Skip to main content
Erschienen in: European Radiology 9/2008

01.09.2008 | Computer Tomography

CT assessment of herniation pits: prevalence, characteristics, and potential association with morphological predictors of femoroacetabular impingement

verfasst von: Stephanie Panzer, Peter Augat, Ulrich Esch

Erschienen in: European Radiology | Ausgabe 9/2008

Einloggen, um Zugang zu erhalten

Abstract

The purpose of this study was to evaluate whether there is a correlation between the presence of herniation pits (HPs) and morphological indicators of cam and pincer femoroacetabular impingement (FAI) based on computed tomography (CT) examinations. CT studies of the pelvis obtained from 200 patients were retrospectively analysed for the presence of HPs and morphological abnormalities of the femoral head and acetabulum. As an indicator for cam FAI, we used the angle α, describing the anterior femoral head-neck junction. As an indicator for pincer FAI, we measured the acetabular coverage and the acetabular orientation. Student’s t-test was used for statistical analysis. HPs were identified in 85 of the 200 patients. HPs were predominantly found in the superior portion of the proximal anterior femoral neck; some were located in the inferior portion. The angle α was significantly larger by 10% in the group with HPs. A correlation between the presence of HPs and morphological indicators of pincer FAI was not found. In conclusion HPs are not only located in the superior portion of the proximal anterior femoral neck, but also in the inferior portion. There is an association between the presence of HPs and a high value of angle α.
Literatur
1.
Zurück zum Zitat Pitt MJ, Graham AR, Shipman JH, Birkby W (1982) Herniation pit of the femoral neck. AJR 138:1115–1121PubMed Pitt MJ, Graham AR, Shipman JH, Birkby W (1982) Herniation pit of the femoral neck. AJR 138:1115–1121PubMed
2.
Zurück zum Zitat Angel JL (1964) The reaction area of the femoral neck. Clin Orthop 32:130–142PubMed Angel JL (1964) The reaction area of the femoral neck. Clin Orthop 32:130–142PubMed
3.
Zurück zum Zitat Leunig M, Beck M, Kalhor M, Kim YJ, Werlen S, Ganz R (2005) Fibrocystic changes at anterosuperior femoral neck: prevalence in hips with femoroacetabular impingement. Radiology 236:237–246PubMedCrossRef Leunig M, Beck M, Kalhor M, Kim YJ, Werlen S, Ganz R (2005) Fibrocystic changes at anterosuperior femoral neck: prevalence in hips with femoroacetabular impingement. Radiology 236:237–246PubMedCrossRef
4.
Zurück zum Zitat Nokes SR, Vogler JB, Spritzer CE, Martinez S, Herfkens RJ (1989) Herniation pits of the femoral neck: appearance at MR imaging. Radiology 172:231–234PubMed Nokes SR, Vogler JB, Spritzer CE, Martinez S, Herfkens RJ (1989) Herniation pits of the femoral neck: appearance at MR imaging. Radiology 172:231–234PubMed
5.
Zurück zum Zitat Pfirrmann CWA, Mengiardi B, Dora C, Kalberer F, Zanetti M, Hodler J (2006) Cam and pincer femoroacetabular impingement: characteristic MR arthrographic findings in 50 patients. Radiology 240(3):778–785PubMedCrossRef Pfirrmann CWA, Mengiardi B, Dora C, Kalberer F, Zanetti M, Hodler J (2006) Cam and pincer femoroacetabular impingement: characteristic MR arthrographic findings in 50 patients. Radiology 240(3):778–785PubMedCrossRef
6.
Zurück zum Zitat Kassarjian A, Yoon LS, Belzile E, Connolly SA, Millis MB, Palmer WE (2006) Triad of MR arthrographic findings in patients with cam-type femoroacetabular impingement. Radiology 236:588–592CrossRef Kassarjian A, Yoon LS, Belzile E, Connolly SA, Millis MB, Palmer WE (2006) Triad of MR arthrographic findings in patients with cam-type femoroacetabular impingement. Radiology 236:588–592CrossRef
7.
Zurück zum Zitat Sundberg TP, Toomayan GA, Major NM (2006) Evaluation of the acetabular labrum at 3.0-T MR imaging compared with 1.5-T MR arthrography: preliminary experience. Radiology 238(2):706–711PubMedCrossRef Sundberg TP, Toomayan GA, Major NM (2006) Evaluation of the acetabular labrum at 3.0-T MR imaging compared with 1.5-T MR arthrography: preliminary experience. Radiology 238(2):706–711PubMedCrossRef
10.
Zurück zum Zitat Beck M, Kalhor M, Leunig M, Ganz R (2005) Hip morphology influences the pattern of damage to the articular cartilage. Femoroacetabular impingement as a cause of early osteoarthritis of the hip. J Bone Joint Surg Br 87:1012–1018. DOI 10.1302/0301–620X.87B7 Beck M, Kalhor M, Leunig M, Ganz R (2005) Hip morphology influences the pattern of damage to the articular cartilage. Femoroacetabular impingement as a cause of early osteoarthritis of the hip. J Bone Joint Surg Br 87:1012–1018. DOI 10.​1302/​0301–620X.​87B7
11.
Zurück zum Zitat Beck M, Leunig M, Parvizi J, Boutier V, Wyss D, Ganz R (2004) Anterior femoroacetabular impingement. Part II. Midterm results of surgical treatment. Clin Orthop 418:67–74PubMedCrossRef Beck M, Leunig M, Parvizi J, Boutier V, Wyss D, Ganz R (2004) Anterior femoroacetabular impingement. Part II. Midterm results of surgical treatment. Clin Orthop 418:67–74PubMedCrossRef
12.
Zurück zum Zitat Goodman DA, Feighan JE, Smith AD, Latimer B, Buly RL, Cooperman DR (1997) Subclinical slipped capital femoral epiphysis. Relationship to osteoarthritis of the hip. J Bone Joint Surg Am 79:1489–1497PubMed Goodman DA, Feighan JE, Smith AD, Latimer B, Buly RL, Cooperman DR (1997) Subclinical slipped capital femoral epiphysis. Relationship to osteoarthritis of the hip. J Bone Joint Surg Am 79:1489–1497PubMed
13.
Zurück zum Zitat Leunig M, Casillas MM, Hamlet M et al (2000) Slipped capital femoral epiphysis: early mechanical damage to the acetabular cartilage by a prominent femoral metaphysis. Acta Orthop Scand 71(4):370–375PubMedCrossRef Leunig M, Casillas MM, Hamlet M et al (2000) Slipped capital femoral epiphysis: early mechanical damage to the acetabular cartilage by a prominent femoral metaphysis. Acta Orthop Scand 71(4):370–375PubMedCrossRef
15.
Zurück zum Zitat Wagner S, Hofstetter W, Chiquet M et al (2003) Early osteoarthritic changes of human femoral head cartilage subsequent to femoro-acetabular impingement. Osteoarthritis Cartilage 11:508–518PubMedCrossRef Wagner S, Hofstetter W, Chiquet M et al (2003) Early osteoarthritic changes of human femoral head cartilage subsequent to femoro-acetabular impingement. Osteoarthritis Cartilage 11:508–518PubMedCrossRef
16.
Zurück zum Zitat Tönnis D, Heinecke A (1999) Acetabular and femoral anteversion: relationship with osteoarthritis of the hip. J Bone Joint Surg Am 81:1747–1770PubMed Tönnis D, Heinecke A (1999) Acetabular and femoral anteversion: relationship with osteoarthritis of the hip. J Bone Joint Surg Am 81:1747–1770PubMed
17.
Zurück zum Zitat Tanzer M, Noiseux N (2004) Osseous abnormalities and early osteoarthritis: the role of hip impingement. Clin Orthop Relat Res 429:170–177PubMedCrossRef Tanzer M, Noiseux N (2004) Osseous abnormalities and early osteoarthritis: the role of hip impingement. Clin Orthop Relat Res 429:170–177PubMedCrossRef
18.
Zurück zum Zitat Eijer H, Myers SR, Ganz R (2001) Anterior femoroacetabular impingement after femoral neck fractures. J Orthop Trauma 15:475–481PubMedCrossRef Eijer H, Myers SR, Ganz R (2001) Anterior femoroacetabular impingement after femoral neck fractures. J Orthop Trauma 15:475–481PubMedCrossRef
19.
Zurück zum Zitat Eijer H, Leunig M, Mahomed N, Ganz R (2001) Cross-table lateral radiographs for screening of anterior femoral head-neck offset in patients with femoro-acetabular impingement. Hip Int 11:37–41 Eijer H, Leunig M, Mahomed N, Ganz R (2001) Cross-table lateral radiographs for screening of anterior femoral head-neck offset in patients with femoro-acetabular impingement. Hip Int 11:37–41
20.
Zurück zum Zitat Ito K, Minka MA 2nd, Leunig M, Werlen S, Ganz R (2001) Femoroacetabular impingement and the cam-effect: a MRI-based quantitative anatomical study of the femoral head-neck offset. J Bone Joint Surg Br 83:171–176PubMedCrossRef Ito K, Minka MA 2nd, Leunig M, Werlen S, Ganz R (2001) Femoroacetabular impingement and the cam-effect: a MRI-based quantitative anatomical study of the femoral head-neck offset. J Bone Joint Surg Br 83:171–176PubMedCrossRef
21.
Zurück zum Zitat Tannast M, Kubiak-Langer M, Langlotz F, Puls M, Murphy SB, Siebenrock KA (2007) Noninvasive three-dimensional assessment of femoroacetabular impingement. J Orthop Res 25:122–131. DOI 10.1002/jor.20309 Tannast M, Kubiak-Langer M, Langlotz F, Puls M, Murphy SB, Siebenrock KA (2007) Noninvasive three-dimensional assessment of femoroacetabular impingement. J Orthop Res 25:122–131. DOI 10.​1002/​jor.​20309
22.
Zurück zum Zitat Nötzli HP, Wyss TF, Stoecklin CH, Schmid MR, Treiber K, Hodler J (2002) The contour of the femoral head-neck junction as a predictor for the risk of anterior impingement. J Bone Joint Surg Br 84:556–560PubMedCrossRef Nötzli HP, Wyss TF, Stoecklin CH, Schmid MR, Treiber K, Hodler J (2002) The contour of the femoral head-neck junction as a predictor for the risk of anterior impingement. J Bone Joint Surg Br 84:556–560PubMedCrossRef
23.
Zurück zum Zitat Anda S, Svenningsen S, Groøntvedt T, Benum P (1990) Pelvic inclination and spatial orientation of the acetabulum: a radiographic, computed tomographic and clinical investigation. Acta Radiol 31:389–394PubMedCrossRef Anda S, Svenningsen S, Groøntvedt T, Benum P (1990) Pelvic inclination and spatial orientation of the acetabulum: a radiographic, computed tomographic and clinical investigation. Acta Radiol 31:389–394PubMedCrossRef
25.
Zurück zum Zitat McKibbin B (1970) Anatomical factors in the stability of the hip joint in the newborn. J Bone Joint Surg Br 52:148–159PubMed McKibbin B (1970) Anatomical factors in the stability of the hip joint in the newborn. J Bone Joint Surg Br 52:148–159PubMed
26.
Zurück zum Zitat Anda S, Svenningsen S, Dale LG, Benum P (1986) The acetabular sector angle of the adult hip determined by computed tomography. Acta Radiol Diag 27:443–447 Anda S, Svenningsen S, Dale LG, Benum P (1986) The acetabular sector angle of the adult hip determined by computed tomography. Acta Radiol Diag 27:443–447
27.
Zurück zum Zitat Reynolds D, Lucas J, Klaue K (1999) Retroversion of the acetabulum: a cause of hip pain. J Bone Joint Surg Br 81:281–288PubMedCrossRef Reynolds D, Lucas J, Klaue K (1999) Retroversion of the acetabulum: a cause of hip pain. J Bone Joint Surg Br 81:281–288PubMedCrossRef
28.
Zurück zum Zitat Daenen B, Preidler KW, Padmanabhan S et al (1997) Symptomatic herniation pits of the femoral neck: anatomic and clinical study. AJR 168:149–153PubMed Daenen B, Preidler KW, Padmanabhan S et al (1997) Symptomatic herniation pits of the femoral neck: anatomic and clinical study. AJR 168:149–153PubMed
29.
Zurück zum Zitat Hedvabny Z, Zidkova H, Kofranek I (1993) Herniation pit. Acta Chir Orthop Traumatol Cech 60:351–353PubMed Hedvabny Z, Zidkova H, Kofranek I (1993) Herniation pit. Acta Chir Orthop Traumatol Cech 60:351–353PubMed
30.
Zurück zum Zitat Murray RO (1965) The aetiology of primary osteoarthritis of the hip. Brit J Radiol 38:810–824PubMedCrossRef Murray RO (1965) The aetiology of primary osteoarthritis of the hip. Brit J Radiol 38:810–824PubMedCrossRef
31.
Zurück zum Zitat Stulberg SD, Cordell LD, Harris WH, Ramsey PL, MacEwen GD (1975) Unrecognized childhood hip disease: a major cause of idiopathic osteoarthritis of the hip. In: The hip. Proceedings of the third open scientific meeting of The Hip Society. Mosby, St. Louis, pp 212–228 Stulberg SD, Cordell LD, Harris WH, Ramsey PL, MacEwen GD (1975) Unrecognized childhood hip disease: a major cause of idiopathic osteoarthritis of the hip. In: The hip. Proceedings of the third open scientific meeting of The Hip Society. Mosby, St. Louis, pp 212–228
Metadaten
Titel
CT assessment of herniation pits: prevalence, characteristics, and potential association with morphological predictors of femoroacetabular impingement
verfasst von
Stephanie Panzer
Peter Augat
Ulrich Esch
Publikationsdatum
01.09.2008
Verlag
Springer-Verlag
Erschienen in
European Radiology / Ausgabe 9/2008
Print ISSN: 0938-7994
Elektronische ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-008-0952-7

Weitere Artikel der Ausgabe 9/2008

European Radiology 9/2008 Zur Ausgabe

Akuter Schwindel: Wann lohnt sich eine MRT?

28.04.2024 Schwindel Nachrichten

Akuter Schwindel stellt oft eine diagnostische Herausforderung dar. Wie nützlich dabei eine MRT ist, hat eine Studie aus Finnland untersucht. Immerhin einer von sechs Patienten wurde mit akutem ischämischem Schlaganfall diagnostiziert.

Screening-Mammografie offenbart erhöhtes Herz-Kreislauf-Risiko

26.04.2024 Mammografie Nachrichten

Routinemäßige Mammografien helfen, Brustkrebs frühzeitig zu erkennen. Anhand der Röntgenuntersuchung lassen sich aber auch kardiovaskuläre Risikopatientinnen identifizieren. Als zuverlässiger Anhaltspunkt gilt die Verkalkung der Brustarterien.

S3-Leitlinie zu Pankreaskrebs aktualisiert

23.04.2024 Pankreaskarzinom Nachrichten

Die Empfehlungen zur Therapie des Pankreaskarzinoms wurden um zwei Off-Label-Anwendungen erweitert. Und auch im Bereich der Früherkennung gibt es Aktualisierungen.

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

18.04.2024 Pädiatrische Notfallmedizin Nachrichten

Im Choosing-Wisely-Programm, das für die deutsche Initiative „Klug entscheiden“ Pate gestanden hat, sind erstmals Empfehlungen zum Umgang mit Notfällen von Kindern erschienen. Fünf Dinge gilt es demnach zu vermeiden.

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.