NAVLE Musculoskeletal

Canine Hip Luxation Study Guide

Coxofemoral luxation (hip luxation) is the most commonly luxated joint in dogs, accounting for approximately 90% of all joint luxations.

Overview and Clinical Importance

Coxofemoral luxation (hip luxation) is the most commonly luxated joint in dogs, accounting for approximately 90% of all joint luxations. The condition occurs when the femoral head is displaced from the acetabulum, disrupting the ball-and-socket articulation of the hip joint. This represents a high-yield topic for the NAVLE examination due to its frequency in clinical practice and the importance of timely, appropriate intervention.

Vehicular trauma is the cause of up to 85% of coxofemoral luxations. Other causes include falls, jumping from moving vehicles, severe hip dysplasia, and spontaneous luxation in dysplastic joints. Craniodorsal luxation accounts for approximately 78-80% of cases, making it the most common direction of luxation.

Craniodorsal Luxation Caudoventral Luxation
Non-weight bearing lameness External rotation of stifle Adduction of femur Shortening of affected limb Leg appears "hiked up" Dorsal swelling over hip Greater trochanter palpated dorsally Lameness (may still weight bear) Internal rotation of limb Abduction of pelvic limb Lengthening of affected limb Leg appears "kicked outward" Greater trochanter displaced medially Limited adduction if head trapped in obturator foramen

Anatomy of the Coxofemoral Joint

The coxofemoral joint is a diarthrodial ball-and-socket articulation between the femoral head (the ball) and the acetabulum (the socket) of the pelvis. Understanding the stabilizing structures is critical for both diagnosis and treatment planning.

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