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Old 06-29-2009, 08:52 AM
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Ortolani Test--Good Idea?

This weekend our new puppy Maevis had her first vet check. The vet recommended that in the near future we have an Ortolani test performed on her to check for hip dysplasia. Apparently, the test requires the dog to be sedated, whereupon the vet manipulates her hip to see if it dislocates. If so, our vet said that the dog would be considered likely to develop hip dysplasia, and should undergo an orthopedic surgery that deepens the hip socket and generally prevents the dog from developing hip dysplasia later. We want to do what is best for our dog, but don't want to put her through unecessary procedures/sedation. Does anyone have any experiences with the Ortolani test and/or the procedure performed on dogs that "fail" the test? For what it's worth, we obtained Maevis from a reputable breeder and both of her parents and their lineages are free from hip dysplasia.
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Old 06-29-2009, 08:57 AM
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This is my personal opinion, but unless your puppy is exhibiting problems I would not have this test done. Honestly it sounds like it could CAUSE the hip to dislocate in the future when otherwise it would not have. For certification Xrays for hip displaysia can't be done until the dog is two years old.
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Old 06-29-2009, 09:03 AM
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Im curious to know why your vet made the suggestion - seems a bit odd to me...for such a young puppy...

Did you express deep concern for the health of her joints? - Was he making the suggestion as a wya to offer you some comfort and reassurance?
Did he manipulate and hear/feel a problem?
Did he suggest a timeline that the test be performed? for instance did he think it should be done soon...like in the next 6 months?...next two years?
Did he make the suggestion becuase you told him you are interested in breeding?
Does he do the testing? - Lordy I hope he does suggest this to all puppy buyers as a way to profit...
Did he suggest a particular facility? (I would hope he doesn't have a vested interest in sending clients to a particular facility....but stranger things have happened...)
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Old 06-29-2009, 09:05 AM
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Personally I don't believe in buying trouble...if the puppy or dog is healthy and active and you are not planning to breed...leave well enough alone.
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"Trace" - Can. CH Bramley's Light Up The Night, CD, RA - (CGC, CCA, TDI-Therapy Dog and Novice DockDock)
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"Liberty" - Bramley's Golden Moments Libby CD, RE - ASCA-CD, Can. CD - (CGC and TDI-Therapy Dog)
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Old 06-29-2009, 09:10 AM
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I've not heard of any vets suggesting this. OFA prelims, perhaps, if you are considering any venue of competition, but otherwise, unless there is reason to suspect a problem, I would wait until 24 months to take OFA radiographs.


From "Canine Hipe Dysplasia Part III by John Cargill MA MBA MS & Dr. Susan Thorpe-Vargas :

( http://www.siriusdog.com/dysplasia-h...-pennhip-3.htm )

Palpation. In humans, the most popular and reliable palpation maneuver used to identify congenital dislocation of the hip determines the presence or absence of the Ortolani sign. "A positive Ortolani sign confirms the diagnosis of coxofemoral subluxation in newborns prior to development of clinical signs or radiographic changes." 8 Many veterinarians feel that the techniques have too much subjectivity and variance to be of much use. Nonetheless, the Ortolani sign still figures prominently in the literature. 9-14 Animals to be examined must be anesthetized past the point where there is still a palpable response. Two basic approaches are used: dorsal recumbency and lateral recumbency, with dorsal recumbency being preferred for large dogs. Downward pressure is applied down the axis of the femur until the femoral head subluxates. The leg is slowly abducted while holding the stifle firmly. If the joint is loose, a distinct clicking may be felt and in some cases will be audible.
Other palpation methods have been proposed by Barlow and Bardens. 15,16 Barlow’s Sign is essentially the first half of the Ortolani Test. Downward axial pressure is applied on the femur without abducting the leg. The Bardens’ Test places the dog on its side, and the leg is held perpendicular to the spine. Lifting pressure is applied to the femoral shaft without abduction. The examiner’s finger is placed on the greater trochanter. Any movement of the finger by more than one-fourth inch is considered a positive sign for a loose joint. Palpation has shown diagnostic use in human neonates, but is controversial and may have little diagnostic or prognostic utility in the dog. A caution: In human infants, it has been suggested that repetitive Barlow tests, and presumably Ortolani and Bardens as well, are capable of making infant hips unstable, thus giving a false-positive result. 17"
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Old 06-29-2009, 09:16 AM
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Thanks Mylissyk and Liberty. We were sceptical as well, which is why I asked the question. The vet did not offer this information in response to anything she saw or felt (she did not manipulate her hips and did not mention anything to us). We also did not express any concern about the issue and we do not plan to breed her. The vet said the test is strong recommended for all very large dogs and GSDs. She said it was less of a necessity with goldens, but that since the surgery can prevent dysplasia from developing, the test to see if the surgery is required is probably worth it. The ve performs the Ortolani test, but does not perform the surgery itself.
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Old 06-29-2009, 09:17 AM
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If I am understanding the procedure correctly....the Ortolani Test sounds quite subjective - which would in all likelihood lead to more testing......If I were going to have to deeply anesthetize my dog, I would do a PennHip which would at least give me a quantitative score...
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"Trace" - Can. CH Bramley's Light Up The Night, CD, RA - (CGC, CCA, TDI-Therapy Dog and Novice DockDock)
"Rumor" - Jackson's Leap of Faith, RN
"Cadence" - Poeticgold's Of Soldiers and Song

Waiting at the Bridge
"Lexi" - Wise Teacher and Best-est Puppy Raiser
"Liberty" - Bramley's Golden Moments Libby CD, RE - ASCA-CD, Can. CD - (CGC and TDI-Therapy Dog)
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Old 06-29-2009, 09:20 AM
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Thanks Pointgold. I agree this sounds more subjective than we were led to believe. We will not be breeding/showing or doing any competitions with Maevis, so I think we will likely not have the test performed. We certainly don't want to put her through an unnecessary procedure(s) (especially one that sounds like it could be very painful)--or worse, a procedure that may actually cause future problems, i.e. dislocations.
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Old 06-29-2009, 09:21 AM
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I'll be curious to hear more feedback from the board....if their vets have strongly recommended the test....
Not that it means anything, but mine never have....
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Mary and the Goldens from Maine

"Trace" - Can. CH Bramley's Light Up The Night, CD, RA - (CGC, CCA, TDI-Therapy Dog and Novice DockDock)
"Rumor" - Jackson's Leap of Faith, RN
"Cadence" - Poeticgold's Of Soldiers and Song

Waiting at the Bridge
"Lexi" - Wise Teacher and Best-est Puppy Raiser
"Liberty" - Bramley's Golden Moments Libby CD, RE - ASCA-CD, Can. CD - (CGC and TDI-Therapy Dog)
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Old 06-29-2009, 09:31 AM
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Honestly, I have NEVER heard of any vet recommending it. The op surprised me.
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