ISSN 2398-2969      

Hip: luxation

Clapis

Introduction

  • Cause: hip dislocation (luxation) as a result of displacement of the greater trochanter relative to the wing of the ilium and the tuber ischium. Often as a result of trauma such as a struggle on restraint by either owner or veterinary surgeon.
  • Signs: sudden lameness.
  • Diagnosis: examination of the rabbit in normal standing position. Definitive diagnosis achieved by radiography performing the dorsoventral, lateral and sometimes oblique lateral views.
  • Treatment: manual reduction can be attempted. May need surgical reduction and stabilization.
  • Prognosis: depends on rabbit in post-op phase and reduction technique. Often satisfactory outcome.
  • Coxofemoral luxation in rabbits is usually traumatic in origin.
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Presenting signs

  • Acute onset non-weight bearing hind limb lameness.
  • Signs of pain not always present (preservation reflex).

Acute presentation

  • Sudden lameness.

Cost considerations

Special risks, eg anesthetic

  • Success of closed reduction less than in other species.
  • Orthopedic surgery may involve prolonged general anesthetic Anesthesia: general with associated risks.

Pathogenesis

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Diagnosis

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Treatment

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Prevention

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Outcomes

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Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Gallego M & Villaluenga J E (2019) Coxofemoral luxation in pet rabbits: nine cases. J Small Anim Pract 60, 631-635 PubMed.
  • Marinkovich M, Guzman D S M, Hawkins M G, Gleeson M & Chou P Y (2019) Open reduction and stabilization of a luxated coxofemoral joint in a domestic rabbit (Oryctolagus cuniculus) using a toggle-pin fixation. J Exotic Pet Med 30, 43-49.
  • Coleman K, Palmer R & Johnston M (2015) Femoral head and neck ostectomy for surgical treatment of acute craniodorsal coxofemoral luxation in rabbits. J Exotic Pet Med 24, 178-182 VetMedResource.
  • Capello V (2008) Femoral head and neck osteotomy in selected exotic mammal species. Exotic DVM 10 (1), 21-26 SemanticScholar.
  • Harcourt-Brown N (2004) Approach to selected orthopaedic disorders in rabbits. Exotic DVM (2), 33-36 VetMedResource.
  • Rich G A (2002) Rabbit orthopaedic surgery. Vet Clin North Am Exotic Anim Pract (1), 157-168 PubMed.
  • Owiny J R, Vandewoude S, Painter J T et al (2001) Hip dysplasia in rabbits: association with nest box flooring. Comp Med 51 (1), 85-88 PubMed.
  • LaBonde J (1997) Coxofemoral luxation in a Flemish giant rabbit. Exotic Pet Practice (12), 93 VetMedResource.
  • Papavasilou V A (1982) The fate of articular cartilage in traumatic dislocation of the hip. Clin Orthop Relat Res (171), 287-9 PubMed.

Other sources of information

  • Harcourt-Brown N & Langley-Hobbs S (2013) Joint Disease and Surgery. In: BSAVA Manual of Rabbit Surgery, Dentistry and Imaging. Eds: Harcourt-Brown F & Chitty J. BSAVA, UK. pp 305-318.
  • Piermattei D L et al (2006) The Hip Joint. In: Handbook of Small Animal Orthopedics and Fracture Repair. Saunders Elsevier, USA. pp 461-475.
  • OMalley B (2005) Rabbits. In: Clinical Anatomy and Physiology of Exotic Species. Elseveir Saunders, UK. pp 173-195.
  • Holsworth I G & DeCamp C E (2003) Coxofemoral Luxation. In: Textbook of Small Animal Surgery. 3rd edn. Saunders, USA. pp 2002-2008.
  • Fossum T W et al (1997) Management of Joint Disease. In: Small Animal Surgery. Mosby, USA. pp 949-955.

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Hip luxation

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