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[85] [87] A North American study analysing more than 1,000,000 hip and 250,000 elbow scans in dogs over the age of two found the German Shepherd Dog to have a rate of hip and elbow dysplasia to be 18.9% and 17.8% respectively. The German Shepherd had the 8th highest rate of hip dysplasia and 6th highest rate of elbow dysplasia. [88]