The South African Elbow Dysplasia (ED) scheme was initiated in 1999 to assist breeders to improve breeding selection to reduce the incidence of this very common and often crippling disease in dogs, particularly larger working dogs. Certification is done according to the Guidelines of the International Elbow Working Group (IEWG) and as approved by WSAVA. The number of views required to certify dogs varies in different countries with increasing views resulting in more accurate grading.

In 1999 the minimum requirement of a single flexed lateral view of each elbow was instituted to start the SA scheme to minimise costs and gain greater breeder compliance. We are now 20 years further with additional knowledge of subtle radiological changes in dysplastic elbows as well as the X-ray digital era upon 98% of veterinary practices. This creates additional opportunities to improve ED grading accuracy with minimal cost implications.

In discussions with KUSA and the National Clinicians Group of the SAVA and based on IEWG guidelines and a recent article* on the incidence of hip and elbow dysplasia in South Africa, the following two views of each elbow will be required for elbow grading as from 1 June 2019:
• Fully Extended ML view
• Pronated CrCd view
Minimal, if any, cost changes to owners are envisaged with the introduction of the new views.

The KUSA HD/ED approved radiologists will also directly inform veterinarians of these changes. KUSA members are however requested to confirm the extra views with the veterinary practice at time of admission of their dogs for ED radiographs. Incorrect submissions of the old single elbow view will be accepted for the first three months after the implementation date to allow a smooth transition period. Updated HD/ED application forms are available on the KUSA website.