Luxating patella, commonly known as patellar luxation, is a frequent orthopedic issue that affects many small dog breeds, including Yorkshire Terriers. Understanding this condition is important for dog owners because it can seriously impact a dog’s ability to move and enjoy life. It can be really difficult to spot as it isn’t a sudden injury and your dog can appear healthy and happy, while experiencing pain.

I’m going to explore the anatomy of the dog’s knee, explain what a luxating patella is, discuss its symptoms, how it is diagnosed, treatment options, and ways to prevent it.   And because of the technical health issues we are looking at, I’m going to list some useful resources for further reading if you are worried your dog has this issue or if you know it and want to help them as much as possible.

What is Luxating Patella?

A luxating patella occurs when the patella, or kneecap, moves out of its normal position in the knee joint. This can cause pain, difficulty walking, and other mobility problems. While luxating patella can affect dogs of any size, it is especially common in small breeds like Yorkies due to their specific body structure and genetic traits. Source: VCA Animal Hospitals – Patellar Luxation

This condition can happen in one or both knees and can vary in severity. My Rosie was diagnosed at shortly after we rescued her and ended up having surgery.  It was a rough time.  It isn’t like you can explain what is going on to your dog.

Anatomy of the Dog’s Knee

To understand luxating patella, it’s helpful to know how a dog’s knee is structured. The knee joint, also called the stifle joint, has several important parts:

  • Femur: The thigh bone, which connects to the pelvis.
  • Tibia: The larger bone in the lower leg that supports weight.
  • Fibula: The smaller bone next to the tibia, which helps stabilize the leg.
  • Patella: The kneecap, which protects the knee joint and helps with leg movement.

The patella sits in a groove at the end of the femur, known as the trochlea. This groove allows the patella to move smoothly as the knee bends and straightens. When luxating patella occurs, the patella can slip out of this groove, leading to pain and instability.

Understanding the anatomy of the knee helps dog owners see how luxation affects their dog’s movement and joint function.

Source: The Spruce Pets – Dog Anatomy 

Luxating patella in dogs

What Is Luxating Patella?

Luxating patella means that the patella has dislocated from its normal position in the knee joint. There are two main types of luxating patella:

  1. Medial Luxation: This happens when the patella moves toward the dog’s body. It is the more common type, especially in smaller breeds.
  2. Lateral Luxation: This occurs when the patella moves away from the body.

Several factors can cause luxating patella, including:

  • Genetic Predisposition: Certain breeds, particularly small dogs, are more likely to have this condition due to inherited traits.
  • Improper Bone Development: Abnormal growth of bones and joints can lead to luxation.
  • Trauma: Injuries to the knee can also cause the patella to dislocate.

Knowing the causes of luxating patella is important for effective management and treatment.

Source: American Kennel Club – Patellar Luxation

IV. Prevalence in Small Dogs

Luxating patella is particularly common in small dog breeds. Research shows that about 7% of small dogs are affected by this condition. Breeds such as Yorkshire Terriers, Chihuahuas, and Pomeranians are more prone to luxating patella due to their size and genetic factors.

The high rate of this condition in small dogs can be attributed to several reasons:

  • Size and Weight: Smaller dogs often have less sturdy bone structures, which makes them more vulnerable to joint issues.
  • Genetic Factors: Many small breeds have a higher chance of developing luxating patella, indicating that genetics play a significant role.

Understanding how common luxating patella is in small breeds can help owners be more aware of their pets’ health.

Source: Veterinary Partner – Patellar Luxation

Symptoms of Luxating Patella

Recognizing the symptoms of luxating patella is crucial for early diagnosis and treatment. Common signs include:

  • Intermittent Lameness: Dogs may limp or skip while walking, especially after playing or exercising.
  • Difficulty Jumping or Climbing Stairs: Affected dogs may hesitate or struggle to jump onto furniture or go up and down stairs.
  • Abnormal Gait: Dogs might exhibit a skipping or hopping motion when running or walking.
  • Reluctance to Engage in Physical Activity: Dogs with luxating patella may avoid playing or exercising due to discomfort.

If you notice any of these symptoms in your dog, it is essential to consult a veterinarian for a thorough examination.

Source: PetMD – Patellar Luxation

Diagnosis

Diagnosing luxating patella usually involves a detailed examination by a veterinarian. The vet will check the dog’s knee for abnormal movement and may perform specific tests to determine how severe the luxation is.

Diagnostic Imaging

In some cases, the veterinarian may recommend imaging tests to get a better look at the knee. Common imaging techniques include:

  • X-rays: These help visualize the bones and identify any problems in the knee joint.
  • MRI: A magnetic resonance imaging scan may be used to examine soft tissues around the knee.

Accurate diagnosis is vital for deciding the best treatment plan and effectively managing the condition.

Source: VCA Animal Hospitals – Diagnosis of Patellar Luxation

VII. Treatment Options

Treatment for luxating patella depends on how severe the condition is. Options range from conservative management to surgical procedures.

Conservative Management

For mild cases, conservative management may be enough. This can include:

  • Weight Management: Keeping your dog at a healthy weight is important, as extra weight can put more stress on the joints.
  • Physical Therapy: Specific exercises can help strengthen the muscles around the knee and improve stability.

Surgical Interventions

In more serious cases, surgery may be necessary. Common surgical options include:

  • Trochleoplasty: This surgery deepens the groove where the patella sits, allowing for better alignment and stability.
  • Lateral Retinacular Imbrication: This procedure tightens the supporting structures around the patella to keep it in place.

Recovery from surgery often involves a rehabilitation program tailored to the dog’s needs. This may include physical therapy and a gradual return to physical activity.

Source: The Merck Veterinary Manual – Patellar Luxation

Prevention and Care

Preventing luxating patella involves several strategies that can help reduce the risk in small dogs:

Regular Veterinary Check-Ups

Routine veterinary visits are essential for early detection of potential problems. Regular check-ups allow veterinarians to monitor the dog’s joint health and address any issues promptly.

Healthy Lifestyle

Encouraging a healthy lifestyle can significantly impact joint health. This includes:

  • Regular Exercise: Engaging in moderate exercise helps maintain a healthy weight and strengthens the muscles around the joints.
  • Balanced Diet: Feeding a nutritious diet supports overall health and helps prevent obesity, which can strain the joints.

Genetic Considerations

If you are thinking about getting a small breed dog, research the breed’s history to avoid those with a high likelihood of luxating patella. Responsible breeding practices can help reduce the risk of genetic issues.

Source: American Kennel Club – Preventing Patellar Luxation

Luxating patella is a significant concern for Yorkies and other small dog breeds.

By understanding the condition, recognizing its symptoms, and seeking timely veterinary care, you can help manage this orthopedic issue effectively. If you suspect that your dog may be experiencing symptoms of luxating patella, consult your veterinarian without delay. Early intervention can make a big difference in your dog’s quality of life.

X. Luxating Patella Further References

For those of us who need all of the information we can find when our dogs are hurting!

  1. VCA Animal Hospitals – Patellar Luxation
  2. The Spruce Pets – Dog Anatomy
  3. American Kennel Club – Patellar Luxation
  4. Veterinary Partner – Patellar Luxation
  5. PetMD – Patellar Luxation
  6. VCA Animal Hospitals – Diagnosis of Patellar Luxation
  7. The Merck Veterinary Manual – Patellar Luxation
  8. American Kennel Club – Preventing Patellar Luxation

By staying informed and taking action, you can help ensure your furry friend enjoys a healthy and active life. Rosie is 14 and while she is has definitely slowed down, she is still enjoying her little walks around the garden.

Has your Yorkie had a Luxating Patella?  Let us know below how you dealt with it.

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