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Articles > Dogs

Kneecap Knocks Can Be Hard on Your Small Dog

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2.5 of 5 Paws Rating
Tags: patellar luxation, Health, Health Problems, Slipped stifle, Genetic Disorders, Joint Problems, Bone Problems, Acquired Disorders
It's a scenario familiar to many pet owners - your dog is running across the yard chasing a ball or Frisbee, when in mid-stride he yelps in pain and yanks a hind leg off the ground. Moments later he's off again, but sporting a limp which goes away after 10 to 20 minutes.

What your dog likely experienced here is a luxated patella, or in layman's terms, a dislocated kneecap. In a normal knee, the patella fits into a groove at the end of the femur (thigh bone), and slides up and down as the knee joint bends back and forth. It also acts as a protective cover for the knee joint. The joint's movement follows a limited track, guided by the grooves in the femur.

Injuries or a congenital malformation can result in these grooves being too shallow. In these cases, when the dog is active the patella can luxate (or jump) sideways, usually toward the inside of the leg, causing the limb to lock up. Once the kneecap has become dislocated it cannot return to a normal position until the dog's quadriceps muscle relaxes, which takes several minutes. During the moment of dislocation the dog experiences a sharp pain, but once the kneecap is out of place, the dog is not in pain. It simply will not be able to put the leg down again until the muscles relax and the kneecap slides back into position.

Dogs who experience this problem display a variety of symptoms. They often hold the leg up for several days and show signs of pain and discomfort. If the problem affects both hind legs, the dog will likely change its entire posture, dropping its hindquarters and holding its rear legs out from the body as it walks. In the most severe cases, dogs will avoid using their back legs entirely, instead balancing on their front legs in order to walk. A luxated patella normally occurs in dogs that are middle-aged, and many of them will have a history of on-again, off-again lameness in one or both hind legs.

Alert owners who suspect their dog has a problem need to have it diagnosed by a veterinarian. Left uncorrected, the ridges along the dog's kneecap will wear away, the grooves in the femur will become even shallower, and the dog's lameness will become more pronounced. Also, the wear and tear will lead to arthritis, causing the dog's leg to become permanently swollen and painful. In severe cases, the arthritis resulting from this joint damage can become crippling.

Surgery is required to treat most, but not all, cases. Often surgery is performed to deepen the grooves in the femur and/or "tie down" the kneecap to prevent it from moving improperly.

5 paws
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5 paws
BY andiamo555 ON 7/28/2011 5:27:18 PM
I have a 2 year old Maltese Chihuahua mix, 6.8 lbs, in excellent health, with patellar luxation of both rear knees. He is in some pain and has limited use to climb and descent stairs. He is limping on the better of the two rear legs, even though the xrays indicate the right patellar luxation is worse. I desire to have a Veterinarian Certified Orthopedic Surgeon conduct surgical procedures to correct this condition, both rear legs at the same time, with the understanding my pet will start Physical Rehabilitation as soon as practical after surgery. Many Surgeons desire to conduct the procedures separately, as they indicate the risks are too high to conduct surgery on both patellar luxated knees at the same time. However, I believe the trauma of having the animal go through the procedure twice and rehabilitate twice is just as detrimental, to both the animal and the Owner. Please let me know if you have an animal which had patellar luxation of both rear knees at a grade level of at least III and what your decision was to rectify the situation. One knee at a time or both knees at the same time. Thanking you in advance for anyone's advice and history similar to this. I genuinely look forward to your most favorable response. andiamo555

0 paws
BY groundford ON 12/15/2010 4:23:49 PM
We have a 3 year old Yorkshire Terrier with Luxating Patela. She is in stage 4 and the Vet says she needs the operation. Now my question is How much can we expect to pay for this surgery. We have heard different prices.

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BY boofy ON 10/9/2010 9:57:55 PM
My dog joshua,has just come home from the vets yesterday after patella surgery,he is a x chihuahua,jack russel.he seemed to of had the problem since a pup,he played petty rough with another puppy lots of times and the other pup used to pull his legs ,when he was on his back!although it could be hereditory.This is the 12th. day after the surgery,i left him to board at vets for a while to heal a bit quicker,and so i could get some sleep!he has lost his voice from barking too much,poor darling,he doesnt like to be confined.He is doing well,im very suprised,i thought he would be hobbiling around ,but he is on all fours and rearing to go,but he has to be confined to a quiet room for 11 more weeks!God help me!

1 paws
BY paige98 ON 9/1/2010 7:16:47 PM
my dog sophie has that and somtimes a dog might need surgrey. i am a young teen and a animal nut! so i know a lot about dogs its hard for her to run when that happens but she makes it look like it doesnt hurt but i can tell that it does. she is only 1 1/2 yrs old and the vet said that it was common for a maltipoo/maltiese/poodle to have that she said she just needs to go swimming right before almost every bath! and if your dog and crud under his/her eyes they say that you just need doggie sunglasses!

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