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Peer-reviewed veterinary case report

Risk factors and treatment for one-sided knee ligament tears in UK

By Pegram, C et al.·Published in Veterinary journal (London, England : 1997)·2023·The Royal Veterinary College, United Kingdom·View original on PubMed

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Original publication title: Risk factors for unilateral cranial cruciate ligament rupture diagnosis and for clinical management in dogs under primary veterinary care in the UK.

Species:
dog

Plain-English summary

A study found that certain breeds and age groups of dogs are more likely to suffer from a torn cranial cruciate ligament (CCL), which can cause limping and knee pain. Rottweilers, Bichon Frises, and West Highland White Terriers, especially those aged 6 to 9 years, are at higher risk. The research also showed that insured dogs and those weighing over 20 kg were more likely to receive surgery for this injury. Understanding these risk factors can help pet owners recognize symptoms early and discuss the best treatment options with their veterinarian.

People also search for: dog limping CCL injury · Rottweiler knee pain treatment · Bichon Frise surgery recovery

Abstract

This study aimed to evaluate demographic risk factors associated with unilateral cranial cruciate ligament (CCL) rupture diagnosis and to explore demographic and clinical risk factors associated with management of unilateral CCL rupture in dogs under primary veterinary care in the UK. A retrospective cohort study design was used. Clinical records were automatically searched and manually verified for incident cases of unilateral CCL rupture during 2019 and additional clinical management information extracted. Multivariable logistic regression modelling was used to evaluate associations between risk factors and: (1) CCL rupture diagnosis; and (2) clinical management (surgical or non-surgical). The analysis included 1000 unilateral CCL rupture cases and a random selection of 500,000 non-cases. After accounting for confounding factors, dogs aged 6 to <&#xa0;9 years, male neutered and female neutered dogs, insured dogs, and Rottweiler, Bichon Frise, and West Highland White terrier breeds, in particular, had increased odds of unilateral CCL rupture diagnosis. Insured dogs and dogs &#x2265;&#xa0;20&#xa0;kg had increased odds of surgical management, while dogs &#x2265;&#xa0;9 years and dogs with one non-orthopaedic comorbidity at diagnosis with CCL rupture had reduced odds. These findings inform identification of at-risk dogs, with Rottweilers and Bichon Frise particularly predisposed. Additionally, they contribute to a greater understanding of the clinical rationales used in primary-care veterinary practices to decide between surgical or non-surgical management of unilateral CCL rupture.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/36708945/