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British Hip Grading
It was around 35 years ago that the British Veterinary Association (BVA) and
the Kennel Club developed a scheme to assess the degree of hip malformation
of dogs through radiography. There are currently 100 breeds surveyed by the
scheme in the U.K. The first scheme awarded a status of either Pass or Fail,
this was them followed by a scheme, of PASS, FAIL, or BREEDERS LETTER, and in
1984 the scheme as we know it today was introduced, which is an assessment on
nine criteria, and scores of between 0 and 6 are allocated for all the criteria
with the exception of the caudal acetabular edge which has a maximum score of
5.
The best score that can be acheived is 0 - 0 which means,after each radiograph
for each hip has been evaluated there is no abnormality. The worst score then
is 53-53. The two scores are added together to give a total hip score. The British
system of scoring x-rays for hip dysplasia has an advantage over scoring schemes
used in other countries because we assess a number of specific anatomical landmarks
which ensures a relatively objective evaluation for each joint. The hip joint
is a complex one, it is this joint that transfers power from the hind leg muscles
to the body, with the supporting structures of ligaments and tendons, the hip
becomes a unit. The surfaces of cartilage are lubricated by joint fluid which
ensures a pain free action.
Under the Kennel Club / B.V.A. scheme a dog may be x-rayed and scored. The
dog must be over one year old to be hip scored, although it can be of any age
to be x-rayed, and there is no upper age limit. The dogs Kennel Club registration
number must be recorded on the x-ray and the Left and Right side must also be
marked. It is important that the radiographs are clear and of good quality,
with good contrast , and with no under or over exposure. For this reason dogs
are x-rayed under anesthetic, it is helpful to relax the dog, and achieve better
positioning. It is unrealistic to expect that excellent radiograph technique
will always be consistent, so it is therefore somtimes necessary to make compromises
when allocating scores. When it comes to image interpretation it is recognised
that even experienced observers can make mistakes in the evaluation of abnormalities,
to minimise this error there are two scrutineers to examine each radiograph.
Chris Clucas
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