.
SLOCUM, B., DEVINE, T. Dorsal acetabular rim radiographic view for evaluation of the canine hip. Journal of the American Animal Hospital Association, v.26, p.289-296, 1990.
SLOCUM, B.; SLOCUM, T.D. Hip. In: BOJRAB B, ELLISON GW, SLOCUM B. Current techniques in small animal surgery. Baltimore, MD, Williams & Wilkins, p.1127–1165, 1998.
SMITH, G.K.; BIERY, D.N.; GREGOR, T.P. New concepts of coxofemoral joint stability and the development of a clinical stress-radiographic method for quantitating hip joint laxity in the dog. Journal of the American Veterinary Medical Association, v.196, p.59-70, 1990.
SMITH, G.K.; LAWLER, D.F.; BIERY, D.N.; POWERS, M.Y.; SHOFER, F.; GREGOR, T.P.; KEALY, R.D. Chronology of hip dysplasia development in a cohort of 48 Labrador Retrievers followed for life. Veterinary Surgery, v.41, n.1, p.0-33, 2012.
STOCK, K.F.; DISTL, O. Simulation study on the effects of excluding offspring information for genetic evaluation versus using genomic markers for selection in dog breeding. Journal of Animal Breeding and Genetics, v.127, p.42-45, 2010.
SYRCLE, J. Hip Dysplasia Clinical Signs and Physical Examination Findings. Veterinary Clinics of North America: Small Animal Practice, v.47, n.4, p.769-775, 2017.
THOMPSON, R.; ROE, S.C.; ROBERTSON, I.D. Effects of pelvic positioning and simulated dorsal acetabular rim remodeling on the radiographic shape of the dorsal acetabular edge. Veterinary Radiology & Ultrasound, v.48, n.1, p.8-13, 2007.
THRALL, D.E. Diagnóstico de radiologia veterinária. 6ª ed., Rio de Janeiro: Elsevier, 2014. 864p.
TOBIAS, K.M.; JOHNSTON, S.A. Veterinary surgery: small animal. 1a ed., St Louis (MO): Elsevier, 2012. 2332p.
VERHOEVEN G.; FORTRIE, R.; VAN RYSSEN, B.; COOPMAN, F. Worldwide screening for canine hip dysplasia: where are we now? Veterinary Surgery, v.41, n.1, p.10-19, 2012.
ZANETTI, E.; TERZINI, M.; MOSSA, L.; BIGNARDI, C.; COSTA, P.; AUDENINO, A. L.; VEZZONI, A. A structural numerical model for the optimization of double pelvic osteotomy in the early treatment of canine hip dysplasia. Veterinary and Comparative Orthopaedics and Traumatology, v.30, n.4, p.256-264, 2016.
ZHU, L.; CHEN, S.; JIANG, Z.; ZHANG, Z.; KU, H.C.; LI, X.; MCCANN, M.; HARRIS, S.; LUST, G.; JONES, P.; TODHUNTER, R. Identification of quantitative trait loci for canine hip dysplasia by two sequential multipoint linkage analyses. Journal of Applied Statistics, v.39, n.8, p.1719-1731, 2012.