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Review
. 2023 Oct 24;19(1):222.
doi: 10.1186/s12917-023-03777-z.

Mechanical osteoarthritis of the hip in a one medicine concept: a narrative review

Affiliations
Review

Mechanical osteoarthritis of the hip in a one medicine concept: a narrative review

I Tomé et al. BMC Vet Res. .

Abstract

Human and veterinary medicine have historically presented many medical areas of potential synergy and convergence. Mechanical osteoarthritis (MOA) is characterized by a gradual complex imbalance between cartilage production, loss, and derangement. Any joint instability that results in an abnormal overload of the joint surface can trigger MOA. As MOA has a prevailing mechanical aetiology, treatment effectiveness can only be accomplished if altered joint mechanics and mechanosensitive pathways are normalized and restored. Otherwise, the inflammatory cascade of osteoarthritis will be initiated, and the changes may become irreversible. The management of the disease using non-steroidal anti-inflammatory drugs, analgesics, physical therapy, diet changes, or nutraceuticals is conservative and less effective. MOA is a determinant factor for the development of hip dysplasia in both humans and dogs. Hip dysplasia is a hereditary disease with a high incidence and, therefore, of great clinical importance due to the associated discomfort and significant functional limitations. Furthermore, on account of analogous human and canine hip dysplasia disease and under the One Medicine concept, unifying veterinary and human research could improve the well-being and health of both species, increasing the acknowledgement of shared diseases. Great success has been accomplished in humans regarding preventive conservative management of hip dysplasia and following One Medicine concept, similar measures would benefit dogs. Moreover, animal models have long been used to better understand the different diseases' mechanisms. Current research in animal models was addressed and the role of rabbit models in pathophysiologic studies and of the dog as a spontaneous animal model were highlighted, denoting the inexistence of rabbit functional models to investigate therapeutic approaches in hip MOA.

Keywords: Animal models; Dog; Hip dysplasia; Hip mechanical osteoarthritis; Human.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Schematic representation of the hip mechanical osteoarthritis pathogenesis [35, 36]
Fig. 2
Fig. 2
Computed tomography of the hip in a transverse plane of a 5-month-old Transmontano Mastiff dog at an early stage of hip dysplasia. An increase in hip laxity is translated into a reduced contact between the femoral head and the acetabulum under normal load bearing. The left hip joint shows a degree of subluxation more evident than the contralateral hip, resulting in a diminished femoral head-acetabulum contact area
Fig. 3
Fig. 3
Long-axis ultrasound ventral view over the medial aspect of the femoral neck in a 2-month-old Estrela Mountain puppy without signs of joint disease: joint capsule (1), the femoral head covered by cartilage (2), the physis (3) and the metaphysis (4)
Fig. 4
Fig. 4
Dorsal T2-weighted magnetic resonance image of a 2-month-old Estrela Mountain Dog dog that developed severe hip dysplasia as an adult. The image shows the cranial and caudal recesses of the synovial membrane, in the right (R) and left (L) hip joints, with high-intensity signal due to their synovial fluid content. FH: left femoral head
Fig. 5
Fig. 5
A Stress hip radiograph of a 10-month-old dog showing a bilateral increase in the hip joint laxity. B Ventrodorsal hip extended view of the same dog 10-months later, at the age of 20-months-old, displaying radiographic signs of bilateral severe degenerative joint disease in the acetabulum and femoral head due to bone remodelling and osteophyte development

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