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Hip Dysplasia - Scoring Criteria in the UK


ScoreNorberg AngleSubluxationCranial Acetabular EdgeDorsal Acetabular EdgeCranial Effective Acetabular RimAcetabular FossaCaudal Acetabular EdgeFemoral Head/Neck ExostosisFemoral Head Recontouring
0+15 & overFemoral head well centred in acetabulumEven curve, parallel to femoral head throughoutDAE has slight curveSharp, clear-cut junction of DAE & CrAEA fine bone line curves medial and caudal from caudal end of CrAEClean lineSmooth rounded profileNil
1+10 to +14Femoral head centre lies medial to DAE. Lateral or medial joint space increases slightly.Lateral or medial 1/4 CrAE flat. Lateral or medial joint space diverges slightlyLoss of S-curve only in the presence of other dysplastic changeIndistinct junction of DAE and CrAESlight increase in bone desnity medial to AF. 'Fine line' hazy or lostSmall exostosis at lateral CaAESlight exostosis in 'ring form' and/or dense vertical bony line adjacent to trchanteric fossa ('Morgan line')Femoral head does not fit in circle due to exostosis or bone loss
2=5 to +9Femoral head centre superimposed on DAE. Medial joint space increase obviousCrAE flat throughout most of its lengthVery small exostosis on cranial DAEVery small exostosis or very small facetFine line lost in AF and ventral AE hazy due to new bone. Notch at CaAE clearSmall exostosis at lateral and medial CaAESlight exostosis visible on skyline and/or density on medial femoral headSome bone loss and/or femoral head/neck ring of exostosis
30 to +4Femoral head centre just lateral to DAE. 1/2 femoral head within acetabulumCrAE shows slight bilabiationObvious exostosis on DAE (especially cranially) and/or minor 'loss of edge'Facet and/or small exostosis and/or slight bilabiationIncomplete remodelling of acetabulum with medial face lateral to AF. Ventral AE lost. AF hazy. Notch irregularLarge exostosis and narrow notch at CaAEDistinct exostosis in 'ring formation'Obvious loss and distinct exostosis giving slight conical appearance
4-1 to -5Femoral head centre clearly lateral to DAE1/4 femoral head within acetabulumCrAE shows moderate bilabiationExostosis well lateral to DAE and/or moderate 'loss of edge'Obvious facet and/or obvious exostosis and/or moderate bilabiationMarked exostosis and 'hooking' of lateral end of CaAEObvious complete collar of exostosisGross remodelling. Obvious bone loss and exostoosis gives mushroom appearance
5-6 to -10Femoral head centre well lateral to DAE. Femoral head just touches DAECrAE shows gross bilabiationMarked exostosis all along DAE and/or gross 'loss of edge'Gross exostosis and/or facet and/or gross bilabiationGross remodelling. Dense new bone throughout acetabulum. CaAE notch lost and AF obscurredGross distortion due to mass of new bone in acetabulum. Notch lost completelyMassive exostosis giving mushroom appearanceVery gross remodelling with marked bone loss and much new bone
6-11 and overComplete pathological dislocationEntire CrAE slopes craniallyMassive exostosis from cranial to caudal DAEComplete remodelling of CrEAR. Massive exostosis and/or gross facetComplete remodelling and new articular surface, well lateral to AF. Notch lostVoidMassive exostosis and infill of trochanteric fossa and below femoral headFemoral head imporperly shaped due to maldevelopment or femoral head centre



 

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© Copyright: Hip Dysplasia - Scoring Criteria in the UK was published by British Canaan Dog Society on 13 Jan, 2007. © All rights reserved. You may download and print this article for personal or non-profit use only. Please feel free to link to this article.
Submitted: 13 Jan, 2007 (Edited 13 Jan, 2007)
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