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Canines Common Medical Problems

What is hip dysplasia in dogs? 6 Common Causes and Risk Factors

By March 1, 2025April 4th, 2025No Comments

Hip dysplasia in dogs is a common musculoskeletal condition, especially in larger breeds. This progressive condition occurs when the ball and socket of the hip joint don’t fit together properly, leading to deterioration, pain, and mobility issues. Early detection and proper management are crucial for affected dogs.

Understanding hip dysplasia in dogs is essential for pet owners, as prompt intervention can significantly improve quality of life. This guide explores the causes, symptoms, diagnosis, and treatment options to help you provide the best care for your canine companion if they’re affected by this condition.

Understanding Hip Dysplasia in Dogs

Hip dysplasia in dogs is a deformity of the hip joint that develops during growth. The condition occurs when the ball (femoral head) and socket (acetabulum) that form the hip joint don’t develop properly, causing them to rub and grind instead of sliding smoothly. This improper development leads to deterioration over time, resulting in pain, inflammation, and decreased range of motion in the joint. Hip dysplasia in dogs can affect one or both hips and can range from mild to severe.

7 Signs of hip dysplasia in dogs include

  • Decreased activity and mobility: Affected dogs may show reluctance to run, jump, climb stairs, or engage in physical activities they previously enjoyed.
  • Lameness in the hind end: Dogs may exhibit a “bunny hopping” gait when running, or may favor one leg over another when walking.
  • Difficulty rising, jumping, or climbing: Getting up from a lying position or navigating stairs becomes visibly challenging and painful.
  • Loss of muscle mass in thighs: As dogs use their hind legs less, muscle atrophy becomes apparent in the thigh area.
  • Enlarged shoulder muscles: Dogs often compensate for hind-end weakness by putting more weight on their front legs, resulting in overdeveloped shoulder muscles.
  • Pain and stiffness: Dogs may show signs of discomfort, especially after exercise or during cold weather.
  • Audible clicking sounds: Some dogs will have noticeable clicking sounds from the hip joint during movement.

6 Causes and Risk Factors of Hip Dysplasia in Dogs

Rapid Growth Rate

Puppies who grow too quickly are at increased risk for developing skeletal abnormalities, including hip dysplasia. This is particularly true for large and giant breed dogs, whose bones and joints must support substantial weight during development. Rapid growth causes disparities between bone growth and supporting muscle development, leading to joint instability and improper formation. A controlled growth rate through appropriate nutrition can help minimize this risk, especially during the critical first year of life.

Improper Nutrition

Diet plays a crucial role in either preventing or exacerbating hip dysplasia in dogs. Excessive caloric intake and inappropriate calcium supplementation during growth can contribute to abnormal joint development and accelerate the progression of hip dysplasia. Large-breed puppy foods are specially formulated with controlled calcium levels and calorie content to promote slower, more even growth. Proper nutritional balance supports healthy joint development and can minimize the expression of genetic predisposition to dysplasia.

Obesity

Excess weight puts additional stress on joints, accelerating the deterioration of already compromised hip joints in dysplastic dogs. Overweight dogs experience increased force on their joints with every step, which can significantly worsen pain and mobility issues associated with hip dysplasia. Studies show that keeping dogs at a healthy weight can delay the onset of symptoms and reduce the severity of hip dysplasia. Weight management is considered one of the most important non-surgical interventions for dogs with this condition.

Inappropriate Exercise

The type and amount of exercise significantly impact hip joint development and function in dogs. Too much high-impact activity during growth phases can damage developing joints, while too little exercise fails to develop the supporting muscles needed for joint stability. Puppies from predisposed breeds should avoid jumping, rough play on hard surfaces, and stairs until their joints are fully developed. Controlled, low-impact exercise like swimming provides the benefits of muscle development without the potentially harmful impact forces.

Injury or Trauma

Joint injuries, especially during growth, can alter hip joint mechanics and accelerate the development of hip dysplasia in dogs. Traumatic events like falls or accidents can damage the hip joint structure, leading to instability and an increased risk of dysplastic changes over time. Even seemingly minor injuries during critical developmental periods can have long-term consequences for joint health. Early intervention and proper rehabilitation following injuries can help minimize secondary changes that might contribute to dysplasia.

Breed-Specific Risks

Certain breeds have a significantly higher incidence of hip dysplasia in dogs due to their genetic makeup and physical structure. Large and giant breeds are most commonly affected, although smaller breeds can also develop the condition. The correlation between breed size and hip dysplasia is related to growth rate, weight-bearing dynamics, and genetic factors that have been concentrated through years of breeding. Responsible breeders use screening programs like those offered by the Orthopedic Foundation for Animals (OFA) to reduce the prevalence of hip dysplasia in at-risk breeds.

7 Breeds that are Prone to Hip Dysplasia in Dogs

  • German Shepherds: This breed has one of the highest rates of hip dysplasia in dogs, affecting approximately 20% of the population. Their sloping back structure contributes to their susceptibility.
  • Labrador Retrievers: These popular family dogs have a relatively high incidence of hip dysplasia, with an estimated 12% affected. Their active lifestyle can exacerbate symptoms if the condition is present.
  • Great Danes: As one of the largest dog breeds, Great Danes are particularly vulnerable to hip dysplasia in dogs. Their rapid growth and substantial size put immense pressure on developing joints.
  • Saint Bernards: Nearly 50% of Saint Bernards show signs of hip dysplasia in dogs. Their massive size and weight contribute significantly to joint stress.
  • Bulldogs: Despite their smaller size, Bulldogs’ unique body structure predisposes them to hip dysplasia at rates comparable to much larger breeds.
  • Rottweilers: About 20% of Rottweilers develop hip dysplasia in dogs, with their muscular build and weight contributing to joint stress.
  • Golden Retrievers: These popular family dogs have about a 10% incidence rate, which varies depending on bloodlines and breeding practices.

How is Hip Dysplasia in Dogs Diagnosed

Accurately diagnosing hip dysplasia in dogs is crucial for implementing effective treatment plans and management strategies. Early diagnosis can significantly improve outcomes by allowing interventions before severe joint damage occurs. A comprehensive diagnosis also helps veterinarians differentiate between acute pain episodes and chronic degeneration, which require different treatment approaches.

Several orthopedic and neurological conditions can mimic the symptoms of hip dysplasia in dogs, making differential diagnosis essential. A thorough veterinary examination helps identify the true source of pain and mobility issues, ensuring appropriate treatment. Conditions that may present similar symptoms to hip dysplasia in dogs include:

  • Cruciate ligament injuries: Tears in the knee ligaments can cause similar hind limb lameness but are typically more sudden in onset and may affect just one leg. Unlike hip dysplasia, these injuries often result from specific traumatic incidents.
  • Lumbosacral disease: Problems in the lower spine can cause hind limb weakness and pain that resembles hip dysplasia. Dogs with this condition may show neurological deficits not present in hip dysplasia cases.
  • Patellar luxation: This condition involves the kneecap dislocating from its normal position and causes an abnormal gait and pain. Unlike hip dysplasia, affected dogs often skip or hop on the affected limb(s).
  • Degenerative myelopathy: This progressive disease of the spinal cord causes weakness and lack of coordination in the hind limbs but without the pain typically associated with hip dysplasia in dogs.
  • Arthritis in other joints: Inflammation in the stifle (knee) or hock (ankle) joints can cause symptoms similar to hip dysplasia but can be differentiated through careful palpation and imaging.

Diagnostic Tests and Procedures

  • Physical examination: The veterinarian will observe the dog’s gait, test the range of motion in the hip joints, check for pain responses, and assess muscle mass in the hind legs. The Ortolani test, which checks for joint laxity, is commonly performed during this examination.
  • Radiography (X-rays): The gold standard for diagnosing hip dysplasia in dogs, X-rays reveal the structure of the hip joint, socket depth, and signs of arthritis. Proper positioning is crucial for accurate assessment, often requiring sedation or anesthesia.
  • OFA evaluation: The Orthopedic Foundation for Animals provides standardized evaluation of hip X-rays, with hips rated from excellent to severe. This certification is particularly important for breeding dogs.
  • PennHIP method: This more sensitive diagnostic technique measures joint laxity through specialized X-rays taken in different positions, identifying dogs at risk before clinical signs appear.
  • CT scans: For complex cases, computed tomography provides detailed three-dimensional images of the hip structure that can guide surgical planning.
  • MRI: Magnetic resonance imaging can detect early cartilage changes and inflammation not visible on X-rays, though it’s less commonly used due to cost and availability.

3 Non-Surgical Management Options

Weight Management and Nutrition Strategies

Maintaining an ideal body weight is one of the most effective ways to manage hip dysplasia in dogs. Excess weight puts additional stress on already compromised joints, accelerating cartilage wear and increasing pain. Studies show that even modest weight reduction can significantly improve mobility and reduce the need for pain medication in dogs with hip dysplasia. A tailored nutrition plan with appropriate calorie intake, balanced nutrients, and supplements like omega-3 fatty acids can help manage symptoms and slow disease progression.

Physical Therapy and Exercise Modifications

Properly structured physical therapy and modified exercise programs are crucial for dogs with hip dysplasia. Controlled low-impact activities help maintain muscle mass, improve joint stability, and enhance range of motion without causing additional damage to affected hip joints. Swimming, underwater treadmill therapy, and gentle leash walks on soft surfaces provide exercise benefits while minimizing joint stress. Physical therapy techniques such as massage, passive range of motion exercises, and therapeutic ultrasound can reduce pain and improve function.

Medications and Supplements for Pain Management

Pharmaceutical and nutraceutical interventions play an important role in managing pain and inflammation associated with hip dysplasia in dogs. Non-steroidal anti-inflammatory drugs (NSAIDs) specifically formulated for dogs help reduce pain and inflammation, improving mobility and quality of life. Joint supplements containing glucosamine, chondroitin sulfate, and MSM may help support cartilage health and slow degradation of the joint. Newer treatments including adequan injections, which supply building blocks for cartilage repair, and therapeutic class IV laser treatments can provide additional pain relief.

Surgical Interventions and Hip Replacement

Surgical intervention becomes necessary when non-surgical management fails to adequately control pain or maintain mobility in dogs with hip dysplasia. Veterinarians typically recommend surgery when dogs show persistent severe pain despite medical management, significant limitations in daily activities, or rapidly deteriorating hip joint function.

The decision to pursue surgery considers factors including the dog’s age, overall health status, severity of dysplasia, and expected activity requirements. Young dogs with severe dysplasia may benefit from early intervention to prevent arthritic changes, while older dogs might undergo surgery to address painful arthritic changes that have already developed.

6 Types of Surgical Procedures

  • Total Hip Replacement (THR): Considered the gold standard surgical treatment, THR involves replacing both the ball and socket of the affected hip with prosthetic implants. This procedure provides the most normal return to function and eliminates pain by creating an artificial joint that mimics natural biomechanics.
  • Femoral Head and Neck Excision (FHO): This procedure involves removing the femoral head (the “ball” of the hip joint) without replacing it, creating a false joint comprised of scar tissue. While less expensive than THR, FHO works best for smaller dogs or cats and typically results in good pain relief but somewhat limited function.
  • Juvenile Pubic Symphysiodesis (JPS): Performed in very young puppies (12-16 weeks) with a high risk for developing dysplasia, this minimally invasive procedure alters pelvic growth to improve hip socket coverage. Early intervention can significantly improve hip development and prevent severe dysplasia later in life.
  • Triple Pelvic Osteotomy (TPO): Suitable for young dogs with joint laxity but minimal arthritis, TPO involves cutting the pelvis in three places and rotating segments to improve the hip socket’s coverage of the femoral head. This procedure aims to prevent progressive joint deterioration.
  • Dorsal Acetabular Rim (DAR): This technique augments the hip socket with a bone graft to improve coverage of the femoral head. It’s typically performed in younger dogs with specific anatomical deficiencies in the hip socket.
  • BOP (Biocompatible Osteoconductive Polymer) Shelf Procedure: A newer technique that uses special surgical cement to create an artificial extension of the hip socket, improving stability without extensive bone cutting. This less invasive option may be suitable for specific cases.

Conclusion

Hip dysplasia in dogs presents significant challenges, but with proper diagnosis and a comprehensive treatment approach, affected dogs can lead comfortable, active lives. Early intervention is key—whether through non-surgical management or appropriate surgical procedures—to minimize pain and preserve joint function. Remember that each dog’s situation is unique, requiring an individualized approach to care.

If you notice any signs of hip dysplasia in your dog, don’t wait to seek professional help. Schedule an appointment with us at Yankee Hill Veterinary Hospital for a thorough evaluation and personalized treatment plan. For more information about canine orthopedic health and updates on veterinary care, follow us on Facebook and read our client experiences on Yelp.