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Veterinary Professionals

Patella Luxation

Overview

Patella Luxation is a condition in which the patella (knee cap) moves out of its normal location (luxates) in the trochlea groove (where the patella makes contact with the femur (thighbone). It is a common condition in dogs, particularly small and miniature breeds (although it can occur in all dogs) and can also be seen in cats. In the vast majority of cases, this is a developmental condition resulting from skeletal abnormalities that affect the alignment of the quadriceps. Very rarely patella luxation can be seen as a result of trauma.

Diagnosis

An examination will have been performed based on the symptoms you have described for your pet. This history along with palpation and manipulation of the stifle (knee) joint, patella (knee cap) and an assessment of your pet at walk – trot will aid in an initial diagnosis. These basic tests will reveal the extent of any luxation and highlight any instability that may indicate concurrent cruciate ligament damage.  It is a relatively common finding to have a combination of Patella Luxation and Cranial Cruciate Ligament (CCL) rupture.

Radiographs (x-rays) are taken to support a diagnosis and sent to our specialist surgeons for review. These, along with your pets clinical history provide us with the information we need to decide on  the best course of action.

Occasionally further imaging such as Computerised Tomography (‘CT’) scans may be required. These will be recommended and arranged by your vet as an outpatient service by one of the practices we work alongside.

Surgery

While Patella Luxation is a common condition, not all cases require surgical intervention. Some low grade luxations without any clinical signs can be managed conservatively. Patella luxation is graded 1-4 (4 being the most severe).

Generally, the higher the grade of luxation, the more likely the animal is to require corrective surgery. There are a number of surgical techniques available but all will aim to support the patella in its correct position and prevent further luxation. Our surgeons will select the most appropriate surgical technique for your pet and our team will work closely with your vets to support you and your pet through the procedure.

Most pets can be discharged on the same day of surgery. Our team will ensure that appropriate medication is dispensed so that your pet is comfortable at home and that you are fully informed on the recovery process and follow-up appointments to aid in a successful return to normal function.

Key points relating to patella luxation

  1. Developmental condition
  2. As a result of skeletal abnormalities (poor alignment of the pelvis, quadriceps and the stifle joint)
  3. Patella moves outside of trochlea groove
  4. Graded 1 (least severe) – 4 (most severe)
  5. Often bilateral (both legs)
  6. Common to find combination of patella luxation and CCL rupture
  7. Non – surgical and surgical treatment options
  8. Obesity is a compounding factor

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