Page 378 - Canine Lameness
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History of trauma  Fracture  abnormality          Consider to establish  arthritis
                               Visible
                                                                                  Septic
                                                                   diagnosis
                 Hip
                             Fracture line
                luxation
                                                                                 Soft tissue
                                                                 Arthrocentesis   injury
                                            X-rays    X-rays
                                           abnormal   normal
                 Sl-joint   Hip joint dislocation
                luxation                                                          Muscle
                                                                 Ultrasound/MRI  contracture
                 Hip        Sl-joint separation
                dysplasia/                                                       Soft tissue
                 OA
                                                                 Muscle biopsy   neoplasia
                              Joint laxity/     Pain in hip
                 Septic      osteoarthritis      region
                arthritis                                                       Juvenile hip
                                                                    FNA          dysplasia
                              Lytic lesion                                             dog  Juvenile
                Osseous
                neoplasia                                        PennHIP/Ortolani  Early Legg-
                                                                                 Perthes
                              Soft tissue
                              calcification
                Myopathy                                                          Sl-joint
                                                                    CT
                                                                                 disease
                           Degenerative changes
                              of Sl-joint
                 Sl-joint                                                        Minimally
                dysfunction                                                      displaced  trauma  History of
                                                                                 fracture
            Figure 20.1  Schematic of common diseases affecting the hip region and the steps necessary to establish a diagnosis.
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