Vet Comp Orthop Traumatol 2021; 34(01): 024-031
DOI: 10.1055/s-0040-1717148
Original Research

Epidemiology of Cranial Cruciate Ligament Rupture and Patellar Luxation in Dogs from the Province of Buenos Aires, Argentina

Gabriela Rudd Garces
1   IGEVET–Instituto de Genética Veterinaria (UNLP-CONICET LA PLATA), Facultad de Ciencias Veterinarias, Universidad Nacional de La Plata, La Plata, Buenos Aires, Argentina
,
Analía Arizmendi
1   IGEVET–Instituto de Genética Veterinaria (UNLP-CONICET LA PLATA), Facultad de Ciencias Veterinarias, Universidad Nacional de La Plata, La Plata, Buenos Aires, Argentina
2   Hospital Escuela de la Facultad de Ciencias Veterinarias, Universidad Nacional de La Plata, La Plata, Buenos Aires, Argentina
,
Laura S. Barrientos
1   IGEVET–Instituto de Genética Veterinaria (UNLP-CONICET LA PLATA), Facultad de Ciencias Veterinarias, Universidad Nacional de La Plata, La Plata, Buenos Aires, Argentina
,
Julián A. Crespi
1   IGEVET–Instituto de Genética Veterinaria (UNLP-CONICET LA PLATA), Facultad de Ciencias Veterinarias, Universidad Nacional de La Plata, La Plata, Buenos Aires, Argentina
,
Hernán Morales
1   IGEVET–Instituto de Genética Veterinaria (UNLP-CONICET LA PLATA), Facultad de Ciencias Veterinarias, Universidad Nacional de La Plata, La Plata, Buenos Aires, Argentina
,
Pilar Peral García
1   IGEVET–Instituto de Genética Veterinaria (UNLP-CONICET LA PLATA), Facultad de Ciencias Veterinarias, Universidad Nacional de La Plata, La Plata, Buenos Aires, Argentina
,
Gisel Padula
1   IGEVET–Instituto de Genética Veterinaria (UNLP-CONICET LA PLATA), Facultad de Ciencias Veterinarias, Universidad Nacional de La Plata, La Plata, Buenos Aires, Argentina
3   Facultad de Ciencias Naturales y Museo, Universidad Nacional de La Plata, La Plata, Buenos Aires, Argentina
,
1   IGEVET–Instituto de Genética Veterinaria (UNLP-CONICET LA PLATA), Facultad de Ciencias Veterinarias, Universidad Nacional de La Plata, La Plata, Buenos Aires, Argentina
› Author Affiliations
Funding This study was supported by the Consejo Nacional de Investigaciones Científicas y Técnicas of Argentina (CONICET, Grant PIP2013-2015 N° 11220120100328CO) and the National University of La Plata (UNLP, Grant N° 11/V206).

Abstract

Objective The aim of this study was to investigate the prevalence of cranial cruciate ligament rupture and patellar luxation and the associated risk factors in dogs.

Materials and Methods A total of 13,072 clinical records of dogs were reviewed from School Hospital (Faculty of Veterinary Sciences, National University of La Plata). Data of age, breed, sex, body weight, patellar luxation and cranial cruciate ligament rupture condition were registered. Chi-squared and Fisher's exact tests were used to compare the prevalence of cranial cruciate ligament rupture and patellar luxation with the variables and then univariable logistic regression was used to evaluate the risk of having cranial cruciate ligament rupture and patellar luxation. Multivariable logistic regression was used including all variables to assess the odds of having patellar luxation and cranial cruciate ligament rupture.

Results Of 13,072 patients treated, 72 and 51 had cranial cruciate ligament rupture and patellar luxation respectively. Sex was not a major risk factor for either condition. Adult (odds ratio [OR] = 8.2) and senior (OR = 4.3) patients had increased risk of having cranial cruciate ligament rupture, while for patellar luxation age was not a risk factor. Groups 2, 3 and 8 were more likely to have cranial cruciate ligament rupture (OR = 5.5, OR = 9.1 and OR = 2.6), and group 11 had lower risk of having patellar luxation (OR = 0.08). Maxi (OR = 2.4) and giant (OR = 6.0) breeds had higher risk of having cranial cruciate ligament rupture, and medium and maxi breeds had higher risk of patellar luxation (OR = 0.05 and OR = 0.3). Multivariate OR test confirmed that age (adult), body size (giant and maxi) and breed group (Group 3) were significantly associated with having cranial cruciate ligament rupture, and age was associated with having patellar luxation.

Clinical Significance This is the first epidemiological study of cranial cruciate ligament rupture and patellar luxation in dogs from School Hospital (Faculty of Veterinary Sciences, National University of La Plata). Giant and large adult dogs from the Molossoid and Terrier breeds were more likely to have cranial cruciate ligament rupture, while mixed and large dog breeds showed the lowest risk of having patellar luxation.

Authors' Contributions

G.R.G., A.A., and L.S.B. contributed to conception of study, study design contributed to study design, acquisition of data and data interpretation and analysis. J.A.C., H.M. and P.P.G. contributed to data analysis and interpretation. G.P. and G.G. contributed to conception of study, study design, and data analysis and interpretation. All authors drafted, revised and approved the submitted manuscript.


Supplementary Material



Publication History

Received: 26 May 2019

Accepted: 17 July 2020

Article published online:
14 October 2020

© 2020. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 
  • References

  • 1 Wilke VL, Conzemius MG, Kinghorn BP, Macrossan PE, Cai W, Rothschild MF. Inheritance of rupture of the cranial cruciate ligament in Newfoundlands. J Am Vet Med Assoc 2006; 228 (01) 61-64
  • 2 Duval JM, Budsberg SC, Flo GL, Sammarco JL. Breed, sex, and body weight as risk factors for rupture of the cranial cruciate ligament in young dogs. J Am Vet Med Assoc 1999; 215 (06) 811-814
  • 3 Baird AE, Carter SD, Innes JF, Ollier WE, Short AD. Genetic basis of cranial cruciate ligament rupture (CCLR) in dogs. Connect Tissue Res 2014; 55 (04) 275-281
  • 4 Johnson JA, Austin CC, Breur GJ. Incidence of canine appendicular musculoskeletal disorders in 16 veterinary teaching hospitals from 1980 through 1989. Vet Comp Orthop Traumatol 1994; 7: 56-69
  • 5 Ness MG, Abercromby RH, May C, Turner BM, Carmichael S. A survey of orthopedic conditions in small animal veterinary practice in Britain. Vet Comp Orthop Traumatol 1996; 9: 43-52
  • 6 Kalff S, Butterworth SJ, Miller A, Keeley B, Baines S, McKee WM. Lateral patellar luxation in dogs: a retrospective study of 65 dogs. Vet Comp Orthop Traumatol 2014; 27 (02) 130-134
  • 7 Doom M, de Bruin T, de Rooster H, van Bree H, Cox E. Immunopathological mechanisms in dogs with rupture of the cranial cruciate ligament. Vet Immunol Immunopathol 2008; 125 (1-2): 143-161
  • 8 Di Dona F, Della Valle G, Fatone G. Patellar luxation in dogs. Vet Med (Auckl) 2018; 9: 23-32
  • 9 O'Neill DG, Meeson RL, Sheridan A, Church DB, Brodbelt DC. The epidemiology of patellar luxation in dogs attending primary-care veterinary practices in England. Canine Genet Epidemiol 2016; 3: 4
  • 10 Buote N, Fusco J, Radasch R. Age, tibial plateau angle, sex, and weight as risk factors for contralateral rupture of the cranial cruciate ligament in Labradors. Vet Surg 2009; 38 (04) 481-489
  • 11 Duerr FM, Duncan CG, Savicky RS, Park RD, Egger EL, Palmer RH. Risk factors for excessive tibial plateau angle in large-breed dogs with cranial cruciate ligament disease. J Am Vet Med Assoc 2007; 231 (11) 1688-1691
  • 12 Grierson J, Asher L, Grainger K. An investigation into risk factors for bilateral canine cruciate ligament rupture. Vet Comp Orthop Traumatol 2011; 24 (03) 192-196
  • 13 Harasen G. Diagnosing rupture of the cranial cruciate ligament. Can Vet J 2002; 43 (06) 475-476
  • 14 Taylor-Brown FE, Meeson RL, Brodbelt DC. et al. Epidemiology of cranial cruciate ligament disease diagnosis in dogs attending primary-care veterinary practices in England. Vet Surg 2015; 44 (06) 777-783
  • 15 Bellumori TP, Famula TR, Bannasch DL, Belanger JM, Oberbauer AM. Prevalence of inherited disorders among mixed-breed and purebred dogs: 27,254 cases (1995-2010). J Am Vet Med Assoc 2013; 242 (11) 1549-1555
  • 16 Witsberger TH, Villamil JA, Schultz LG, Hahn AW, Cook JL. Prevalence of and risk factors for hip dysplasia and cranial cruciate ligament deficiency in dogs. J Am Vet Med Assoc 2008; 232 (12) 1818-1824
  • 17 Adams P, Bolus R, Middleton S, Moores AP, Grierson J. Influence of signalment on developing cranial cruciate rupture in dogs in the UK. J Small Anim Pract 2011; 52 (07) 347-352
  • 18 Bosio F, Bufalari A, Peirone B, Petazzoni M, Vezzoni A. Prevalence, treatment and outcome of patellar luxation in dogs in Italy. A retrospective multicentric study (2009-2014). Vet Comp Orthop Traumatol 2017; 30 (05) 364-370
  • 19 Alam MR, Lee JI, Kang HS. et al. Frequency and distribution of patellar luxation in dogs. 134 cases (2000 to 2005). Vet Comp Orthop Traumatol 2007; 20 (01) 59-64
  • 20 Arthurs GI, Langley-Hobbs SJ. Complications associated with corrective surgery for patellar luxation in 109 dogs. Vet Surg 2006; 35 (06) 559-566
  • 21 Powers MY, Martinez SA, Lincoln JD, Temple CJ, Arnaiz A. Prevalence of cranial cruciate ligament rupture in a population of dogs with lameness previously attributed to hip dysplasia: 369 cases (1994-2003). J Am Vet Med Assoc 2005; 227 (07) 1109-1111
  • 22 Gilbert S, Langenbach A, Marcellin-Little DJ, Pease AP, Ru H. Stifle joint osteoarthritis at the time of diagnosis of cranial cruciate ligament injury is higher in Boxers and in dogs weighing more than 35 kilograms. Vet Radiol Ultrasound 2019; 60 (03) 280-288
  • 23 Maeda K, Inoue M, Tanaka M, Momozawa Y. Evidence of genetic contribution to patellar luxation in Toy Poodle puppies. J Vet Med Sci 2019; 81 (04) 532-537
  • 24 Terhaar HM, Muir P, Baker LA, Binversie EE, Chi J, Sample SJ. Contribution of habitual activity to cruciate ligament rupture in Labrador Retrievers. Vet Comp Orthop Traumatol 2020; 33 (02) 82-88
  • 25 Bound N, Zakai D, Butterworth SJ, Pead M. The prevalence of canine patellar luxation in three centres. Clinical features and radiographic evidence of limb deviation. Vet Comp Orthop Traumatol 2009; 22 (01) 32-37
  • 26 Whitehair JG, Vasseur PB, Willits NH. Epidemiology of cranial cruciate ligament rupture in dogs. J Am Vet Med Assoc 1993; 203 (07) 1016-1019
  • 27 Boge GS, Moldal ER, Dimopoulou M, Skjerve E, Bergström A. Breed susceptibility for common surgically treated orthopaedic diseases in 12 dog breeds. Acta Vet Scand 2019; 61 (01) 19
  • 28 Harasen G. Canine cranial cruciate ligament rupture in profile: 2002-2007. Can Vet J 2008; 49 (02) 193-194
  • 29 Lampman TJ, Lund E, Lipowitz AJ. Cranial cruciate disease: current status of diagnosis, surgery, and risk for disease. Vet Comp Orthop Traumatol 2003; 16: 122-126
  • 30 Pećin M, Lipar M, Kos J, Smolec O, Kreszinger M, Stejskal M. Breed, gender, age and reproductive status in relation to the predisposition for cranial cruciate ligament rupture in 117 dogs treated by a single surgeon (2010 - 2015) - a short communication. Veterinarski Arhiv 2017; 87: 783-789
  • 31 Comerford EJ, Smith K, Hayashi K. Update on the aetiopathogenesis of canine cranial cruciate ligament disease. Vet Comp Orthop Traumatol 2011; 24 (02) 91-98
  • 32 Hayes AG, Boudrieau RJ, Hungerford LL. Frequency and distribution of medial and lateral patellar luxation in dogs: 124 cases (1982-1992). J Am Vet Med Assoc 1994; 205 (05) 716-720
  • 33 Priester WA. Sex, size, and breed as risk factors in canine patellar dislocation. J Am Vet Med Assoc 1972; 160 (05) 740-742
  • 34 Hayes GM, Langley-Hobbs SJ, Jeffery ND. Risk factors for medial meniscal injury in association with cranial cruciate ligament rupture. J Small Anim Pract 2010; 51 (12) 630-634
  • 35 Souza AN, Tatarunas AC, Matera JM. Evaluation of vertical forces in the pads of Pitbulls with cranial cruciate ligament rupture. BMC Vet Res 2014; 10: 51
  • 36 Ragetly CA, Griffon DJ, Hsu MK, Klump LM, Hsiao-Wecksler ET. Kinetic and kinematic analysis of the right hind limb during trotting on a treadmill in Labrador Retrievers presumed predisposed or not predisposed to cranial cruciate ligament disease. Am J Vet Res 2012; 73 (08) 1171-1177
  • 37 Ocal MK, Sabanci SS, Onar V. Variation of tibial plateau geometry and cruciate ligament coordinates in six breeds of dogs. Vet Comp Orthop Traumatol 2013; 26 (02) 110-116
  • 38 Guthrie JW, Keeley BJ, Maddock E, Bright SR, May C. Effect of signalment on the presentation of canine patients suffering from cranial cruciate ligament disease. J Small Anim Pract 2012; 53 (05) 273-277
  • 39 Lavrijsen ICM, Leegwater PAJ, Wangdee C. et al. Genome-wide survey indicates involvement of loci on canine chromosomes 7 and 31 in patellar luxation in Flat-Coated Retrievers. BMC Genet 2014; 15: 64
  • 40 Wangdee C, Leegwater PA, Heuven HC, van Steenbeek FG, Techakumphu M, Hazewinkel HA. Population genetic analysis and genome-wide association study of patellar luxation in a Thai population of Pomeranian dogs. Res Vet Sci 2017; 111: 9-13