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Medial Patellar Luxation: Causes, Symptoms, and Treatment

Medial patellar luxation (MPL) is a common orthopedic condition in dogs where the patella (kneecap) slides out of its normal position in the groove of the thigh bone. This can cause varying degrees of lameness, pain, and joint instability. In severe cases, surgery may be required to correct the condition.



Causes of MPL

MPL is often caused by a combination of genetic and environmental factors. Some of the most common causes of MPL include:

  1. Congenital abnormalities: Dogs that are born with congenital abnormalities of the patellar groove, femur, or tibia may be more prone to developing MPL.

  2. Trauma: Injuries to the knee joint, such as fractures or dislocations, may increase the risk of developing MPL.

  3. Breed predisposition: Certain breeds, including miniature and toy breeds, are more likely to develop MPL due to their conformation and genetic predisposition.


Symptoms of MPL


The symptoms of MPL can vary depending on the severity of the condition. Some common symptoms include:

  1. Lameness: Dogs with MPL may exhibit varying degrees of lameness or limping, particularly after exercise or prolonged periods of rest.

  2. Difficulty jumping or climbing stairs: Dogs with MPL may have difficulty jumping or climbing stairs, or they may show reluctance to engage in physical activity.

  3. Pain or discomfort: Dogs with MPL may exhibit signs of pain or discomfort, such as vocalizing, licking the affected leg, or avoiding being touched on the affected leg.

  4. Joint instability: In severe cases, dogs with MPL may exhibit joint instability or an abnormal gait.


Treatment for MPL


The treatment for MPL depends on the severity of the condition and the individual needs of the dog. Some common treatments for MPL include:

  1. Conservative management: Mild cases of MPL may be managed through conservative treatments such as rest, exercise modification, and pain management medications.

  2. Surgical intervention: More severe cases of MPL may require surgical intervention to correct the position of the patella and stabilize the joint. Surgical options may include trochlear wedge recession, tibial tuberosity transposition, and patellar groove deepening.

  3. Rehabilitation: After surgery, dogs may require physical therapy and rehabilitation to help improve their mobility and reduce pain and inflammation.


In Conclusion

Medial patellar luxation can be a painful and debilitating condition for dogs, but with proper management and treatment, many dogs can live happy, active lives. If you suspect that your dog may be suffering from MPL, it is important to consult with your veterinarian to determine the best course of treatment for your individual pet. With early intervention and appropriate management, many dogs with MPL can enjoy a good quality of life.


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