ISSN 2398-2942      

Radiology: coxofemoral joint

icanis
Contributor(s):

Ruth Dennis


Features assessed during scoring

  • See BVA/Kennel Club hip dysplasia scoring scheme for protocol BVA/Kennel Club hip dysplasia scheme.
  • The scrutineers work from a table detailing the scores to be allocated for various radiographic features.

Norberg angle

  • The Norberg angle is calculated using a medical orthopedic measurement device called an ischiometer Hip dysplasia ischiometer.
  • It represents an assessment both of the depth of the acetabulum and the presence of subluxation; a good Norberg angle exceeds 105° and penalty points are given for each block of 5° less than this, eg a Norberg angle of 92° scores 3.
  • The center point of each femoral head is marked on the radiograph by finding one of the concentric circles drawn on the ischiometer which most nearly fits the femoral head.
  • The centers are joined using a baseline, also drawn on the ischiometer, and a second line taken from the center of the each femoral head to the most craniolateral point of each acetabular surface.
  • The angle between the two lines is measured for each hip Pelvis Norbergs angle - diagrammatic representation.
  • If the acetabulum is shallow or the femoral head is subluxated then the Norberg angle is reduced Pelvis effect of subluxation on the Norberg angle - diagrammatic representation.

Subluxation

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Cranial effective acetabular rim

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Femoral head and neck exostoses

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Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Lust G, Todhunter R J, Erb H N et al (2001) Comparison of three radiographic methods for diagnosis of hip dysplasia in eight-month old dogs. JAVMA 219 (9), 1242-1246 PubMed.
  • Dennis R (1998) A scheme to control hip dysplasia. Vet Nursing 13 (2), 55-60 T&F Online.
  • Gibbs C (1997) The BVA/KC scoring scheme for control of hip dysplasia: interpretation of criteria. Vet Rec 141 (11), 275-284 PubMed.

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