Skip to main content
SpringerLink
Log in

Computed tomography measurements of the acetabulum in adult dysplastic hips: which level is appropriate?

  • Articles
  • Published:
Skeletal Radiology Aims and scope Submit manuscript

Abstract

A study has been performed to evaluate whether one or several levels are needed with computed tomography (CT) study to provide sufficient information regarding anteversion and acetabular support to the femoral head. A total of 23 hips in 14 adults with uni- or bilateral congenital hip dysplasia (center-edge angle less than 20°) were assessed by obtaining 5-mm contiguous CT slices and performing acetabular measurements at four levels. Both anterior and posterior acetabular supports as quantified by the anterior and posterior acetabular sector angles were significantly lower than normal at all levels. The sector angles increased in the proximal cuts, whereas the acetabular anteversion increased caudally. Because no important additional information was gained by measuring at different levels, we conclude that CT study at one level is sufficient for acetabular measurements and suggest that the slice through the center of the femoral head is the most appropriate one.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Anda S, Svenningsen S, Dale LG, Benum P (1986) The acetabular sector angle of the adult hip determined by computed tomography. Acta Radiol 27:443

    CAS  Google Scholar 

  2. Anda S, Terjesen T, Kvistad KA, Svenningsen S (1991) Acetabular angles and femoral anteversion in dysplastic hips in adults: CT investigation. J Comput Assist Tomogr 15:115

    CAS  PubMed  Google Scholar 

  3. Bombelli R, Santore RF, Poss R (1983) Mechanics of the normal and osteoarthritic hip. Clin Orthop 182:69

    Google Scholar 

  4. Dubowitz B, Barmeir E, Stein, M, Roffman M (1981) Normal axial anatomy of the hip as demonstrated by computed tomography. Clin Radiol 32:663

    Article  CAS  PubMed  Google Scholar 

  5. Edelson JG, Hirsch M, Weinberg H, Attar D, Barmeir E (1984) Congenital dislocation of the hip and computerised axial tomography. J Bone Joint Surg [Br] 66:472

    CAS  Google Scholar 

  6. Gugenheim JJ, Gerson LP, Sadler C, Tullos HS (1982) Pathologic morphology of the acetabulum in paralytic and congenital hip instability. J Pediatr Orthop 2:397

    CAS  PubMed  Google Scholar 

  7. Jentschura G (1951) Über die praktische Anwendung der Methode Wibergs für die Beurteilung der kongenitalen Dysplasie des Hüftgelenkes beim Erwachsenen. Z Orthop 80:34

    Google Scholar 

  8. Johnston CE, Wenger DR, Roberts JM, Burke SW, Roach JW (1986) Acetabular coverage: three-dimensional anatomy and radiography evaluation. J Pediatr Orthop 6:548

    PubMed  Google Scholar 

  9. Lafferty CM, Sartoris DJ, Tyson R, Resnick D, Kursunoglu S, Pate D, Sunderland D (1986) Acetabular alterations in untreated congenital dysplasia of the hip: computed tomography with multiplanar reformation and three-dimensional analysis. J Comput Assist Tomogr 10:84

    CAS  PubMed  Google Scholar 

  10. Lang P, Steiger P, Genant HK, Chafetz N, Lindquist T, Skinner S, Moore S (1988) Three-dimensional CT and MR imaging in congenital dislocation of the hip: clinical and technical considerations. J Comput Assist Tomogr 12:459

    CAS  PubMed  Google Scholar 

  11. Ogata S, Moriya H, Tsuchiya K, Akita T, Kamegaya M, Someya M (1990) Acetabular cover in congenital dislocation of the hip. J Bone Joint Surg [Br] 72:190

    CAS  Google Scholar 

  12. Peterson HA, Klassen RA, McLeod RA, Hoffman A (1981) The use of computerised tomography in dislocation of the hip and femoral neck anteversion in children. J Bone Joint Surg [Br] 63:198

    Google Scholar 

  13. Rab GT (1981) Containment of the hip: a theoretical comparison of osteotomies. Clin Orthop 154:191

    PubMed  Google Scholar 

  14. Rab GT (1981) Preoperative roentgenographic evaluation for osteotomies about the hip in children. J Bone Joint Surg [Am] 63:306

    CAS  Google Scholar 

  15. Rális Z, McKibbin B (1973) Changes in shape of the human hip joint during its development and their relation to its stability. J Bone Joint Surg [Br] 55:780

    Google Scholar 

  16. Reikerås O, Bjerkreim I, Kolbenstvedt A (1982) Anteversion of the acetabulum in patients with idiopathic increased anteversion of the femoral neck. Acta Orthop Scand 53:847

    PubMed  Google Scholar 

  17. Reimers J, Bialik V (1981) Influence of femoral rotation on the radiological coverage of the femoral head in children. Pediatr Radiol 10:215

    Article  CAS  PubMed  Google Scholar 

  18. Salter RB, Hansson G, Thompson GH (1984) Sailer's innominate osteotomy in the management of residual congenital subluxation of the hip in young adults. Clin Orthop 182:53

    PubMed  Google Scholar 

  19. Severin E (1941) Congenital dislocation of the hip joint. Acta Chir Scand 84 [Suppl 63]:1

    Google Scholar 

  20. Terver S, Dillingham M, Parker B, Bjorke A, Bleck EE, Levai JP, Teinturier P, Viallet JF (1982) Étude de l'orientation réelle du cotyle grâce au tomodensitomètre axial ou scanner. J Radiol 63:167

    CAS  PubMed  Google Scholar 

  21. Visser JD, Jonkers A, Hillen B (1982) Hip joint measurements with computerized tomography. J Pediatr Orthop 2:143

    CAS  PubMed  Google Scholar 

  22. Wiberg G (1953) Shelf operation in congenital dysplasia of the acetabulum and in subluxation and dislocation of the hip. J Bone Joint Surg [Am] 35:65

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Radiology, University Hospital of Trondheim, Trondheim, Norway

    Svein Anda M.D. & Kjell Arne Kvistad M.D.

  2. Department of Orthopedic Surgery, University Hospital of Trondheim, Trondheim, Norway

    Terje Terjesen M.D., Ph.D.

Authors
  1. Svein Anda M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Terje Terjesen M.D., Ph.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Kjell Arne Kvistad M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Anda, S., Terjesen, T. & Kvistad, K.A. Computed tomography measurements of the acetabulum in adult dysplastic hips: which level is appropriate?. Skeletal Radiol. 20, 267–271 (1991). https://doi.org/10.1007/BF02341662

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02341662

Key words

Search

Navigation