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Published in: Clinical Orthopaedics and Related Research® 12/2012

01-12-2012 | Symposium: ABJS Carl T. Brighton Workshop on Hip Preservation Surgery

Report of Breakout Session: Coxa Profunda/Protrusio Management

Authors: Moritz Tannast, MD, Michael Leunig, MD, Session Participants

Published in: Clinical Orthopaedics and Related Research® | Issue 12/2012

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Excerpt

Architectural abnormalities of the acetabulum that lead to overcoverage of the femoral head may predispose the femoral neck toward direct impaction on the acetabular rim complex during terminal hip motion. These alterations cause pincer-type femoroacetabular impingement (FAI). The arthritic process is initiated by the damage to the labrum and acetabular rim cartilage caused by femoral neck impaction as well as from contre coup cartilage damage that occurs when the neck levers against the rim. Appropriate management of global overcoverage such as coxa profunda or protrusio requires identification of the underlying pathoanatomy, assessment of clinical signs and symptoms, and the application of contemporary surgical techniques. …
Literature
1.
go back to reference Bittersohl B, Hosalkar HS, Hughes T, Kim YJ, Werlen S, Siebenrock KA, Mamisch TC. Feasibility of T2* mapping for the evaluation of hip joint cartilage at 1.5T using a three-dimensional (3D), gradient-echo (GRE) sequence: a prospective study. Magn Reson Med. 2009;62:896–901.PubMedCrossRef Bittersohl B, Hosalkar HS, Hughes T, Kim YJ, Werlen S, Siebenrock KA, Mamisch TC. Feasibility of T2* mapping for the evaluation of hip joint cartilage at 1.5T using a three-dimensional (3D), gradient-echo (GRE) sequence: a prospective study. Magn Reson Med. 2009;62:896–901.PubMedCrossRef
2.
go back to reference Corten K, Ganz R, Chosa E, Leunig M. Bone apposition of the acetabular rim in deep hips: a distinct finding of global pincer impingement. J Bone Joint Surg Am. 2011;93(Suppl 2):10–16.PubMedCrossRef Corten K, Ganz R, Chosa E, Leunig M. Bone apposition of the acetabular rim in deep hips: a distinct finding of global pincer impingement. J Bone Joint Surg Am. 2011;93(Suppl 2):10–16.PubMedCrossRef
3.
go back to reference Crawford RW, Gie GA, Ling RS, Murray DW. Diagnostic value of intra-articular anaesthetic in primary osteoarthritis of the hip. J Bone Joint Surg Br. 1998;80:279–281.PubMedCrossRef Crawford RW, Gie GA, Ling RS, Murray DW. Diagnostic value of intra-articular anaesthetic in primary osteoarthritis of the hip. J Bone Joint Surg Br. 1998;80:279–281.PubMedCrossRef
4.
go back to reference Leunig M, Nho SJ, Turchetto L, Ganz R. Protrusio acetabuli: new insights and experience with joint preservation. Clin Orthop Relat Res. 2009;467:2241–2250.PubMedCrossRef Leunig M, Nho SJ, Turchetto L, Ganz R. Protrusio acetabuli: new insights and experience with joint preservation. Clin Orthop Relat Res. 2009;467:2241–2250.PubMedCrossRef
5.
go back to reference McBride MT, Muldoon MP, Santore RF, Trousdale RT, Wenger DR. Protrusio acetabuli: diagnosis and treatment. J Am Acad Orthop Surg. 2001;9:79–88.PubMed McBride MT, Muldoon MP, Santore RF, Trousdale RT, Wenger DR. Protrusio acetabuli: diagnosis and treatment. J Am Acad Orthop Surg. 2001;9:79–88.PubMed
6.
go back to reference Pfirrmann CW, Mengiardi B, Dora C, Kalberer F, Zanetti M, Hodler J. Cam and pincer femoroacetabular impingement: characteristic MR arthrographic findings in 50 patients. Radiology. 2006;240:778–785.PubMedCrossRef Pfirrmann CW, Mengiardi B, Dora C, Kalberer F, Zanetti M, Hodler J. Cam and pincer femoroacetabular impingement: characteristic MR arthrographic findings in 50 patients. Radiology. 2006;240:778–785.PubMedCrossRef
7.
go back to reference Steel HH. Protrusio acetabuli: its occurrence in the completely expressed Marfan syndrome and its musculoskeletal component and a procedure to arrest the course of protrusion in the growing pelvis. J Pediatr Orthop. 1996;16:704–718.PubMedCrossRef Steel HH. Protrusio acetabuli: its occurrence in the completely expressed Marfan syndrome and its musculoskeletal component and a procedure to arrest the course of protrusion in the growing pelvis. J Pediatr Orthop. 1996;16:704–718.PubMedCrossRef
Metadata
Title
Report of Breakout Session: Coxa Profunda/Protrusio Management
Authors
Moritz Tannast, MD
Michael Leunig, MD
Session Participants
Publication date
01-12-2012
Publisher
Springer-Verlag
Published in
Clinical Orthopaedics and Related Research® / Issue 12/2012
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI
https://doi.org/10.1007/s11999-012-2572-4

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