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Erschienen in: Skeletal Radiology 8/2018

27.02.2018 | Scientific Article

Hemi-pelvic slope is correlated with the acetabular depth in adults—a radiological study

verfasst von: Mohsen Sadeghi-Naini, Salameh Taghipour, Azin Gouran Savadkouhi, Paul Kuzyk, Sebastián A. León, Mohammad Ghazavi, Mansour Abolghasemian

Erschienen in: Skeletal Radiology | Ausgabe 8/2018

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Abstract

Objective

The purpose of this study was to determine if there is an anatomic relationship between pelvic geometry and acetabular depth.

Materials and methods

One hundred and fifty-one anteroposterior pelvic radiographs (157 hip joints) were selected and analyzed in a retrospective fashion. Six parameters, including iliac offset, ischial offset, acetabular offset, pelvic height, center-edge (CE) angle of Wiberg, and acetabular index (AI) angle of Tönnis were measured for each of the hip joints. Based on the defined variables, three formulas (formulas 1, 2, and 3) were calculated to represent the hemi-pelvis slope.

Results

There was a strong relationship between the hemi-pelvis slope and probability of acetabular dysplasia. Wider upper pelvis was associated with deeper acetabulum and wider lower pelvis was associated with dysplastic acetabulum.

Conclusions

Pelvic anatomic dimensions and the relationship between them are strongly correlated with hip dysplasia indices. Dysplastic hips tend to be found in pelvises with lower slope (low width of the upper pelvis at the level of iliac crest and high width of the lower part at the level of ischium).
Literatur
1.
Zurück zum Zitat Yoshimura N, Campbell L, Hashimoto T, Kinoshita H, Okayasu T, Wilman C, et al. Acetabular dysplasia and hip osteoarthritis in Britain and Japan. Br J Rheumatol. 1998;37(11):1193–7.CrossRefPubMed Yoshimura N, Campbell L, Hashimoto T, Kinoshita H, Okayasu T, Wilman C, et al. Acetabular dysplasia and hip osteoarthritis in Britain and Japan. Br J Rheumatol. 1998;37(11):1193–7.CrossRefPubMed
2.
Zurück zum Zitat Inoue K, Wicart P, Kawasaki T, Huang J, Ushiyama T, Hukuda S, et al. Prevalence of hip osteoarthritis and acetabular dysplasia in French and Japanese adults. Rheumatology (Oxford, England). 2000;39(7):745–8.CrossRef Inoue K, Wicart P, Kawasaki T, Huang J, Ushiyama T, Hukuda S, et al. Prevalence of hip osteoarthritis and acetabular dysplasia in French and Japanese adults. Rheumatology (Oxford, England). 2000;39(7):745–8.CrossRef
4.
Zurück zum Zitat Wiberg G. Studies on dysplastic acetabula and congenital subluxation of the hip. With special reference to the complication of osteoarthritis. Acta Chir Scand. 1939;83(58):5–135. Wiberg G. Studies on dysplastic acetabula and congenital subluxation of the hip. With special reference to the complication of osteoarthritis. Acta Chir Scand. 1939;83(58):5–135.
5.
Zurück zum Zitat Cooperman DR, Wallensten R, Stulberg SD. Acetabular dysplasia in the adult. Clin Orthop Relat Res. 1983;175:79–85. Cooperman DR, Wallensten R, Stulberg SD. Acetabular dysplasia in the adult. Clin Orthop Relat Res. 1983;175:79–85.
6.
Zurück zum Zitat Harris WH. Etiology of osteoarthritis of the hip. Clin Orthop Relat Res. 1986;213:20–33. Harris WH. Etiology of osteoarthritis of the hip. Clin Orthop Relat Res. 1986;213:20–33.
7.
Zurück zum Zitat Hasegawa Y, Iwata H, Mizuno M, Genda E, Sato S, Miura T. The natural course of osteoarthritis of the hip due to subluxation or acetabular dysplasia. Arch Orthop Trauma Surg. 1992;111(4):187–91.CrossRefPubMed Hasegawa Y, Iwata H, Mizuno M, Genda E, Sato S, Miura T. The natural course of osteoarthritis of the hip due to subluxation or acetabular dysplasia. Arch Orthop Trauma Surg. 1992;111(4):187–91.CrossRefPubMed
8.
Zurück zum Zitat Murphy SB, Ganz R, Muller ME. The prognosis in untreated dysplasia of the hip. A study of radiographic factors that predict the outcome. J Bone Joint Surg. 1995;77(7):985–9. Murphy SB, Ganz R, Muller ME. The prognosis in untreated dysplasia of the hip. A study of radiographic factors that predict the outcome. J Bone Joint Surg. 1995;77(7):985–9.
9.
Zurück zum Zitat 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 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
10.
Zurück zum Zitat Troelsen A. Assessment of adult hip dysplasia and the outcome of surgical treatment. Dan Med J. 2012;59(6):B4450.PubMed Troelsen A. Assessment of adult hip dysplasia and the outcome of surgical treatment. Dan Med J. 2012;59(6):B4450.PubMed
11.
Zurück zum Zitat Siebenrock KA, Kalbermatten DF, Ganz R. Effect of pelvic tilt on acetabular retroversion: a study of pelves from cadavers. Clin Orthop Relat Res. 2003;407:241–8.CrossRef Siebenrock KA, Kalbermatten DF, Ganz R. Effect of pelvic tilt on acetabular retroversion: a study of pelves from cadavers. Clin Orthop Relat Res. 2003;407:241–8.CrossRef
12.
Zurück zum Zitat Jacobsen S. Adult hip dysplasia and osteoarthritis. Studies in radiology and clinical epidemiology. Acta Orthop Suppl. 2006;77(324):1–37.PubMed Jacobsen S. Adult hip dysplasia and osteoarthritis. Studies in radiology and clinical epidemiology. Acta Orthop Suppl. 2006;77(324):1–37.PubMed
13.
Zurück zum Zitat Troelsen A, Romer L, Kring S, Elmengaard B, Soballe K. Assessment of hip dysplasia and osteoarthritis: variability of different methods. Acta Radiol (Stockholm, Sweden : 1987). 2010;51(2):187–93. Troelsen A, Romer L, Kring S, Elmengaard B, Soballe K. Assessment of hip dysplasia and osteoarthritis: variability of different methods. Acta Radiol (Stockholm, Sweden : 1987). 2010;51(2):187–93.
14.
Zurück zum Zitat Stubbs AJ, Anz AW, Frino J, Lang JE, Weaver AA, Stitzel JD. Classic measures of hip dysplasia do not correlate with three-dimensional computer tomographic measures and indices. Hip Int: J Clin Exp Res Hip Pathol Ther. 2011;21(5):549–58.CrossRef Stubbs AJ, Anz AW, Frino J, Lang JE, Weaver AA, Stitzel JD. Classic measures of hip dysplasia do not correlate with three-dimensional computer tomographic measures and indices. Hip Int: J Clin Exp Res Hip Pathol Ther. 2011;21(5):549–58.CrossRef
15.
Zurück zum Zitat Paul L, Docquier P-L, Cartiaux O, Banse X. Measurement of radiographic magnification in the pelvis using archived CT scans. Acta Orthop Belg. 2008;74(5):623.PubMed Paul L, Docquier P-L, Cartiaux O, Banse X. Measurement of radiographic magnification in the pelvis using archived CT scans. Acta Orthop Belg. 2008;74(5):623.PubMed
16.
Zurück zum Zitat Gosvig KK, Jacobsen S, Sonne-Holm S, Palm H, Troelsen A. Prevalence of malformations of the hip joint and their relationship to sex, groin pain, and risk of OsteoarthritisA population-based survey. J Bone Joint Surg. 2010;92(5):1162–9. Gosvig KK, Jacobsen S, Sonne-Holm S, Palm H, Troelsen A. Prevalence of malformations of the hip joint and their relationship to sex, groin pain, and risk of OsteoarthritisA population-based survey. J Bone Joint Surg. 2010;92(5):1162–9.
17.
Zurück zum Zitat Guenther WC. Some probabilities available from desk calculators and their relation to tables. Am Stat. 1977;31(1):41–5. Guenther WC. Some probabilities available from desk calculators and their relation to tables. Am Stat. 1977;31(1):41–5.
18.
Zurück zum Zitat Monazzam S, Bomar J, Cidambi K, Kruk P, Hosalkar H. Lateral center-edge angle on conventional radiography and computed tomography. Clin Orthop Relat Res. 2013;471(7):2233–7.CrossRefPubMed Monazzam S, Bomar J, Cidambi K, Kruk P, Hosalkar H. Lateral center-edge angle on conventional radiography and computed tomography. Clin Orthop Relat Res. 2013;471(7):2233–7.CrossRefPubMed
19.
Zurück zum Zitat Walter SD, Eliasziw M, Donner A. Sample size and optimal designs for reliability studies. Stat Med. 1998;17(1):101–10.CrossRefPubMed Walter SD, Eliasziw M, Donner A. Sample size and optimal designs for reliability studies. Stat Med. 1998;17(1):101–10.CrossRefPubMed
20.
Zurück zum Zitat Wedge JH, Wasylenko M. The natural history of congenital dislocation of the hip: a critical review. Clin Orthop Relat Res. 1978;137:154–62. Wedge JH, Wasylenko M. The natural history of congenital dislocation of the hip: a critical review. Clin Orthop Relat Res. 1978;137:154–62.
21.
Zurück zum Zitat Weinstein SL. Natural history of congenital hip dislocation (CDH) and hip dysplasia. Clin Orthop Relat Res. 1987;225:62–76. Weinstein SL. Natural history of congenital hip dislocation (CDH) and hip dysplasia. Clin Orthop Relat Res. 1987;225:62–76.
22.
Zurück zum Zitat 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 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
23.
Zurück zum Zitat Jacobsen S, Sonne-Holm S. Hip dysplasia: a significant risk factor for the development of hip osteoarthritis. A cross-sectional survey. Rheumatology (Oxford, England). 2005;44(2):211–8.CrossRef Jacobsen S, Sonne-Holm S. Hip dysplasia: a significant risk factor for the development of hip osteoarthritis. A cross-sectional survey. Rheumatology (Oxford, England). 2005;44(2):211–8.CrossRef
24.
Zurück zum Zitat Matheney T, Kim Y-J, Zurakowski D, Matero C, Millis M. Intermediate to long-term results following the Bernese periacetabular osteotomy and predictors of clinical outcome. J Bone Jt Surg. 2009;91(9):2113–23.CrossRef Matheney T, Kim Y-J, Zurakowski D, Matero C, Millis M. Intermediate to long-term results following the Bernese periacetabular osteotomy and predictors of clinical outcome. J Bone Jt Surg. 2009;91(9):2113–23.CrossRef
25.
Zurück zum Zitat Nunley RM, Prather H, Hunt D, Schoenecker PL, Clohisy JC. Clinical presentation of symptomatic acetabular dysplasia in skeletally mature patients. J Bone Joint Surg Am. 2011;93(Suppl 2):17–21.CrossRefPubMed Nunley RM, Prather H, Hunt D, Schoenecker PL, Clohisy JC. Clinical presentation of symptomatic acetabular dysplasia in skeletally mature patients. J Bone Joint Surg Am. 2011;93(Suppl 2):17–21.CrossRefPubMed
Metadaten
Titel
Hemi-pelvic slope is correlated with the acetabular depth in adults—a radiological study
verfasst von
Mohsen Sadeghi-Naini
Salameh Taghipour
Azin Gouran Savadkouhi
Paul Kuzyk
Sebastián A. León
Mohammad Ghazavi
Mansour Abolghasemian
Publikationsdatum
27.02.2018
Verlag
Springer Berlin Heidelberg
Erschienen in
Skeletal Radiology / Ausgabe 8/2018
Print ISSN: 0364-2348
Elektronische ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-018-2892-x

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