Clinical evaluation of denervation of the canine hip joint capsule: a retrospective study of 117 dogs

S. Kinzel; C. Von Scheven; A. Buecker; T. Stopinski; W. Küpper

doi:10.1055/s-0038-1632713

Veterinary and Comparative Orthopaedics and Traumatology, Table of Contents

Vet Comp Orthop Traumatol 2002; 15(01): 51-56
DOI: 10.1055/s-0038-1632713

Clinical Communication

Schattauer GmbH

Clinical evaluation of denervation of the canine hip joint capsule: a retrospective study of 117 dogs

Authors

S. Kinzel

¹Department of Laboratory Animal Science, RWTH Aachen University Hospital, Germany
C. Von Scheven

¹Department of Laboratory Animal Science, RWTH Aachen University Hospital, Germany
A. Buecker

²Department of Radiology RWTH Aachen University Hospital, Germany
T. Stopinski

¹Department of Laboratory Animal Science, RWTH Aachen University Hospital, Germany
W. Küpper

¹Department of Laboratory Animal Science, RWTH Aachen University Hospital, Germany

Abstract

Summary

It was the aim of this study to evaluate denervation of the canine hip joint capsule as a newly developed surgical method for treatment of hip joint dysplasia and arthrosis of dogs. Denervation by surgical deperiostation of the cranio-lateral acetabulum is the presumed mechanism. We performed the denervation in 117 cases between 1997 and 1999. Clinical evaluation was documented by physical examination by a veterinarian immediately before and two months after the operation and a questionnaire completed by the dog owners. 90.6% of the patients showed an improvement of the clinical signs yielding a significant treatment effect (p <0.0001). 50.4% were even completely free of signs. 56% of the patients showed a clinical improvement within the first three days after surgery. We, therefore, conclude that denervation of the canine hip joint capsule is a successful surgical method for treatment of canine hip joint dysplasia and arthrosis.

Key words

Canine Hip Dysplasia - Arthrosis - Denervation of the Hip Joint Capsule

Full Text

References

References
1 Backenkohler U, Halata Z, Strasmann TJ. The sensory innervation of the shoulder joint of the mouse. Anat Anz 1996; 178 (02) 173-81.
2 Barr ARS, Denny HR, Gibbs C. Clinical hip dysplasia in growing dogs: the long-term results of conservative management. J Small Anim Pract 1987; 28: 243-52.
3 Biancardi G, Bouteiller P, Pisetti A, Tammaro V. Denervation in pain syndromes of the hand. Chirurgia Italiana 1984; 36 (04) 674-7.
4 Bowen JM, Lewis RE, Kneller SK, Wilson RC, Arnold RA. Pectineus myectomy in the dog. J Am Vet Med Assoc 1972; 161: 899.
5 Brass W, Freudiger U, Müller LF, Paatsama S, Van der Velden NA, Van de Watering CC. 1978: Bericht der Hüftgelenkdysplasie-Kommission. Kleintierpraxis 23: 169-212.
6 Brass W. Hip dysplasia in dogs. J Small Anim Pract 1989; 166-70.
7 Buck-Gramcko D. Denervation of the wrist joint and interphalageal joints. Handchirurgie 1969; 01 (04) 179-81.
8 Corley EA. Role of the Orthopedic Foundation for Animals in the control of canine hip dysplasia. Vet Clin North Am Small Anim Pract 1992; 22: 579-93.
9 Dosa G, Gruber K. Osteosynthesis in pseudoarthrosis of the scaphoid bone with simultaneous denervation of the wrist joint. Magyar Traumatologia Ortopedia Kezsebeszet Plasztikai Sebeszet 1994; 37 (03) 211-5.
10 Ekerot L, Holmberg J, Eiken O. Denervation of the wrist. Scandinavian Journal of Plastic & Reconstructive Surgery 1983; 17 (02) 155-7.
11 Foucher G, Da Silva JB, Ferreres A. Total denervation of the wrist. Apropos of 50 cases. Revue de Chirurgie Orthopédique et Reparatrice de Appareil-Moteur 1992; 78 (03) 186-90.
12 Foucher G, Long PPretz, Erhard L. Joint denervation. a simple response to complex problems in hand surgery. Chirurgie 1998; 123 (02) 183-8.
13 Gardner E. The innervation of the hip joint. Anatomical record 1948; 101: 353-71.
14 Gasse H, Engelke E, Waibl H. Zur Innervation der Hiiftgelenkkapsel beim Hund. Kleintier-praxis 1996; 41: 883-6.
15 Halata Z, Groth HP. Innervation of the synovial membrane of the cat’s joint capsule. Cell Tissue Res 1976; 169 (03) 415-8.
16 Halata Z, Munger BL. The ultrastructure of Ruffini and Herbst corpuscles in the articular capsule of domestic pigeon. Anat-Rec 1980; 198 (04) 681-92.
17 Halata Z. The ultrastructure of the sensory nerve endings in the articular capsule of the knee joint of the domestic cat (Ruffini corpuscles and Pacinian corpuscles). J Anat 1977; 124 (03) 717-29.
18 Hohn RB, Janes JM. Lateral approach to the canine ilium. Anim Hosp 1966; 02: 111.
19 Johnston SA. Conservative and medical management of hip dysplasia. Vet Clin North Am (Small Anim Pract) 1992; 22: 595-606.
20 Kahle W. Taschenatlas der Anatomie. vol 6., Bdlll. Stuttgart: Thieme; 1990
21 Kinzel S, Fasselt R, Prescher A, Selzer C, Graf v, Keyserlingk D, Küpper W. Innervation of the canine hip joint capsule. Tierarztl Prax 1998; 26 (K): 330-5.
22 Kinzel S, Küpper W. Surgical technique and clinical experiences with hip joint denervation in the dog. Prakt Tierarzt. Colleg Vet 1997; 27: 26-9.
23 Lust G, Geary JC, Sheffy BE. Development of hip dysplasia in dogs. Am J Vet Res 1973; 34: 87-91.
24 Lust G. Hip dysplasia in dogs. In: Textbook of Small animal Surgery. 2nd ed. Slatter DH. (ed). Philadelphia: Saunders; 1993: 1938-43.
25 Olmstead ML, Hohn RB, Turner TM. A five-year study of 221 total hip replacements in the dog. J Am Vet Med Assoc 1983; 183: 191-4.
26 Olmstead ML. The canine cemented modular total hip prothesis. J Am Anim Hosp Assoc 1995; 31: 109-24.
27 Piermattei DL. Femoral head ostectomy in the dog: indications, techniques, and results in ten dogs. J Am Anim Hosp Assoc 1965; 01: 180-8.
28 Plante J, Dupuis J, Beauregard G, Bonneau NH, Breton L. Long-term results of conservative treatment, excision arthroplasty and triple pelvic osteotomy for the treatment of hip dysplasia in the immature dog. Vet Comp Orthop Traumatol 1997; 10: 101-10.
29 Prieur WD. Intertrochanteric osteotomy in the dog: theoretical consideration and operative technique. J Small Anim Pract 28: 3-20.
30 Riser WH. Canine hip dysplasia: cause and control. J Am Vet Med Assoc 1974; 165: 360-2.
31 Rutskii VV, Bazhanov EA, Tikhilov RM. Immediate results of decompression and denervation of the hip joint in the treatment of aseptic necrosis of the femur head. Vestnik Khirurgii Imenii-Grekova 1990; 144 (06) 58.
32 Slocum B, Devine TSlocum. Pelvic osteotomy for axial rotation of the acetabular segment in dogs with hip dysplasia. Semin Vet Clin North Am (Small Anim Pract) 1992; 22: 645-82.
33 Wallace LJ. Pectineus tendon surgery for the management of canine hip dysplasia. Vet Clin North Am (Small Anim Pract) 1992; 22: 607-21.
34 Welsh EM, Gettinby G, Nolan AM. Comparision of a visual analogue scale and a numerical rating scale for assessment of lameness, using sheep as a model. Am J Vet Res 1993; 54: 976-83.
35 Zaharia C, Dumitrescu D. Total denervation in painful deseases of the hip. Revista de Chirurgie, Oncologie Radiologie ORL Oftalmologie Stomatologie Chirurgie 1975; 24 (06) 437-9.
36 Zimny ML. Mechanoreceptors in articular tissues. Am J Anat 1988; 182 (01) 16-32.