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BMC Musculoskeletal Disorders
Published in: BMC Musculoskeletal Disorders 1/2017

Open Access 01-12-2017 | Research article

Comparison of improved range of motion between cam-type femoroacetabular impingement and borderline developmental dysplasia of the hip -evaluation by virtual osteochondroplasty using computer simulation-

Authors: So Kubota, Yutaka Inaba, Naomi Kobayashi, Hyonmin Choe, Taro Tezuka, Tomoyuki Saito

Published in: BMC Musculoskeletal Disorders | Issue 1/2017

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Abstract

Background

While cam resection is essential to achieve a good clinical result with respect to femoroacetabular impingement (FAI), it is unclear whether it should also be performed in cases of borderline developmental dysplasia of the hip (DDH) with a cam deformity. The aim of this study was to evaluate improvements in range of motion (ROM) in cases of cam-type FAI and borderline DDH after virtual osteochondroplasty using a computer impingement simulation.

Methods

Thirty-eight symptomatic hips in 31 patients (11male and 20 female) diagnosed with cam-type FAI or borderline DDH were analyzed. There were divided into a cam-type FAI group (cam-FAI group: 15 hips), borderline DDH without cam group (DDH W/O cam group: 12 hips), and borderline DDH with cam group (DDH W/ cam group: 11 hips). The bony impingement point on the femoral head-neck junction at 90° flexion and maximum internal rotation of the hip joint was identified using ZedHip® software. Virtual osteochondroplasty of the impingement point was then performed in all cases. The maximum flexion angle and maximum internal rotation angle at 90° flexion were measured before and after virtual osteochondroplasty at two resection ranges (i.e., slight and sufficient).

Results

The mean improvement in the internal rotation angle in the DDH W/ cam group after slight resection was significantly greater than that in the DDH W/O cam group (P = 0.046). Furthermore, the mean improvement in the internal rotation angle in the DDH W/ cam and cam-FAI groups after sufficient resection was significantly greater than that in the DDH W/O cam group (DDH W/ cam vs DDH W/O cam: P = 0.002, cam-FAI vs DDH W/O cam: P = 0.043).

Conclusion

Virtual osteochondroplasty resulted in a significant improvement in internal rotation angle in DDH W/ cam group but not in DDH W/O cam group. Thus, borderline DDH cases with cam deformity may be better to consider performing osteochondroplasty.
Literature
1.
Ganz R, Parvizi J, Beck M, Leunig M, Notzli H, Siebenrock KA. Femoroacetabular impingement: a cause for osteoarthritis of the hip. Clin Orthop Relat Res. 2003;417:112–20.
2.
Beall DP, Sweet CF, Martin HD, Lastine CL, Grayson DE, Ly JQ, Fish JR. Imaging findings of femoroacetabular impingement syndrome. Skelet Radiol. 2005;34(11):691–701.CrossRef
3.
Beck M, Kalhor M, Leunig M, Ganz R. Hip morphology influences the pattern of damage to the acetabular cartilage: femoroacetabular impingement as a cause of early osteoarthritis of the hip. J Bone Joint Surg Br. 2005;87(7):1012–8.CrossRefPubMed
4.
Philippon MJ, Maxwell RB, Johnston TL, Schenker M, Briggs KK. Clinical presentation of femoroacetabular impingement. Knee Surg Sports Traumatol Arthrosc. 2007;15(8):1041–7.CrossRefPubMed
5.
Jacobsen S, Sonne-Holm S, Soballe K, Gebuhr P, Lund B. Hip dysplasia and osteoarthrosis: a survey of 4151 subjects from the Osteoarthrosis substudy of the Copenhagen City heart study. Acta Orthop. 2005;76(2):149–58.CrossRefPubMed
6.
Reijman M, Hazes JM, Pols HA, Koes BW, Bierma-Zeinstra SM. Acetabular dysplasia predicts incident osteoarthritis of the hip: the Rotterdam study. Arthritis Rheum. 2005;52(3):787–93.CrossRefPubMed
7.
8.
Paliobeis CP, Villar RN. The prevalence of dysplasia in femoroacetabular impingement. Hip Int. 2011;21(2):141–5.CrossRefPubMed
9.
Hufeland M, Kruger D, Haas NP, Perka C, Schroder JH. Arthroscopic treatment of femoroacetabular impingement shows persistent clinical improvement in the mid-term. Arch Orthop Trauma Surg. 2016;136(5):687–91.CrossRefPubMed
10.
Palmer DH, Ganesh V, Comfort T, Tatman P. Midterm outcomes in patients with cam femoroacetabular impingement treated arthroscopically. Arthroscopy. 2012;28(11):1671–81.CrossRefPubMed
11.
Domayer SE, Ziebarth K, Chan J, Bixby S, Mamisch TC, Kim YJ. Femoroacetabular cam-type impingement: diagnostic sensitivity and specificity of radiographic views compared to radial MRI. Eur J Radiol. 2011;80(3):805–10.CrossRefPubMed
12.
Lohan DG, Seeger LL, Motamedi K, Hame S, Sayre J. Cam-type femoral-acetabular impingement: is the alpha angle the best MR arthrography has to offer? Skelet Radiol. 2009;38(9):855–62.CrossRef
13.
Byrd JW, Jones KS. Hip arthroscopy in the presence of dysplasia. Arthroscopy. 2003;19(10):1055–60.CrossRefPubMed
14.
Notzli HP, Wyss TF, Stoecklin CH, Schmid MR, Treiber K, Hodler J. The contour of the femoral head-neck junction as a predictor for the risk of anterior impingement. J Bone Joint Surg Br. 2002;84(4):556–60.CrossRefPubMed
15.
Domb BG, Stake CE, Lindner D, El-Bitar Y, Jackson TJ. Arthroscopic capsular plication and labral preservation in borderline hip dysplasia: two-year clinical outcomes of a surgical approach to a challenging problem. Am J Sports Med. 2013;41(11):2591–8.CrossRefPubMed
16.
Kutty S, Schneider P, Faris P, Kiefer G, Frizzell B, Park R, Powell JN. Reliability and predictability of the centre-edge angle in the assessment of pincer femoroacetabular impingement. Int Orthop. 2012;36(3):505–10.CrossRefPubMed
17.
Kobayashi N, Inaba Y, Kubota S, Nakamura S, Tezuka T, Yukizawa Y, Choe H, Saito T. The distribution of impingement region in cam-type femoroacetabular impingement and borderline dysplasia of the hip with or without cam deformity: a computer simulation study. Arthroscopy. 2017;33(2):329–34.CrossRefPubMed
18.
Alonso-Rasgado T, Jimenez-Cruz D, Bailey CG, Mandal P, Board T. Changes in the stress in the femoral head neck junction after osteochondroplasty for hip impingement: a finite element study. J Orthop Res. 2012;30(12):1999–2006.CrossRefPubMed
19.
Rothenfluh E, Zingg P, Dora C, Snedeker JG, Favre P. Influence of resection geometry on fracture risk in the treatment of femoroacetabular impingement: a finite element study. Am J Sports Med. 2012;40(9):2002–8.CrossRefPubMed
20.
Bedi A, Dolan M, Magennis E, Lipman J, Buly R, Kelly BT. Computer-assisted modeling of osseous impingement and resection in femoroacetabular impingement. Arthroscopy 2012;28(2):204-210.
21.
Fukui K, Trindade CA, Briggs KK, Philippon MJ. Arthroscopy of the hip for patients with mild to moderate developmental dysplasia of the hip and femoroacetabular impingement: outcomes following hip arthroscopy for treatment of chondrolabral damage. Bone Joint J. 2015;97-b(10):1316–21.CrossRefPubMed
22.
23.
Uchida S, Utsunomiya H, Mori T, Taketa T, Nishikino S, Nakamura T, Sakai A. Clinical and radiographic predictors for worsened clinical outcomes after hip arthroscopic Labral preservation and capsular closure in developmental dysplasia of the hip. Am J Sports Med. 2016;44(1):28–38.CrossRefPubMed
24.
Kemp JL, Makdissi M, Schache AG, Finch CF, Pritchard MG, Crossley KM. Is quality of life following hip arthroscopy in patients with chondrolabral pathology associated with impairments in hip strength or range of motion? Knee Surg Sports Traumatol Arthrosc. 2015;24(12):3955–61.CrossRefPubMed
Metadata
Title
Comparison of improved range of motion between cam-type femoroacetabular impingement and borderline developmental dysplasia of the hip -evaluation by virtual osteochondroplasty using computer simulation-
Authors
So Kubota
Yutaka Inaba
Naomi Kobayashi
Hyonmin Choe
Taro Tezuka
Tomoyuki Saito
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2017
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-017-1778-8

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