Comparison of Reliability of Norberg Angle and Distraction Index as Measurements for Hip Laxity in Dogs

The aim of this retrospective study was to verify whether the radiographic morphologic differences detected within the first three grades of hip dysplasia (A, B, C) of each of the five selected breeds and within the same breeds were statistically significant enough to require a breed-specific evaluation. A total of 422 technical evaluation forms of hip dysplasia (HD) in Labrador Retrievers, Golden Retrievers, Rottweilers, Bernese Mountain dogs, and German Shepherd dogs were obtained from the Fédération Cynologique Internationale (FCI) archive. The data were evaluated using a descriptive statistical analysis. In Labrador Retrievers, the craniolateral acetabular rim and femoral head position were already altered in unaffected dogs; however, within the various FCI grades, the most severe changes involved the conformation of the femoral neck. All the radiographic parameters of the Golden Retriever hips changed progressively and evenly. Significant radiographic changes between FCI grades were found in the German Shepherd dogs, and the alterations involving the acetabulum were more severe and appeared earlier than in the femoral head and neck. In the Bernese Mountain dogs, the most severe alterations were in the position of the femoral head and joint space while the femoral head and neck showed no significant progression between grades. All the radiographic parameters of non-dysplastic Rottweilers were normal; however, the progression of the primary signs was similar to the other breeds, although with lower severity. In conclusion, no significant prevalence of the radiographic features was observed for any specific breed. However, significant individual breed variations in the primary radiographic parameters were found between dogs with and without dysplasia which could be useful for better understanding the consequences of biomechanical differences between breeds.

Section: Introductionsupporting

confidence: 81%

Characterization of FCI (Fédération Cynologique Internationale) Grades for Hip Dysplasia in Five Dog Breeds

Pinna

Vezzoni²,

Benedetto

et al. 2023

“…This may justify the poor inter-observer agreement reported by some studies [ 9 , 11 ]. On the other hand, with respect to the FCI grading, NA measurement shows sufficient reproducibility, even among less-experienced examiners [ 26 , 27 ]. This prompts us to say that part of the scoring divergences can be imputed to the evaluation of the congruency parameter, based on description presented by the FCI.…”

Section: Discussionmentioning

confidence: 99%

Acetabular Coverage Area Occupied by the Femoral Head as an Indicator of Hip Congruency

Franco-Gonçalo

Silva

Leite³

et al. 2022

Accurate radiographic screening evaluation is essential in the genetic control of canine HD, however, the qualitative assessment of hip congruency introduces some subjectivity, leading to excessive variability in scoring. The main objective of this work was to validate a method-Hip Congruency Index (HCI)-capable of objectively measuring the relationship between the acetabulum and the femoral head and associating it with the level of congruency proposed by the Fédération Cynologique Internationale (FCI), with the aim of incorporating it into a computer vision model that classifies HD autonomously. A total of 200 dogs (400 hips) were randomly selected for the study. All radiographs were scored in five categories by an experienced examiner according to FCI criteria. Two examiners performed HCI measurements on 25 hip radiographs to study intra- and inter-examiner reliability and agreement. Additionally, each examiner measured HCI on their half of the study sample (100 dogs), and the results were compared between FCI categories. The paired t-test and the intraclass correlation coefficient (ICC) showed no evidence of a systematic bias, and there was excellent reliability between the measurements of the two examiners and examiners’ sessions. Hips that were assigned an FCI grade of A (n = 120), B (n = 157), C (n = 68), D (n = 38) and E (n = 17) had a mean HCI of 0.739 ± 0.044, 0.666 ± 0.052, 0.605 ± 0.055, 0.494 ± 0.070 and 0.374 ± 0.122, respectively (ANOVA, p < 0.01). Therefore, these results show that HCI is a parameter capable of estimating hip congruency and has the potential to enrich conventional HD scoring criteria if incorporated into an artificial intelligence algorithm competent in diagnosing HD.

“…These results are similar to our results reported for prediction of the FCI score at 4 months of age by the Ortolani maneuver. In a study performed in 2020 [34] on mostly large breeds (German shepherds, Labrador retrievers, golden retrievers, Doberman pinschers, etc. ), a better intraclass correlation coefficient was recorded for NA in comparison with the DI.…”

Section: Discussionmentioning

confidence: 99%

Early Diagnosis of Canine Hip Laxity: Correlation between Clinical Orthopedic Examinations and the FCI Scoring Method in a Closed Cohort of Rottweilers

Vidoni

Bauer

Bockstahler

et al. 2021

Canine hip dysplasia is a multifactorial disorder characterized by hip laxity and osteoarthritis. The early diagnosis of hip laxity is an important topic in small animal orthopedics. This study aimed to evaluate the correlation between clinical orthopedic examinations and the Fédération Cynologique Internationale (FCI) scoring method. Thirty purebred Rottweilers were examined at approximately four (20 ± 2 weeks), eight (35 ± 2 weeks), and twelve months of age (54 ± 1 weeks), respectively. The Ortolani, Barlow, and Bardens tests and reduction/subluxation angle measurements were performed at each time. FCI scoring was conducted at the third examination time. Positive correlations were recorded between the reduction angle and Ortolani test, reduction angle and FCI score, and Ortolani test and FCI score for the second and third examination dates. No correlation was observed between the subluxation angle and other methods. Despite previous studies reporting 16–20 weeks as the earliest age for diagnosing hip laxity in dogs, in our study, early diagnosis was possible from the age of 35 ± 2 weeks. This difference might originate from the small sample size, low number of the dogs with severe grades of laxity, and breed differences.