Patellar luxation is one of the most common orthopedic conditions in dogs, diagnosed in 7% of puppies.
Patellar luxation is one of the most common orthopedic conditions in dogs, diagnosed in 7% of puppies. The condition affects primarily small dogs, especially breeds such as Boston and Yorkshire terriers, Chihuahuas, Pomeranians, and miniature poodles. The incidence in large breed dogs has been on the rise over the past ten years, and breeds such as Chinese Shar Pei, Flat-Coated Retrievers, Akitas, and Great Pyrenees are now considered predisposed to this disease. Patellar luxation affects both knees in half of all cases, potentially resulting in discomfort and loss of function.
Patellar luxation occasionally results from a traumatic injury to the knee, causing sudden severe lameness of the limb. However, the precise cause remains unclear in the majority of dogs but is likely multifactorial. The femoral groove into which the knee cap normally rides is commonly shallow (Figure 2a, Figure 2b) or absent in dogs with non–traumatic patellar luxation. Early diagnosis of bilateral disease in the absence of trauma and breed predisposition supports the concept that patellar luxation results from a congenital or developmental misalignment of the entire extensor mechanism. Developmental patellar luxation is therefore no longer considered an isolated disease of the knee, but rather a consequence of a complex skeletal abnormalities affecting the overall alignment of the limb, including:
abnormal conformation of the hip joint, such as hip dysplasia (link to health topic)
malformation of the femur, with abnormal angulation and torsion (rotation) (Figure 3)
malformation of the tibia
deviation of the tibial crest, the bony prominence onto which the patella tendon attaches below the knee
tightness/atrophy of the quadriceps muscles, acting as a bowstring
a patellar ligament that may be too long
