Skip to main content
Top
Published in: Journal of Children's Orthopaedics 1/2009

01-02-2009 | Original Clinical Article

Is there a relation between hip torsion, coverage and osteoarthritis of the knee?

Authors: Onur Hapa, Hasan Hilmi Muratlı, Hüsamettin Çakıcı, Serap Gülçek, Ertuğrul Akşahin, Ali Biçimoğlu

Published in: Journal of Children's Orthopaedics | Issue 1/2009

Login to get access

Abstract

Purpose

Biomechanic factors play a role in the pathogenesis of knee osteoarthritis. The aim of the study was to find out whether there is a relation between femoral, acetabular anteversions, anterior, posterior acetabular coverages and primary osteoarthritis of the knee.

Methods

Thirty patients with primary osteoarthritis of the knee and 29 control subjects were enrolled into the study. Femoral anteversion, acetabular anteversion, McKibbin’s instability index, anterior acetabular sector and posterior acetabular sector angles were measured using tomographic scanograms.

Results

There was no difference between groups for each parameter (P > 0.05).

Conclusion

This study did not show any relationship between the axial plane changes in the hip joint and primary knee osteoarthritis.
Literature
1.
go back to reference Brouwer GM, van Tol AW, Bergink AP, Belo JN, Bernsen RMD, Reijman M, Pols HAP, Bierma-Zeinstra SMA (2007) Association between valgus and varus alignment and the development and progression of radiographic osteoarthritis of the knee. Arthritis Rheum 56(4):1204–1211. doi:10.1002/art.22515CrossRef Brouwer GM, van Tol AW, Bergink AP, Belo JN, Bernsen RMD, Reijman M, Pols HAP, Bierma-Zeinstra SMA (2007) Association between valgus and varus alignment and the development and progression of radiographic osteoarthritis of the knee. Arthritis Rheum 56(4):1204–1211. doi:10.​1002/​art.​22515CrossRef
3.
go back to reference Halpern AA, Tanner J, Rinsky L (1979) Does persistent fetal femoral anteversion contribute to osteoarthritis? Clin Orthop Relat Res 145:213–216 Halpern AA, Tanner J, Rinsky L (1979) Does persistent fetal femoral anteversion contribute to osteoarthritis? Clin Orthop Relat Res 145:213–216
4.
go back to reference Reikerås O, Bjerkreim I, Kolbenstvedt A (1983) Anteversion of the acetabulum and femoral neck in normals and in patients with osteoarthritis of the hip. Acta Orthop Scand 54:18–23CrossRef Reikerås O, Bjerkreim I, Kolbenstvedt A (1983) Anteversion of the acetabulum and femoral neck in normals and in patients with osteoarthritis of the hip. Acta Orthop Scand 54:18–23CrossRef
5.
go back to reference Reikerås O, Høiseth A (1982) Femoral neck angles in osteoarthritis of the hip. Acta Orthop Scand 53:781–784CrossRef Reikerås O, Høiseth A (1982) Femoral neck angles in osteoarthritis of the hip. Acta Orthop Scand 53:781–784CrossRef
6.
go back to reference Terjesen T, Benum P, Anda S, Svenningsen S (1982) Increased femoral anteversion and osteoarthritis of the hip joint. Acta Orthop Scand 53:571–575CrossRef Terjesen T, Benum P, Anda S, Svenningsen S (1982) Increased femoral anteversion and osteoarthritis of the hip joint. Acta Orthop Scand 53:571–575CrossRef
7.
go back to reference Giori NJ, Trousdale RT (2003) Acetabular retroversion is associated with osteoarthritis of the hip. Clin Orthop Relat Res 417:263–269 Giori NJ, Trousdale RT (2003) Acetabular retroversion is associated with osteoarthritis of the hip. Clin Orthop Relat Res 417:263–269
8.
go back to reference Menke W, Schmitz B, Schild H, Köper C (1991) Transverse skeletal axes of the lower extremity in coxarthrosis. Z Orthop Ihre Grenzgeb 129:255–259CrossRef Menke W, Schmitz B, Schild H, Köper C (1991) Transverse skeletal axes of the lower extremity in coxarthrosis. Z Orthop Ihre Grenzgeb 129:255–259CrossRef
10.
go back to reference Eckhoff DG, Kramer RC, Alongi CA, VanGerven DP (1994) Femoral anteversion and arthritis of the knee. J Pediatr Orthop 14:608–610CrossRef Eckhoff DG, Kramer RC, Alongi CA, VanGerven DP (1994) Femoral anteversion and arthritis of the knee. J Pediatr Orthop 14:608–610CrossRef
11.
go back to reference Weiner LS, Kelley MA, Ulin RI, Wallach D (1993) Development of the acetabulum and hip: computed tomography analysis of the axial plane. J Pediatr Orthop 13:421–425CrossRef Weiner LS, Kelley MA, Ulin RI, Wallach D (1993) Development of the acetabulum and hip: computed tomography analysis of the axial plane. J Pediatr Orthop 13:421–425CrossRef
12.
go back to reference Anda S, Svenningsen S, Dale LG, Benum P (1986) The acetabular sector angle of the adult hip determined by computed tomography. Acta Radiol Diagn (Stockh) 27:443–447 Anda S, Svenningsen S, Dale LG, Benum P (1986) The acetabular sector angle of the adult hip determined by computed tomography. Acta Radiol Diagn (Stockh) 27:443–447
13.
go back to reference McKibbin B (1970) Anatomical factors in the stability of the hip joint in the newborn. J Bone Joint Surg Br 52(1):148–159 McKibbin B (1970) Anatomical factors in the stability of the hip joint in the newborn. J Bone Joint Surg Br 52(1):148–159
14.
go back to reference Felson DT, Naimark A, Anderson J, Kazis L, Castelli W, Meenan RF (1987) The prevalence of knee osteoarthritis in the elderly. The Framingham Osteoarthritis Study. Arthritis Rheum 30(8):914–918. doi: 10.1002/art.1780300811CrossRef Felson DT, Naimark A, Anderson J, Kazis L, Castelli W, Meenan RF (1987) The prevalence of knee osteoarthritis in the elderly. The Framingham Osteoarthritis Study. Arthritis Rheum 30(8):914–918. doi: 10.​1002/​art.​1780300811CrossRef
15.
go back to reference Sharma L, Hurwitz DE, Thonar EJ, Sum JA, Lenz ME, Dunlop DD, Schnitzer TJ, Kirwan-Mellis G, Andriacchi TP (1998) Knee adduction moment, serum hyaluronan level, and disease severity in medial tibiofemoral osteoarthritis. Arthritis Rheum 41(7):1223–1240. doi:10.1002/1529-0131(199807)41:7<1233::AID-ART14>3.0.CO;2-L Sharma L, Hurwitz DE, Thonar EJ, Sum JA, Lenz ME, Dunlop DD, Schnitzer TJ, Kirwan-Mellis G, Andriacchi TP (1998) Knee adduction moment, serum hyaluronan level, and disease severity in medial tibiofemoral osteoarthritis. Arthritis Rheum 41(7):1223–1240. doi:10.1002/1529-0131(199807)41:7<1233::AID-ART14>3.0.CO;2-L
16.
go back to reference Andriacchi TP (1994) Dynamics of knee malalignment. Orthop Clin North Am 25(3):395–403 Andriacchi TP (1994) Dynamics of knee malalignment. Orthop Clin North Am 25(3):395–403
18.
go back to reference Hurwitz DE, Ryals AB, Case JP, Block JA, Andriacchi TP (2002) The knee adduction moment during gait in subjects with knee osteoarthritis is more closely correlated with static alignment than radiographic disease severity, toe out angle and pain. J Orthop Res 20(1):101–107. doi:10.1016/S0736-0266(01)00081-XCrossRef Hurwitz DE, Ryals AB, Case JP, Block JA, Andriacchi TP (2002) The knee adduction moment during gait in subjects with knee osteoarthritis is more closely correlated with static alignment than radiographic disease severity, toe out angle and pain. J Orthop Res 20(1):101–107. doi:10.​1016/​S0736-0266(01)00081-XCrossRef
19.
go back to reference Miyazaki T, Wada M, Kawahara H, Sato M, Baba H, Shimada S (2002) Dynamic load at baseline can predict radiographic disease progression in medial compartment knee osteoarthritis. Ann Rheum Dis 61(7):617–622. doi:10.1136/ard.61.7.617CrossRef Miyazaki T, Wada M, Kawahara H, Sato M, Baba H, Shimada S (2002) Dynamic load at baseline can predict radiographic disease progression in medial compartment knee osteoarthritis. Ann Rheum Dis 61(7):617–622. doi:10.​1136/​ard.​61.​7.​617CrossRef
20.
go back to reference Tönnis D, Heinecke A (1999) Acetabular and femoral anteversion: relationship with osteoarthritis of the hip. J Bone Joint Surg Am 81(12):1747–1770 Tönnis D, Heinecke A (1999) Acetabular and femoral anteversion: relationship with osteoarthritis of the hip. J Bone Joint Surg Am 81(12):1747–1770
21.
go back to reference Goutallier D, Van Driessche S, Manicom O, Sariali E, Bernageau J, Radier C (2006) Influence of lower-limb torsion on long-term outcomes of tibial valgus osteotomy for medial compartment knee osteoarthritis. J Bone Joint Surg Am 88(11):2439–2447CrossRef Goutallier D, Van Driessche S, Manicom O, Sariali E, Bernageau J, Radier C (2006) Influence of lower-limb torsion on long-term outcomes of tibial valgus osteotomy for medial compartment knee osteoarthritis. J Bone Joint Surg Am 88(11):2439–2447CrossRef
22.
go back to reference Fabry G, MacEwen GD, Shands AR Jr (1973) Torsion of the femur. A follow-up study in normal and abnormal conditions. J Bone Joint Surg Am 55(8):1726–1738 Fabry G, MacEwen GD, Shands AR Jr (1973) Torsion of the femur. A follow-up study in normal and abnormal conditions. J Bone Joint Surg Am 55(8):1726–1738
23.
go back to reference Hubbard DD, Staheli LT, Chew DE, Mosca VS (1988) Medial femoral torsion and osteoarthritis. J Pediatr Orthop 8:540–542CrossRef Hubbard DD, Staheli LT, Chew DE, Mosca VS (1988) Medial femoral torsion and osteoarthritis. J Pediatr Orthop 8:540–542CrossRef
25.
go back to reference Montgomery AA, Graham A, Evans PH, Fahey T (2002) Inter-rater agreement in the scoring of abstracts submitted to a primary care research conference. BMC Health Serv Res 2(1):8. doi:10.1186/1472-6963-2-8CrossRef Montgomery AA, Graham A, Evans PH, Fahey T (2002) Inter-rater agreement in the scoring of abstracts submitted to a primary care research conference. BMC Health Serv Res 2(1):8. doi:10.​1186/​1472-6963-2-8CrossRef
Metadata
Title
Is there a relation between hip torsion, coverage and osteoarthritis of the knee?
Authors
Onur Hapa
Hasan Hilmi Muratlı
Hüsamettin Çakıcı
Serap Gülçek
Ertuğrul Akşahin
Ali Biçimoğlu
Publication date
01-02-2009
Publisher
Springer Berlin Heidelberg
Published in
Journal of Children's Orthopaedics / Issue 1/2009
Print ISSN: 1863-2521
Electronic ISSN: 1863-2548
DOI
https://doi.org/10.1007/s11832-008-0142-9

Other articles of this Issue 1/2009

Journal of Children's Orthopaedics 1/2009 Go to the issue