Skip to main content
SpringerLink
Log in

The ratio of femoral head diameter to pelvic height in the normal hips of a Chinese population

  • Original Article
  • Published:
European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

Objective

The aim of this study was to determine whether the ratio between the femoral head diameter and pelvic height in a Chinese population is the same as that found in Westerners.

Materials and methods

Standard pelvic radiography was performed on a group of 187 Chinese adult subjects consisting of 81 males and 106 females with a mean age of 40 years (21–68 years). Femoral head diameter (vertical distance from the femoral head–neck junction to the highest point of the femoral head) and pelvic height (vertical distance from the highest point of the iliac crest to the edge of the ischial tuberosities) were measured.

Results

There were significant differences between males and females (p < 0.001), and between persons of high height versus low height (p = 0.011) and medium height (p = 0.039). There were no significant differences between persons of different age (p = 0.244), body mass index (p = 0.091), or between persons of low- and medium-height groups (p = 0.69). The overall mean ratio between the femoral head diameter and pelvic height was 0.215 (0.173–0.249) with a 95 % CI = 0.214–0.217. The mean ratios in males and females were 0.221 (0.194–0.249) and 0.211 (0.173–0.238), respectively.

Conclusion

The mean ratio in Chinese population was similar to the reported ratio in a western population (about 1:5). We suggest that Chinese surgeons may be able to use the Crowe classification to classify patients with hip dysplasia.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Crowe JF, Mani VJ, Ranawat CS (1979) Total hip replacement in congenital dislocation and dysplasia of the hip. J Bone Joint Surg Am 61(1):15–23

    CAS  PubMed  Google Scholar 

  2. Osagie L, Figgie M, Bostrom M (2012) Custom total hip arthroplasty in skeletal dysplasia. Int Orthop 36(3):527–531

    Article  PubMed Central  PubMed  Google Scholar 

  3. Kilicoglu OI, Turker M, Akgul T et al. (2012) Cementless total hip arthroplasty with modified oblique femoral shortening osteotomy in Crowe type IV congenital hip dislocation. J Arthroplast 28(1):117–125

    Google Scholar 

  4. Kilicarslan K, Yalcin N, Cicek H et al (2012) What happens at the adjacent knee joint after total hip arthroplasty of Crowe type III and IV dysplastic hips? J Arthroplast 27(2):266–270

    Article  Google Scholar 

  5. Biant LC, Bruce WJ, Assini JB, Walker PM, Walsh WR (2009) Primary total hip arthroplasty in severe developmental dysplasia of the hip. Ten-year results using a cementless modular stem. J Arthroplast 24(1):27–32

    Article  Google Scholar 

  6. Farrell CM, Berry DJ, Cabanela ME (2005) Autogenous femoral head bone grafts for acetabular deficiency in total-hip arthroplasty for developmental dysplasia of the hip: long-term effect on pelvic bone stock. J Arthroplast 20(6):698–702

    Article  Google Scholar 

  7. Siebenrock KA, Tannast M, Kim S, Morgenstern W, Ganz R (2005) Acetabular reconstruction using a roof reinforcement ring with hook for total hip arthroplasty in developmental dysplasia of the hip-osteoarthritis minimum 10-year follow-up results. J Arthroplast 20(4):492–498

    Article  Google Scholar 

  8. Saito S, Ishii T, Mori S, Hosaka K, Nemoto N, Tokuhashi Y (2011) Long-term results of bulk femoral head autograft in cement less THA for developmental hip dysplasia. Orthopedics 34(2):88

    PubMed  Google Scholar 

  9. Charity JA, Tsiridis E, Sheeraz A, Howell JR, Hubble MJ, Timperley AJ et al (2011) Treatment of Crowe IV high hip dysplasia with total hip replacement using the Exeter stem and shortening derotational subtrochanteric osteotomy. J Bone Joint Surg Br 93(1):34–38

    Article  CAS  PubMed  Google Scholar 

  10. Baz AB, Senol V, Akalin S, Kose O, Guler F, Turan A (2012) Treatment of high hip dislocation with a cement less stem combined with a shortening osteotomy. Arch Orthop Trauma Surg 132(10):1481–1486

    Article  PubMed  Google Scholar 

  11. Krych AJ, Howard JL, Trousdale RT, Cabanela ME, Berry DJ (2010) Total hip arthroplasty with shortening subtrochanteric osteotomy in Crowe type-IV developmental dysplasia: surgical technique. J Bone Joint Surg Am 92(Suppl 1 Pt 2):176–187

    PubMed  Google Scholar 

  12. Claramunt RT, Marques F, Leon A, Vila G, Mestre C, Verdie LP (2011) Total hip replacement with an uncemented Wagner cone stem for patients with congenital hip dysplasia. Int Orthop 35(12):1767–1770

    Article  PubMed  Google Scholar 

  13. Amstutz HC, Le Duff MJ, Harvey N, Hoberg M (2008) Improved survivorship of hybrid metal-on-metal hip resurfacing with second-generation techniques for Crowe-I and II developmental dysplasia of the hip. J Bone Joint Surg Am 90(Suppl 3):12–20

    Article  PubMed  Google Scholar 

  14. Wang Q, Zhang XL, Chen YS, Shen H, Shao JJ (2012) Resurfacing arthroplasty for hip dysplasia: a prospective randomised study. J Bone Joint Surg Br 94(6):768–773

    Article  CAS  PubMed  Google Scholar 

  15. Wu X, Li SH, Lou LM, Cai ZD (2012) The techniques of soft tissue release and true socket reconstruction in total hip arthroplasty for patients with severe developmental dysplasia of the hip. Int Orthop 36(9):1795–1801

    Article  PubMed Central  PubMed  Google Scholar 

  16. Wang L, Trousdale RT, Ai S, An KN, Dai K, Morrey BF (2012) Dislocation after total hip arthroplasty among patients with developmental dysplasia of the hip. J Arthroplast 27(5):764–769

    Article  Google Scholar 

  17. Liu R, Wen X, Tong Z, Wang K, Wang C (2012) Changes of gluteus medius muscle in the adult patients with unilateral developmental dysplasia of the hip. BMC Musculoskelet Disord 13:101

    Article  PubMed Central  PubMed  Google Scholar 

  18. Liu RY, Wang KZ, Wang CS, Dang XQ, Tong ZQ (2009) Evaluation of medial acetabular wall bone stock in patients with developmental dysplasia of the hip using a helical computed tomography multiplanar reconstruction technique. Acta Radiol 50(7):791–797

    Article  CAS  PubMed  Google Scholar 

  19. Zhao X, Zhu ZA, Zhao J, Li MQ, Wang G, Yu DG et al (2011) The utility of digital templating in total hip arthroplasty with Crowe type II and III dysplastic hips. Int Orthop 35(5):631–638

    PubMed Central  PubMed  Google Scholar 

  20. Zhang YZ, Chen B, Lu S, Yang Y, Zhao JM, Liu R et al (2011) Preliminary application of computer-assisted patient-specific acetabular navigational template for total hip arthroplasty in adult single development dysplasia of the hip. Int J Med Robot 7(4):469–474

    Article  PubMed  Google Scholar 

  21. Takao M, Ohzono K, Nishii T, Miki H, Nakamura N, Sugano N (2011) Cementless modular total hip arthroplasty with subtrochanteric shortening osteotomy for hips with developmental dysplasia. J Bone Joint Surg Am 93(6):548–555

    Article  PubMed  Google Scholar 

  22. Tamura S, Nishii T, Shiomi T, Yamazaki Y, Murase K, Yoshikawa H et al (2012) Three-dimensional patterns of early acetabular cartilage damage in hip dysplasia; a high-resolutional CT arthrography study. Osteoarthr Cartil 20(7):646–652

    Article  CAS  PubMed  Google Scholar 

  23. Murayama T, Ohnishi H, Okabe S, Tsurukami H, Mori T, Nakura N et al (2012) 15-year comparison of cement less total hip arthroplasty with anatomical or high cup placement for Crowe I to III hip dysplasia. Orthopedics 35(3):e313–e318

    PubMed  Google Scholar 

  24. Fujishiro T, Nishiyama T, Hayashi S, Kurosaka M, Kanno T, Masuda T (2012) Leg length change in total hip arthroplasty with subtrochanteric femoral shortening osteotomy for Crowe type IV developmental hip dysplasia. J Arthroplast 27(6):1019–1022

    Article  Google Scholar 

  25. Kim YH, Seo HS, Kim JS (2009) Outcomes after THA in patients with high hip dislocation after childhood sepsis. Clin Orthop Relat Res 467(9):2371–2378

    Article  PubMed Central  PubMed  Google Scholar 

  26. Kim M, Kadowaki T (2010) High long-term survival of bulk femoral head autograft for acetabular reconstruction in cement less THA for developmental hip dysplasia. Clin Orthop Relat Res 468(6):1611–1620

    Article  PubMed Central  PubMed  Google Scholar 

  27. Park KS, Yoon TR, Song EK, Seon JK, Lee KB (2012) Total hip arthroplasty in high dislocated and severely dysplastic septic hip sequelae. J Arthroplast 27(7):1331–1336

    Article  Google Scholar 

  28. Truesdale KP, Stevens J, Cai J (2011) Impact of body mass index levels on lipid abnormalities in Chinese Asians, American Blacks and American Whites: the People’s Republic of China (PRC) and Atherosclerosis Risk in Communities (ARIC) studies. Atherosclerosis 218(2):517–523

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  29. Human_ height http://en.wikipedia.org/wiki

  30. Marshall LM, Zmuda JM, Chan BK, Barrett-Connor E, Cauley JA, Ensrud KE et al (2008) Race and ethnic variation in proximal femur structure and BMD among older men. J Bone Miner Res 23(1):121–130

    Article  PubMed Central  PubMed  Google Scholar 

  31. Gill GW (2001) Racial variation in the proximal and distal femur: heritability and forensic utility. J Forensic Sci 46(4):791–799

    CAS  PubMed  Google Scholar 

  32. Asala SA (2002) The efficiency of the demarking point of the femoral head as a sex determining parameter. Forensic Sci Int 127(1–2):114–118

    Article  PubMed  Google Scholar 

  33. Iscan MY (1983) Assessment of race from the pelvis. Am J Phys Anthropol 62(2):205–208

    Article  CAS  PubMed  Google Scholar 

  34. Patriquin ML, Steyn M, Loth SR (2002) Metric assessment of race from the pelvis in South Africans. Forensic Sci Int 127(1–2):104–113

    Article  CAS  PubMed  Google Scholar 

  35. Patriquin ML, Loth SR, Steyn M (2003) Sexually dimorphic pelvic morphology in South African whites and blacks. Homo 53(3):255–262

    Article  CAS  PubMed  Google Scholar 

  36. Handa VL, Lockhart ME, Fielding JR, Bradley CS, Brubaker L, Cundiff GW et al (2008) Racial differences in pelvic anatomy by magnetic resonance imaging. Obstet Gynecol 111(4):914–920

    Article  PubMed Central  PubMed  Google Scholar 

  37. Hoyte L, Thomas J, Foster RT, Shott S, Jakab M, Weidner AC (2005) Racial differences in pelvic morphology among asymptomatic nulliparous women as seen on three-dimensional magnetic resonance images. Am J Obstet Gynecol 193(6):2035–2040

    Article  PubMed  Google Scholar 

  38. Zarate-Kalfopulos B, Romero-Vargas S, Otero-Camara E, Correa VC, Reyes-Sanchez A (2012) Differences in pelvic parameters among Mexican, Caucasian, and Asian populations. J Neurosurg Spine 16(5):516–519

    Article  PubMed  Google Scholar 

  39. Decking R, Brunner A, Decking J, Puhl W, Gunther KP (2006) Reliability of the Crowe und Hartofilakidis classifications used in the assessment of the adult dysplastic hip. Skeletal Radiol 35(5):282–287

    Article  PubMed  Google Scholar 

  40. Karachalios T, Hartofilakidis G (2010) Congenital hip disease in adults: terminology, classification, pre-operative planning and management. J Bone Joint Surg Br 92(7):914–921

    Article  CAS  PubMed  Google Scholar 

  41. Jawad MU, Scully SP (2011) In brief: Crowe’s classification: arthroplasty in developmental dysplasia of the hip. Clin Orthop Relat Res 469(1):306–308

    Article  PubMed Central  PubMed  Google Scholar 

  42. Hartofilakidis G, Stamos K, Ioannidis TT (1988) Low friction arthroplasty for old untreated congenital dislocation of the hip. J Bone Joint Surg Br 70(2):182–186

    CAS  PubMed  Google Scholar 

  43. Martin B, Chevrot A, Wybier M, Gires F, Vallee C, Carlioz A et al (1987) Desmoid fibroma of the abdominal wall. Apropos of a case. J Radiol 68(3):205–207

    CAS  PubMed  Google Scholar 

  44. Eftekhar NS (1978) Adjustable intramedullary replacement of the knee: evolution of surgical technique and prosthesis. Clin Orthop Relat Res 137:235–243

    PubMed  Google Scholar 

  45. Gaston MS, Gaston P, Donaldson P, Howie CR (2009) A new classification system for the adult dysplastic hip requiring total hip arthroplasty: a reliability study. Hip Int 19(2):96–101

    PubMed  Google Scholar 

  46. Postel M, André S (1986) Total hip replacement. Springer-Verlag, Berlin; New York

    Google Scholar 

  47. Tian W, Zhao L, Wang J, Suo P, Cheng L, Cheng Z et al (2012) Association analysis between HOXD9 genes and the development of developmental dysplasia of the hip in Chinese female Han population. BMC Musculoskelet Disord 13:59

    Article  CAS  PubMed Central  PubMed  Google Scholar 

Download references

Acknowledgments

We thank Prof. F. William Orr of the Pathology Department of University of Manitoba in Canada for his constructive comments to this paper.

Conflict of interest

We have no conflict of interest.

Author information

Authors and Affiliations

  1. Department of Orthopedics, Second Hospital of Jilin University, Changchun, 130041, China

    Yanbo Zhang & Jincheng Wang

  2. Department of Orthopedics, China-Japan Union Hospital of Jilin University, Changchun, 130033, China

    Jinlan Jiang, Jianlin Zuo & Modi Yang

  3. Department of Bethune Medicine, Jilin University, Changchun, 130021, China

    Chenyu Wang

Authors
  1. Yanbo Zhang
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Jinlan Jiang
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Chenyu Wang
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Jianlin Zuo
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Modi Yang
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Jincheng Wang
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Jincheng Wang.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Zhang, Y., Jiang, J., Wang, C. et al. The ratio of femoral head diameter to pelvic height in the normal hips of a Chinese population. Eur J Orthop Surg Traumatol 24, 947–951 (2014). https://doi.org/10.1007/s00590-013-1298-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00590-013-1298-7

Keywords

Search

Navigation