Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Skeletal Radiology
Published in: Skeletal Radiology 11/2012

01-11-2012 | Scientific Article

Femoral anteversion is correlated with acetabular version and coverage in Asian women with anterior and global deficient subgroups of hip dysplasia: a CT study

Authors: Mio Akiyama, Yasuharu Nakashima, Masanori Fujii, Taishi Sato, Takuaki Yamamoto, Taro Mawatari, Goro Motomura, Shuichi Matsuda, Yukihide Iwamoto

Published in: Skeletal Radiology | Issue 11/2012

Login to get access

Abstract

Objective

Morphological correlation between the acetabulum and femur at the hip joint is still controversial. We tested the hypothesis that femoral anteversion correlates with acetabular version and coverage in patients with developmental dysplasia of the hip (DDH).

Materials and methods

Using pelvic computed tomography (CT) images of 79 hips in 49 Asian women with DDH and 49 normal hips, we measured femoral anteversion, the axial and vertical acetabular version and the acetabular sector angle (ASA) to demarcate femoral head coverage. Depending on the location of the acetabular bone defect, dysplastic hips were divided into three subgroups: the anterior, global and posterior deficiency groups. We performed a comparative analysis between dysplastic and normal hips using the Wilcoxon rank sum test, and a relative analysis between femoral anteversion and acetabular measurements in dysplastic hips using Pearson’s correlation coefficient.

Results

The amount of femoral anteversion in dysplastic hips was greater and more variable than in normal hips (p < 0.0001, p = 0.0277 respectively). Femoral anteversion in dysplastic hips correlated significantly with acetabular anteversion in the groups with anterior and global deficiency subgroups (p < 0.05, r = 0.2990, p < 0.05, r = 0.451 respectively), but not with the posterior deficiency subgroup. Femoral anteversion also correlated with vertical acetabular version. When acetabular coverage was examined, significant correlations were noted between femoral anteversion and anterior and superior coverage, but not with posterior coverage. These correlations were not observed in normal hips.

Conclusions

Our results showed significantly greater and more variable femoral anteversion in DDH, and a significant correlation between femoral anteversion and acetabular version and coverage in DDH with anterior and global acetabular bone deficiency.
Literature
1.
Jacobsen S, Romer L, Soballe K. Degeneration in dysplastic hips. A computer tomography study. Skeletal Radiol 2005; 34:778–84.PubMedCrossRef
2.
Noble PC, Kamaric E, Sugano N, Matsubara M, Harada Y, Ohzono K, Paravic V. Three-dimensional shape of the dysplastic femur: implications for THR. Clin Orthop Relat Res. 2003;417:27–40.PubMed
3.
Murphy SB, Ganz R, Muller ME. The prognosis in untreated dysplasia of the hip. A study of radiographic factors that predict the outcome. J Bone Joint Surg Am. 1995;7:985–9.
4.
Klaue K, Durnin CW, Ganz R. The acetabular rim syndrome. A clinical presentation of dysplasia of the hip. J Bone Joint Surg Br. 1991;3:423–9.
5.
Nakamura S, Ninomiya S, Nakamura T. Primary osteoarthritis of the hip joint in Japan. Clin Orthop Relat Res. 1989;241:190–6.PubMed
6.
Solomon L. Patterns of osteoarthritis of the hip. J Bone Joint Surg Br. 1976;58(2):176–83.PubMed
7.
Ganz R, Klaue K, Vinh TS, Mast JW. A new periacetabular osteotomy for the treatment of hip dysplasias. Technique and preliminary results. Clin Orthop Relat Res. 1988;232:26–36.PubMed
8.
Ninomiya S, Tagawa H. Rotational acetabular osteotomy for the dysplastic hip. J Bone Joint Surg Am. 1984;66(3):430–6.PubMed
9.
Jamali AA, Mladenov K, Meyer DC, Martinez A, Beck M, Ganz R, Leunig M. Anteroposterior pelvic radiographs to assess acetabular retroversion: high validity of the "cross-over-sign". J Orthop Res. 2007;25:758–65.PubMedCrossRef
10.
Kiyama T, Naito M, Shiramizu K, Shinoda T. Postoperative acetabular retroversion causes posterior osteoarthritis of the hip. Int Orthop. 2009;33(3):625–31.PubMedCrossRef
11.
Peters CL, Erickson JA, Hines JL. Early results of the Bernese periacetabular osteotomy: the learning curve at an academic medical center. J Bone Joint Surg Am. 2006;88(9):1920–6.PubMedCrossRef
12.
Peters CL, Erickson JA, Anderson L, Anderson AA, Weiss J. Hip-preserving surgery: understanding complex pathomorphology. J Bone Joint Surg Am. 2009;91 Suppl 6:42–58.PubMedCrossRef
13.
Johnston CE, Wenger DR, Roberts JM, Burke SW, Roach JW. Acetabular coverage: three-dimensional anatomy and radiographic evaluation. J Pediatr Orthop. 1986;6(5):548–58.PubMedCrossRef
14.
Myers SR, Eijer H, Ganz R. Anterior femoroacetabular impingement after periacetabular osteotomy. Clin Orthop Relat Res. 1999;363:93–9.PubMedCrossRef
15.
Steppacher SD, Tannast M, Ganz R, Siebenrock KA. Mean 20-year followup of Bernese periacetabular osteotomy. Clin Orthop Relat Res. 2008;466(7):1633–44.PubMedCrossRef
16.
Anda S, Terjesen T, Kvistad KA, Svenningsen S. Acetabular angles and femoral anteversion in dysplastic hips in adults: CT investigation. J Comput Assist Tomogr. 1991;1:115–20.CrossRef
17.
Reikeras O, Bjerkreim I, Kolbenstvedt A. Anteversion of the acetabulum and femoral neck in normals and in patients with osteoarthritis of the hip. Acta Orthop Scand. 1983;54(1):18–23.PubMedCrossRef
18.
Bargar WL, Jamali AA, Nejad AH. Femoral anteversion in THA and its lack of correlation with native acetabular anteversion. Clin Orthop Relat Res. 2010;468(2):527–32.PubMedCrossRef
19.
Ito H, Matsuno T, Hirayama T, Tanino H, Yamanaka Y, Minami A. Three-dimensional computed tomography analysis of non-osteoarthritic adult acetabular dysplasia. Skeletal Radiol. 2009;2:131–9.CrossRef
20.
Murphy SB, Kijewski PK, Millis MB, Harless A. Acetabular dysplasia in the adolescent and young adult. Clin Orthop Relat Res. 1990;261:214–23.PubMed
21.
Haddad FS, Garbuz DS, Duncan CP, Janzen DL, Munk PL. CT evaluation of periacetabular osteotomies. J Bone Joint Surg Br. 2000;82(4):526–31.PubMedCrossRef
22.
Nakamura S, Yorikawa J, Otsuka K, Takeshita K, Harasawa A, Matsushita T. Evaluation of acetabular dysplasia using a top view of the hip on three-dimensional CT. J Orthop Sci. 2000;5(6):533–9.PubMedCrossRef
23.
Fujii M, Nakashima Y, Sato T, Akiyama M, Iwamoto Y. Pelvic deformity influences acetabular version and coverage in hip dysplasia. Clin Orthop Relat Res. 2011;469(6):1735–42.PubMedCrossRef
24.
Clohisy JC, Carlisle JC, Beaule PE, Kim YJ, Trousdale RT, Sierra RJ, et al. A systematic approach to the plain radiographic evaluation of the young adult hip. J Bone Joint Surg Am. 2008;90 Suppl 4:47–66.PubMedCrossRef
25.
Siebenrock KA, Kalbermatten DF, Ganz R. Effect of pelvic tilt on acetabular retroversion: A study of pelves from cadavers. Clin Orthop Relat Res. 2003;407:241–8.PubMedCrossRef
26.
Wiberg G. Studies on dysplastic acetabula and congenital subluxation of the hip joint. With special reference to the complication of osteoarthritis. Acta Chir Scand. 1939;83 Suppl 58:1–135.
27.
Tönnis D. Congenital dysplasia and dislocation of the hip in children and adults. Berlin: Springer; 1987. p. 165–71.CrossRef
28.
Traina F, De Clerico M, Biondi F, Pilla F, Tassinari E, Toni A. Sex differences in hip morphology: is stem modularity effective for total hip replacement? J Bone Joint Surg Am. 2009:121–8.
29.
Crowe JF, Mani VJ, Ranawat CS. Total hip replacement in congenital dislocation and dysplasia of the hip. J Bone Joint Surg Am. 1979;61(1):15–23.PubMed
30.
McKibbin B. Anatomical factors in the stability of the hip joint in the newborn. J Bone Joint Surg Br. 1970;52(1):148–59.PubMed
31.
Hapa O, Yuksel HY, Muratli HH, Aksahin E, Gulcek S, Celebi L, et al. Axial plane coverage and torsion measurements in primary osteoarthritis of the hip with good frontal plane coverage and spherical femoral head. Arch Orthop Trauma Surg. 2010;10:1305–10.CrossRef
32.
Mizu-Uchi H, Matsuda S, Miura H, Higaki H, Okazaki K, Iwamoto Y. Three-dimensional analysis of computed tomography-based navigation system for total knee arthroplasty: The accuracy of computed tomography-based navigation system. J Arthroplasty. 2009;7:1103–10.CrossRef
33.
Fujii M, Nakashima Y, Yamamoto T, Mawatari T, Motomura G, Matsushita A, et al. Acetabular retroversion in developmental dysplasia of the hip. J Bone Joint Surg Am. 2010;4:895–903.CrossRef
34.
Lewinnek GE, Lewis JL, Tarr R, Compere CL, Zimmerman JR. Dislocations after total hip-replacement arthroplasties. J Bone Joint Surg Am. 1978;2:217–20.
35.
Sugano N, Noble PC, Kamaric E. A comparison of alternative methods of measuring femoral anteversion. J Comput Assist Tomogr. 1998;22(4):610–4.PubMedCrossRef
36.
Yoshino N, Takai S, Watanabe Y, Fujiwara H, Ohshima Y, Hirasawa Y. Primary total knee arthroplasty for supracondylar/condylar femoral fracture in osteoarthritic knees. J Arthroplasty. 2001;4:471–5.CrossRef
37.
Shands AR Jr, Steele MK. Torsion of the femur; a follow-up report on the use of the dunlap method for its determination. J Bone Joint Surg Am. 1958;4:803–16.
38.
Terjesen T, Benum P, Anda S, Svenningsen S. Increased femoral anteversion and osteoarthritis of the hip joint. Acta Orthop Scand. 1982;4:571–5.
39.
Sankar WN, Neubuerge CO, Moseley CF. Femoral anteversion in developmental dysplasia of the hip. J Pediatr Orthop. 2009;29(8):885–8.PubMedCrossRef
40.
Visser JD, Jonkers A, Hillen B. Hip joint measurements with computerized tomography. J Pediatr Orthop. 1982;2(2):143–6.PubMedCrossRef
41.
Fujii M. Effect of intra-articular lesions on the outcome of periacetabular osteotomy in patients with symptomatic hip dysplasia. J Bone Joint Surg Br. 2011;93-B:1449–56.CrossRef
42.
Klaue K, Wallin A, Ganz R. CT evaluation of coverage and congruency of the hip prior to osteotomy. Clin Orthop Relat Res. 1988;232:15–25.PubMed
43.
Azuma H, Taneda H, Igarashi H, Fukuoka M. Preoperative and postoperative assessment of rotational acetabular osteotomy for dysplastic hips in children by three-dimensional surface reconstruction computed tomography imaging. J Pediatr Orthop. 1990;10:33–8.PubMed
44.
Jia J, Li L, Zhang L, Zhao Q, Liu X.. Three dimensional-CT evaluation of femoral neck anteversion, acetabular anteversion and combined anteversion in unilateral DDH in an early walking age group. Int Orthop. 2012;36:119–24.PubMedCrossRef
Metadata
Title
Femoral anteversion is correlated with acetabular version and coverage in Asian women with anterior and global deficient subgroups of hip dysplasia: a CT study
Authors
Mio Akiyama
Yasuharu Nakashima
Masanori Fujii
Taishi Sato
Takuaki Yamamoto
Taro Mawatari
Goro Motomura
Shuichi Matsuda
Yukihide Iwamoto
Publication date
01-11-2012
Publisher
Springer-Verlag
Published in
Skeletal Radiology / Issue 11/2012
Print ISSN: 0364-2348
Electronic ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-012-1368-7

Other articles of this Issue 11/2012

Skeletal Radiology 11/2012 Go to the issue

Perspective

ISS outreach Sub-Saharan Africa insight: Uganda 2011

Case Report

Metaphyseal chondromatosis combined with D-2-hydroxyglutaric aciduria in four patients

Review Article

Tibial tunnel and pretibial cysts following ACL graft reconstruction: MR imaging diagnosis

Review Article

Update on imaging of non-infectious musculoskeletal complications of HIV infection

Test Yourself: Question

Painful left shoulder

Browser's Notes

Browser’s notes