Vandekerckhove et al: Quantifying the Stress in Stress Radiography to Determine Sufficient Laxity of the Coxofemoral Joint in Sedated Dogs
Veterinary and Comparative Orthopaedics and Traumatology 3, 2026

Quantifying the Stress in Stress Radiography to Determine Sufficient Laxity of the Coxofemoral Joint in Sedated Dogs

🔍 Key Findings

  • Applied force and hip laxity showed a predictable force–laxity relationship, validating previous cadaver findings in live sedated dogs.
  • 90% of hip joints achieved ≥90% of maximal laxity at 80.45 N, establishing a practical minimum force target during stress radiography.
  • LImax was not significantly affected by osteoarthritis, sex, age, or side, supporting robustness of the technique.
  • Body weight significantly influenced both LImax and force–laxity curves, although this may reflect study population bias.
  • Median LImax was 0.48 (range 0.32–0.78), with maximal laxity reached at forces ranging from 66–123 N.
  • The force–laxity curve demonstrated a rapid rise followed by a plateau, indicating a threshold beyond which additional force yields minimal additional subluxation.
  • Sedated dogs required approximately 15 N less force than cadavers to reach adequate laxity, likely due to muscle relaxation and absence of postmortem stiffness.
  • The VMBDmD stress radiography technique demonstrated clinical practicality and reproducibility, supporting its use for canine hip dysplasia screening.

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Vandekerckhove et al: Quantifying the Stress in Stress Radiography to Determine Sufficient Laxity of the Coxofemoral Joint in Sedated Dogs
Veterinary and Comparative Orthopaedics and Traumatology 3, 2026

🔍 Key Findings

  • Applied force and hip laxity showed a predictable force–laxity relationship, validating previous cadaver findings in live sedated dogs.
  • 90% of hip joints achieved ≥90% of maximal laxity at 80.45 N, establishing a practical minimum force target during stress radiography.
  • LImax was not significantly affected by osteoarthritis, sex, age, or side, supporting robustness of the technique.
  • Body weight significantly influenced both LImax and force–laxity curves, although this may reflect study population bias.
  • Median LImax was 0.48 (range 0.32–0.78), with maximal laxity reached at forces ranging from 66–123 N.
  • The force–laxity curve demonstrated a rapid rise followed by a plateau, indicating a threshold beyond which additional force yields minimal additional subluxation.
  • Sedated dogs required approximately 15 N less force than cadavers to reach adequate laxity, likely due to muscle relaxation and absence of postmortem stiffness.
  • The VMBDmD stress radiography technique demonstrated clinical practicality and reproducibility, supporting its use for canine hip dysplasia screening.

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Multiple Choice Questions on this study

In Vandekerckhove 2026 et al., on hip laxity forces, what was the median maximal Laxity Index (LImax) observed in the study population?

A. 0.18
B. 0.32
C. 0.48
D. 0.65
E. 0.78

Answer: 0.48

Explanation: The reported median LImax was 0.48, with a range from 0.32 to 0.78.
In Vandekerckhove 2026 et al., on hip laxity forces, which variable was significantly associated with maximal Laxity Index (LImax)?

A. Age
B. Osteoarthritis
C. Gender
D. Side
E. Body weight

Answer: Body weight

Explanation: Weight was the only factor significantly associated with LImax; age, OA, sex, and side were not significant.
In Vandekerckhove 2026 et al., on hip laxity forces, what minimum measured force allowed 90% of hip joints to achieve at least 90% of their maximal laxity?

A. 40.5 N
B. 59.5 N
C. 80.45 N
D. 95.32 N
E. 123 N

Answer: 80.45 N

Explanation: The study determined that 80.45 N allowed 90% of hips to reach ≥90% of LImax.
In Vandekerckhove 2026 et al., on hip laxity forces, which sedation protocol was used during radiographic acquisition?

A. Dexmedetomidine alone
B. Butorphanol and ketamine
C. Dexmedetomidine, butorphanol, and midazolam
D. Propofol and midazolam
E. Alfaxalone and methadone

Answer: Dexmedetomidine, butorphanol, and midazolam

Explanation: This protocol had previously been identified by the authors as providing optimal laxity and ease of use.
In Vandekerckhove 2026 et al., on hip laxity forces, how did the force required to achieve sufficient laxity in sedated dogs compare with a previous cadaver study?

A. Approximately 15 N greater
B. Approximately 15 N less
C. Approximately 30 N less
D. Identical force requirement
E. Could not be compared

Answer: Approximately 15 N less

Explanation: Sedated dogs required about 15 N less force than cadavers, likely due to muscle relaxation and absence of postmortem stiffness.

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