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Clinical Orthopaedics and Related Research®
Published in: Clinical Orthopaedics and Related Research® 4/2017

01-04-2017 | CORR Insights

CORR Insights®: Femoral Morphology in the Dysplastic Hip: Three-dimensional Characterizations With CT

Author: Eduardo Garcia-Cimbrelo, MD, PhD

Published in: Clinical Orthopaedics and Related Research® | Issue 4/2017

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Excerpt

A number of important elements related to femoral and acetabular deformity in patients with hip dysplasia remain incompletely characterized. These deformities have important implications for both for hip-preserving surgery and for THA. Dysplastic femora have shorter necks, smaller and straighter canals, increased anteversion, and aspheric femoral heads in degrees that vary with the severity of dysplasia [1, 4]. We know that there are overlapping clinical presentations between patients with hip dysplasia and those with femoroacetabular impingement (FAI) because of femoral pathoanatomy, but the degree to which this is the case remains poorly defined. …
Literature
1.
Argenson J-NA, Flecher X, Parratte S, Aubaniac J-M. Anatomy of the dysplastic hip and consequences for total hip arthroplasty. Clin Orthop Relat Res. 2007;465:40–45.
2.
Clohisy JC, Nunley RM, Carlisle JC, Schoenecker PL. Incidence and Characteristics of Femoral Deformities in the Dysplastic Hip. Clin Orthop Relat Res. 2009;467:128–134.CrossRefPubMed
3.
Nakahara I, Takao M, Sakai T, Miki H, Nishii T, Sugano N. Three-dimensional morphology and bony range of movement in hip joints in patients with hip dysplasia. Bone Joint J. 2014;96B:580–589.CrossRef
4.
Sugano N, Noble PC, Kamaric E, Salama JK, Ochi T, Tullos HS. The morphology of the femur in developmental dysplasia of the hip. J Bone Joint Surg Br. 1998;80:711–719.CrossRefPubMed
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Wenger DE, Kendell KR, Miner MR, Trousdale RT. Acetabular labral tears rarely occur in the absence of bony abnormalities. Clin Orthop Relat Res. 2004;426:145–150.CrossRef
Metadata
Title
CORR Insights®: Femoral Morphology in the Dysplastic Hip: Three-dimensional Characterizations With CT
Author
Eduardo Garcia-Cimbrelo, MD, PhD
Publication date
01-04-2017
Publisher
Springer US
Published in
Clinical Orthopaedics and Related Research® / Issue 4/2017
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI
https://doi.org/10.1007/s11999-016-5154-z

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