Powers Michelle Y, Karbe Georga T, Gregor Thomas P, McKelvie Pamela, Culp William T N, Fordyce Hilary H, Smith Gail K
Department of Clinical Studies-Philadelphia, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
J Am Vet Med Assoc. 2010 Sep 1;237(5):532-41. doi: 10.2460/javma.237.5.532.
To compare 2 screening methods for detecting evidence of hip dysplasia (Orthopedic Foundation for Animals [OFA] and PennHIP) in dogs.
Diagnostic test evaluation study. Animals-439 dogs >or= 24 months of age that received routine hip joint screening from June 1987 through July 2008.
Dogs were sedated, and PennHIP radiography was performed (hip joint- extended [HE], compression, and distraction radiographic views). The HE radiographic view was submitted for OFA evaluation. A copy of the HE radiographic view plus the compression and distraction radiographic views were submitted for routine PennHIP evaluation, including quantification of hip joint laxity via the distraction index (DI).
14% (60/439) of dogs had hip joints scored as excellent by OFA standards; however, 52% (31/60) of those had a DI >or= 0.30 (range, 0.14 to 0.61). Eighty-two percent of (183/223) dogs with OFA-rated good hip joints had a DI >or= 0.30 (range, 0.10 to 0.77), and 94% (79/84) of dogs with OFA-rated fair hip joints had a DI >or= 0.30 (range, 0.14 to 0.77). Of all dogs with fair to excellent hip joints by OFA standards, 80% (293/367) had a DI >or= 0.30. All dogs with OFA-rated borderline hip joints or mild, moderate, or severe hip dysplasia had a DI >or= 0.30 (range, 0.30 to 0.83).
Dogs judged as phenotypically normal by the OFA harbored clinically important passive hip joint laxity as determined via distraction radiography. Results suggested that OFA scoring of HE radiographs underestimated susceptibility to osteoarthritis in dogs, which may impede progress in reducing or eliminating hip dysplasia through breeding.
比较两种用于检测犬髋关节发育不良证据的筛查方法(动物骨科基金会[OFA]和宾夕法尼亚大学犬髋关节评估计划[PennHIP])。
诊断性试验评估研究。动物——439只年龄大于或等于24个月的犬,于1987年6月至2008年7月接受常规髋关节筛查。
对犬进行镇静后,进行PennHIP放射摄影(髋关节伸展[HE]、加压和牵引放射影像)。将HE放射影像提交给OFA评估。将HE放射影像副本以及加压和牵引放射影像提交给PennHIP进行常规评估,包括通过牵引指数(DI)对髋关节松弛度进行量化。
14%(60/439)的犬髋关节按OFA标准评分为优秀;然而,其中52%(31/60)的犬DI大于或等于0.30(范围为0.14至0.61)。82%(183/223)OFA评定为髋关节良好的犬DI大于或等于0.30(范围为0.10至0.77),94%(79/84)OFA评定为髋关节尚可的犬DI大于或等于0.30(范围为0.14至0.77)。在所有OFA标准评定为髋关节尚可至优秀的犬中,80%(293/367)的犬DI大于或等于0.30。所有OFA评定为髋关节临界或轻度、中度或重度髋关节发育不良的犬DI大于或等于0.30(范围为0.30至0.83)。
经OFA判定为表型正常的犬,通过牵引放射摄影确定存在临床上重要的被动髋关节松弛。结果表明,OFA对HE放射影像的评分低估了犬患骨关节炎的易感性,这可能会阻碍通过育种减少或消除髋关节发育不良方面的进展。