The detail information of Legg-Perthes disease
Basic Information

Disease Ontology ID: DDTO:0000696

Disease Description: A disease where the blood vessels feeding the femoral head (top part of the thigh bone) shrink, leading to starvation and death of the femoral head (the ball of the ball-and-socket joint of the hip). Also called Legg-Calve'- Perthes disease.

Inherit Mode: A young dog affected with this disease will gradually develop pain and lameness in 1 hind leg, which slowly worsens over 3 or 4 weeks. The pain will become quite severe, and there is usually muscle shrinkage (atrophy) in the affected leg. This disease is treated quite successfully with surgery, so that your dog can live a normal pain-free life. If treated very early, surgery is sometimes not necessary.

Disease Symptom: Your veterinarian will suspect this disease if your young toy or small-breed dog shows signs of pain and lameness in the hip joint. Usually only one hip is affected, but occasionally both are involved.  Depending on how far the disease has progressed, there may be muscle wasting (atrophy) in the affected limb. Radiographs will show whether your dog has the characteristic features of this disease, and also if there are other bony degenerative changes to the hip. Diagnosis is confirmed with a bone biopsy.

Disease Cause: -

Disease Diagnose: If diagnosed early (before much bony change to the head of the femur), the disease can sometimes be treated by pain relievers and by putting the hind leg in a sling for a period so that it doesn't bear weight. More often though, once pain and lameness are severe, the only treatment is to surgically remove the damaged (necrotic) head of the femur. This procedure effectively eliminates the source of the pain, and your dog should have a good quality of life thereafter.

Treat Method: If diagnosed early (before much bony change to the head of the femur), the disease can sometimes be treated by pain relievers and by putting the hind leg in a sling for a period so that it doesn't bear weight. More often though, once pain and lameness are severe, the only treatment is to surgically remove the damaged (necrotic) head of the femur. This procedure effectively eliminates the source of the pain, and your dog should have a good quality of life thereafter.

Breeder Advice: Affected dogs and their parents (considered carriers) should not be bred. Siblings are suspect carriers. A registry is maintained by the Institute for Genetic Disease Control in Animals (www.vetmed.ucdavis.edu/gdc/gdc.html) for Legg-Calvé-Perthes disease in terriers and miniature and toy poodles. Using the registry, breeders can select dogs for breeding with no family history of this disease.

Disease Description Source: Link

Associated Diseases
Disease Name Other Name Mode of inheritance Link ID Possible OMIM ID Gene
Legg-Calvé-Perthes disease - - -
Associated Breeds
iDog Breed Number Breed Name Personality Height Weight Breed Source
CB60 Cairn Terrier Cheerful, alert, busy and independent-minded 25.4 cm (male), 24.1 cm (female) 6.4 kg (male), 5.9 kg (female) United Kingdom (Scotland)
CB149 Lakeland Terrier Brave, bright, confident; affectionate with family, especially kids 35.6-38.1 cm (male), slightly smaller (female) 7.7 kg (male), slightly smaller (female) United Kingdom (England)
CB154 Lowchen(Little Lion Dog) Affectionate, Outgoing, Positive 12-14 inches 15 pounds Germany, France, Netherlands, Spain
CB156 Manchester Terrier Spirited, bright, keenly observant; dead loyal, in an independent terrier way 38.1-40.6 cm 5.4-10 kg (standard) United Kingdom (England)
CB160 Miniature Pinscher Fearless, Fun-Loving, Proud 25.4-31.8 cm 3.6-4.5 kg Germany
CB196 Pug Even-tempered, charming, mischievous and loving 25.4-33 cm 6.4-8.2 kg China
CB221 Silky Terrier Friendly, vivacious, cheeky; in all ways a true terrier 22.9-25.4 cm around 4.5 kg Australia
CB255 West Highland White Terrier Happy, smart, loyal, entertaining 27.9 cm (male). 25.4 cm, female 6.8-9.1 kg United Kingdom (Scotland)
CB257 Wire-Haired Fox Terrier Alert, quick of movement, keen of expression, on tiptoe of expectation at slightest provocation. Friendly, forthcoming and fearless. 39 cm 8.25 kg United Kingdom (England)
CB262 Yorkshire Terrier Sprightly, tomboyish, and affectionate 17.8-20.3 cm 3.2 kg United Kingdom (England)
CB268 Miniature Poodle Intelligent, Eager-to-please , Charming companion 25-38 cm 4.5-6.8kg France&Germany
CB270 Toy Poodle Intelligent, eager to please, quick to learn and an affectionate, loyal pet. under 25 cm
CB18 Azawakh Loyal, Independent, Deeply Affectionate 25-29 inches (male), 23.5-27.5 inches (female) 44-55 pounds (male), 33-44 pounds (female) Mali
CB161 Miniature Schnauzer Friendly, smart, obedient 30.5-35.6 cm 5-9.1 kg Germany
CB162 Mountain Cur Intelligent, Strong-Willed 41-66cm 13.6-27.2kg United States
CB197 Hungarian Puli Loyal, smart, home-loving; strong-willed but trainable 43.2 cm (male), 40.6 cm (female) 11.3-15.9 kg Hungary
CB213 Scottish Deerhound Dignified, gentle, polite; quietly intelligent and perceptive 76.2-81.3 cm (male), 71.1 cm & up (female) 38.6-49.9 kg (male), 34-43.1 kg (female) United Kingdom (Scotland)
CB222 Skye Terrier Plucky but dignified, calm but sometimes stubborn; famously loyal and devoted 25.4 cm (male), 24.1 cm (female) 15.9-20.4 kg (male), slightly lighter (female) United Kingdom (Scotland)
CB228 Soft-Coated Wheaten Terrier Happy, friendly, and deeply devoted; just stubborn enough to remind you they’re terriers 45.7-48.3 cm (male), 43.2-45.7 cm (female) 15.9-18.1 kg (male), 13.6-15.9 kg (female) Ireland
CB256 English Whippet Calm, affectionate, and playful 48.3-55.9 cm (male), 45.7-53.3 cm (female) 11.3-18.1 kg England
CB258 Wire-Haired Pointing Griffon Outgoing, eager, quick-minded; trustworthy in the field and around the house Netherlands, France
CB263 Akbash Dog Calm, quiet, and steady.,independent ,loyal, gentle, and quietly affectionate with its own family, including children and family pets, but remains aloof and suspicious toward strangers. 76.2-86.4 cm (male), 71.1-81.3 cm (female) 54.4 kg (male), 40.8 kg (female) Turkey
Associated Disease Variants from OMIA
Gene Differential Expression
References
2012 Starr-Moss,A.N.,Nowend,K.L.,Alling,K.M.,Zepp,E.J.,Murphy,K.E.: :
Exclusion of COL2A1 in canine Legg-Calvé-Perthes disease Anim Genet 43:112-3, 2012.
Pubmed reference: 22221034 . DOI: 10.1111/j.1365-2052.2011.02215.x .
2009 Scherzer,C.,Windhagen,H.,Nellesen,J.,Crostack,H.A.,Crostak,H.A.,Rohn,K.,Witte,F.,Thorey,F.,Fehr,M.,Hauschild,G.: :
Comparative structural analysis of the canine femoral head in Legg-Calvé-Perthes disease. Vet Radiol Ultrasound 50:404-11, 2009.
Pubmed reference: 19697606 .
2005 Demko,J.,McLaughlin,R.: :
Developmental orthopedic disease. Vet Clin North Am Small Anim Pract 35:1111-35, v, 2005.
Pubmed reference: 16129135 . DOI: 10.1016/j.cvsm.2005.05.002 .
2005 Isola,M.,Zotti,A.,Carnier,P.,Baroni,E.,Busetto,R.: :
Dual-energy X-ray absorptiometry in canine Legg-Calvé-Perthes disease. J Vet Med A Physiol Pathol Clin Med 52:407-10, 2005.
Pubmed reference: 16176571 . DOI: 10.1111/j.1439-0442.2005.00746.x .
2002 LaFond,E.,Breur,G.J.,Austin,C.C.: :
Breed susceptibility for developmental orthopedic diseases in dogs Journal of the American Animal Hospital Association 38:467-477, 2002.
Pubmed reference: 12220032 .
1999 Brenig,B.,Leeb,T.,Jansen,S.,Kopp,T.: :
Analysis of blood clotting factor activities in canine Legg-Calvé-Perthes' disease. J Vet Intern Med 13:570-3, 1999.
Pubmed reference: 10587258 .
1999 Ackerman L. :
The Genetic Connection: A Guide to Health Problems in Purebred Dogs AAHA Press,Lakewood, Colorado. pp.120-121
1998 Brunnberg,L.,Allgoewer,I.,Perslow,M.B.: :
Total hip replacement (mini tep) in small toy breeds - first clinical results [German] Kleintierpraxis 43:655 ff., 1998.
1995 Bennett D, May C. :
Joint diseases of dogs and cats WB Saunders Co., Toronto EJ Ettinger and EC Feldman(eds). Textbook of Veterinary Internal Medicine, pp. 2032-2077
1995 Schrader SC :
Differential diagnosis of nontraumatic causes of lameness in young growing dogs WB Saunders Co., Toronto. JD Bonagura and RW Kirk(eds.) Kirk's Current Veterinary Therapy XII Small Animal Practice. p. 1171-1180
1995 Engelke,A.,Westhoff,A.,Meyerlindenberg,A.,Fehr,M.,Dammrich,K.,Nolte,I.: :
The Technique of Scintigraphy - A Picture Giving Method by Case Example of Morbus Legg-Calve-Perthes in the Dog Kleintierpraxis 40:49-54, 1995.
1992 Robinson,R.: :
Legg-Calve-Perthes Disease in Dogs - Genetic Aetiology J Small Anim Pract 33:275-276, 1992.
1990 Eichelberg,H.,Pohl,U.: :
Synopsis of Literature - Legg-Perthes Disease Kleintierpraxis 35:83-84, 1990.
1989 Vasseur,P.B.,Foley,P.,Stevenson,S.,Heitter,D.: :
Mode of Inheritance of Perthes Disease in Manchester Terriers Clinical Orthopaedics and Related Research :281-292, 1989.
Pubmed reference: 2743671 .
1981 Mickelson,M.R.,McCurnin,D.M.,Awbrey,B.J.,Maynard,J.A.,Martin,R.K.: :
Legg-Calvé-Perthes disease in dogs: a comparison to human Legg-Culvé-Perthes disease. Clin Orthop Relat Res :287-300, 1981.
Pubmed reference: 7249458 .
1978 Pidduck,H.,Webbon,P.M.: :
The genetic control of Perthes' disease in Toy Poodles - a working hypothesis Journal of Small Animal Practice 19:729-733, 1978.
Pubmed reference: 723237 .
1972 Warren,DV.,Dingwall,JS.: :
Legg-Perthes disease in the dog--a review. Can Vet J 13:135-7, 1972.
Pubmed reference: 5036901 .
1971 Smith,K.W.: :
Legg-Perthes disease Veterinary Clinics of North America 1:479-487, 1971.
Pubmed reference: 4949795 .
1970 Lee,R.: :
A study of the radiographic and histological changes occurring in Legg-Calve-Perthes disease (LCP) in the dog. J Small Anim Pract 11:621-38, 1970.
Pubmed reference: 5531150 .
1969 Lee,R.,Fry,P.D.: :
Some observations on the occurance of Legg-Calvé-Perthes' disease (coxaplana) in the dog, and an evaluation of excision arthroplasty as a method of treatment. J Small Anim Pract 10:309-17, 1969.
Pubmed reference: 5816741 .
1969 Ljunggren,G.: :
Legg-Perthes disease in the dog. A case report with special reference to initial radiographic changes. Clin Orthop Relat Res 62:31-6, 1969.
Pubmed reference: 5813190 .
1967 Ljunggren,G.: :
Legg-Perthes disease in the dog. Acta Orthop Scand :Suppl 95:1-79, 1967.
Pubmed reference: 6020301 .
1967 Paatsama,S.,Rissanen,P.,Rokkanen,P.: :
Legg-Perthes disease in the dog: an experimental study using the histological and histochemical methods, oxytetracycline bone labelling technique autoradiography and microradiography Journal of Small Animal Practice 8:215-220, 1967.
Pubmed reference: 6068724 .
1953 Anderson,W.D.,Schlotthauer,C.F.: :
Leggs-Perthes' disease, coxa plana, in the dogs. J Am Vet Med Assoc 122:115-6, 1953.
Pubmed reference: 13022568 .