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Peer-reviewed veterinary case report

Femoral and tibial bone angles in chihuahuas with kneecap dislocation

By Aghapour, Masoud et al.·Published in PloS one·2019·Department for Companion Animals and Horses·View original on PubMed

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Original publication title: Femoral and tibial alignments in chihuahuas with patellar luxation by radiograph: Angular values and intra- and inter-observer agreement of measurements.

Species:
dog
Movement & jointsDogs

Plain-English summary

A group of 21 Chihuahuas with patellar luxation (a condition where the kneecap slips out of place) had their leg alignments measured using X-rays to help understand the severity of their condition. The study aimed to see how consistent the measurements were when taken by different observers. The results showed that most measurements were reliable, which means veterinarians can use this method to better plan treatments for dogs with this common orthopedic issue. This could lead to more effective care and improved outcomes for affected pets.

People also search for: Chihuahua patellar luxation treatment · dog knee cap slipping · how to treat patellar luxation in dogs

Abstract

Measurement of fore and pelvic limb alignment in veterinary orthopedics is significant, as it is in human medicine. The establishment of reference ranges for alignments and comparing measured ranges in diseased animals to these reference values would allow veterinarians to specify the quantitative degree of an angular deformity, plan suitable treatments and evaluate treatment outcomes. Patellar luxation is a common orthopedic disease in small animal clinics. Severe grades of MPL may present with bone deformities or abnormal alignments; therefore, evaluation of the measurement methods of femoral and tibial alignment in dogs with different grades of patellar luxation to assess the accuracy and reliability of the measurements could be useful. In this retrospective study radiographs of 21 client-owned Chihuahuas that had been presented to the Small Animal Surgery of Vetmeduni Vienna from 2012-2016 with a diagnose of patellar luxation were selected. The measurements were performed on frontal, lateral and axial view radiographs to determine the femoral and tibial angles and to evaluate the intra- and inter-observer variabilities of the protocol. Radiographs of each dog were investigated by three observers. Intra-observer variability was based on measurements by each observer who repeated the protocol two times to evaluate repeatability. Inter-observer variability was based on the measurements between the three observers to evaluate the reproducibility of the protocol. The results of the study showed that 92.85% of inter-observer ICC (intra-class correlation coefficient) had high correlation, and the remaining 7.15% had good correlation. Intra-observer ICCs for measurements of the first observer were 28.57% high correlation and 50% good correlation. For the second observer, 100% high correlation was recorded, and for the third observer 71.42% high correlation and 14.28% good correlation was recorded. These results show that the selected methods have high correlation and could be used as a reliable method in veterinary orthopedics.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/30921407/