Skip to main content
Erschienen in: International Orthopaedics 8/2017

20.04.2017 | Original Paper

Assessment of the alpha angle and mobility of the hip in patients with noncontact anterior cruciate ligament injury

verfasst von: Osmar Valadao Lopes Jr, Gustavo Tragnago, Cristiano Gatelli, Rogério Nascimento Costa, Leandro de Freitas Spinelli, Paulo Renato Fernandes Saggin, André Kuhn

Erschienen in: International Orthopaedics | Ausgabe 8/2017

Einloggen, um Zugang zu erhalten

Abstract

Purpose

To evaluate the alpha angle of the hip in patients with noncontact anterior cruciate ligament (ACL) injury and compare it with patients without injury. In addition, external and internal rotation of the hip was assessed and correlated with the alpha angle.

Methods

The alpha angle of the ipsilateral hip was assessed in 41 subjects with non-contact ACL tear and compared with 39 subjects with no tear. The external and internal rotation of the ipsilateral hip was also evaluated.

Results

The alpha angle was larger in subjects with noncontact ACL injury. The mean was 70.31° (±13.92°) compared with 58.55° (±13.95°) in the control group (p < 0.001). The groups were similar when considering the external, internal, and sum of rotation of the ipsilateral hip. There was no correlation between the alpha angle and decreased rotational range of motion of the hip in either group (p > 0.05).

Conclusion

Patients with noncontact ACL injury presented a greater alpha angle when compared with the group without tear. There was no difference in the rotational mobility of the hip between groups, nor was there a correlation between the increase in the alpha angle and the decrease in the rotational mobility of the hip.
Literatur
1.
Zurück zum Zitat Albright JC, Carpenter JE, Graf BK, Richmond JC (1999) Knee and leg: soft tissue trauma. In: Beauty JH (ed) Orthopaedic knowledge update 6. Rosemont, American Academy of Orthopaedic Surgeons, pp 533–557 Albright JC, Carpenter JE, Graf BK, Richmond JC (1999) Knee and leg: soft tissue trauma. In: Beauty JH (ed) Orthopaedic knowledge update 6. Rosemont, American Academy of Orthopaedic Surgeons, pp 533–557
2.
Zurück zum Zitat Arnoczky SP (1983) Anatomy of the anterior cruciate ligament. Clin Orthop Relat Res 172:19–25 Arnoczky SP (1983) Anatomy of the anterior cruciate ligament. Clin Orthop Relat Res 172:19–25
3.
Zurück zum Zitat Harner CD, Baek GH, Vogrin TM, Carlin GJ, Kashiwaguchi S, Woo SL (1999) Quantitative analysis of human cruciate ligament insertions. Arthroscopy 15:741–749CrossRefPubMed Harner CD, Baek GH, Vogrin TM, Carlin GJ, Kashiwaguchi S, Woo SL (1999) Quantitative analysis of human cruciate ligament insertions. Arthroscopy 15:741–749CrossRefPubMed
4.
Zurück zum Zitat Gabriel MT, Wong EK, Woo SL, Yagi M, Debski RE (2004) Distribution of in situ forces in the anterior cruciate ligament in response to rotatory loads. J Orthop Res 22:85–89CrossRefPubMed Gabriel MT, Wong EK, Woo SL, Yagi M, Debski RE (2004) Distribution of in situ forces in the anterior cruciate ligament in response to rotatory loads. J Orthop Res 22:85–89CrossRefPubMed
5.
Zurück zum Zitat Lambson RB, Barnhill BS, Higgins RW (1996) Football cleat design and its effect on anterior cruciate ligament injuries: a three-year prospective study. Am J Sports Med 24:155–159CrossRefPubMed Lambson RB, Barnhill BS, Higgins RW (1996) Football cleat design and its effect on anterior cruciate ligament injuries: a three-year prospective study. Am J Sports Med 24:155–159CrossRefPubMed
6.
Zurück zum Zitat Souryal TO, Freeman TR (1993) Intercondylar notch size and anterior cruciate ligament injuries in athletes: a prospective study. Am J Sports Med 21:535–539CrossRefPubMed Souryal TO, Freeman TR (1993) Intercondylar notch size and anterior cruciate ligament injuries in athletes: a prospective study. Am J Sports Med 21:535–539CrossRefPubMed
7.
Zurück zum Zitat Gomes JLE, Castro JV, Becker R (2008) Decreased hip range of motion and noncontact injuries of the anterior cruciate ligament. Arthroscopy 24:1034–1037CrossRefPubMed Gomes JLE, Castro JV, Becker R (2008) Decreased hip range of motion and noncontact injuries of the anterior cruciate ligament. Arthroscopy 24:1034–1037CrossRefPubMed
8.
Zurück zum Zitat Tainaka K, Takizawa T, Kobayashi H, Umimura M (2014) Limited hip rotation and non-contact anterior cruciate ligament injury: a case-control study. Knee 21:86–90CrossRefPubMed Tainaka K, Takizawa T, Kobayashi H, Umimura M (2014) Limited hip rotation and non-contact anterior cruciate ligament injury: a case-control study. Knee 21:86–90CrossRefPubMed
9.
Zurück zum Zitat Philippon M, Dewing C, Briggs K, Steadman JR (2012) Decreased femoral head–neck offset: a possible risk factor for ACL injury. Knee Surg Sports Traumatol Arthrosc 20:2585–2589CrossRefPubMedPubMedCentral Philippon M, Dewing C, Briggs K, Steadman JR (2012) Decreased femoral head–neck offset: a possible risk factor for ACL injury. Knee Surg Sports Traumatol Arthrosc 20:2585–2589CrossRefPubMedPubMedCentral
10.
Zurück zum Zitat Johnson AC, Shaman MA, Ryan TG (2012) Femoroacetabular impingement in former high-level youth soccer players. Am J Sports Med 40:1342–1346CrossRefPubMed Johnson AC, Shaman MA, Ryan TG (2012) Femoroacetabular impingement in former high-level youth soccer players. Am J Sports Med 40:1342–1346CrossRefPubMed
11.
Zurück zum Zitat Agricola R, Bessems JH, Ginai AZ, Heijboer MP, van der Heijden RA, Verhaar JA et al (2012) The development of cam-type deformity in adolescent and young male soccer players. Am J Sports Med 40:1099–1106CrossRefPubMed Agricola R, Bessems JH, Ginai AZ, Heijboer MP, van der Heijden RA, Verhaar JA et al (2012) The development of cam-type deformity in adolescent and young male soccer players. Am J Sports Med 40:1099–1106CrossRefPubMed
12.
Zurück zum Zitat Gosvig KK, Jacobsen S, Palm H, Sonne-Holm S, Magnusson E (2007) A new radiological index for assessing asphericity of the femoral head in cam impingement. J Bone Joint Surg Br 89:1309–1316CrossRefPubMed Gosvig KK, Jacobsen S, Palm H, Sonne-Holm S, Magnusson E (2007) A new radiological index for assessing asphericity of the femoral head in cam impingement. J Bone Joint Surg Br 89:1309–1316CrossRefPubMed
13.
Zurück zum Zitat Boone DC, Azen SP (1979) Normal range of motion of joints in male subjects. J Bone Joint Surg Am 61:756–759CrossRefPubMed Boone DC, Azen SP (1979) Normal range of motion of joints in male subjects. J Bone Joint Surg Am 61:756–759CrossRefPubMed
14.
Zurück zum Zitat Allander E, Bjornsson OJ, Olafsson O, Sigfusson N, Thorstenisson J (1974) Normal range of joint movements in shoulder, hip, wrist and thumb with special reference to side: a comparison between two populations. Int J Epidemiol 3:253–261CrossRefPubMed Allander E, Bjornsson OJ, Olafsson O, Sigfusson N, Thorstenisson J (1974) Normal range of joint movements in shoulder, hip, wrist and thumb with special reference to side: a comparison between two populations. Int J Epidemiol 3:253–261CrossRefPubMed
15.
Zurück zum Zitat De Castro JV, Machado KC, Scaramussa K, Gomes JLE (2013) Incidence of decreased hip range of motion in youth soccer players and response to a stretching program: a randomized clinical trial. J Sport Rehabil 22:100–107CrossRefPubMed De Castro JV, Machado KC, Scaramussa K, Gomes JLE (2013) Incidence of decreased hip range of motion in youth soccer players and response to a stretching program: a randomized clinical trial. J Sport Rehabil 22:100–107CrossRefPubMed
16.
Zurück zum Zitat Van Trijffel E, de Pol RJ, Oostendorp RA, Lucas C (2010) Inter-rater reliability for measurement of passive physiological movements in lower extremity joints is generally low: a systematic review. J Physiother 56:223–235CrossRefPubMed Van Trijffel E, de Pol RJ, Oostendorp RA, Lucas C (2010) Inter-rater reliability for measurement of passive physiological movements in lower extremity joints is generally low: a systematic review. J Physiother 56:223–235CrossRefPubMed
17.
Zurück zum Zitat Ellera Gomes JL, Palma HM, Becker R (2010) Radiographic findings in restrained hip joints associated with ACL rupture. Knee Surg Sports Traumatol Arthrosc 18:1562–1567CrossRefPubMed Ellera Gomes JL, Palma HM, Becker R (2010) Radiographic findings in restrained hip joints associated with ACL rupture. Knee Surg Sports Traumatol Arthrosc 18:1562–1567CrossRefPubMed
18.
Zurück zum Zitat Ellera Gomes JL, Palma HM, Ruthner R (2014) Influence of hip restriction on noncontact ACL rerupture. Knee Surg SportsTraumatol Arthrosc 22:188–191CrossRef Ellera Gomes JL, Palma HM, Ruthner R (2014) Influence of hip restriction on noncontact ACL rerupture. Knee Surg SportsTraumatol Arthrosc 22:188–191CrossRef
19.
Zurück zum Zitat Beaulieu ML, Wojtys EW, Ashton-Miller JA (2015) Risk of anterior cruciate ligament fatigue failure is increased by limited internal femoral rotation during in vitro repeated pivot landings. Am J Sports Med 43:2233–2241CrossRefPubMedPubMedCentral Beaulieu ML, Wojtys EW, Ashton-Miller JA (2015) Risk of anterior cruciate ligament fatigue failure is increased by limited internal femoral rotation during in vitro repeated pivot landings. Am J Sports Med 43:2233–2241CrossRefPubMedPubMedCentral
20.
Zurück zum Zitat Bedi A, Warren RF, Wojtys EM, Oh YK, Ashton-Miller JA, Oltean H, Kelly BT (2014) Restriction in hip internal rotation is associated with an increased risk of ACL injury. Knee Surg Sports Traumatol Arthrosc 24:2024–2031CrossRefPubMed Bedi A, Warren RF, Wojtys EM, Oh YK, Ashton-Miller JA, Oltean H, Kelly BT (2014) Restriction in hip internal rotation is associated with an increased risk of ACL injury. Knee Surg Sports Traumatol Arthrosc 24:2024–2031CrossRefPubMed
21.
Zurück zum Zitat Bedi A, Dolan M, Leunig M, Kelly BT (2011) Static and dynamic mechanical causes of hip pain. Arthroscopy 27:235–251CrossRefPubMed Bedi A, Dolan M, Leunig M, Kelly BT (2011) Static and dynamic mechanical causes of hip pain. Arthroscopy 27:235–251CrossRefPubMed
22.
Zurück zum Zitat Kelly BT, Bedi A, Robertson CM, Dela Torre K, Giveans MR, Larson CM (2012) Alterations in internal rotation and alpha angles are associated with arthroscopic cam decompression in the hip. Am J Sports Med 40:1107–1112CrossRefPubMed Kelly BT, Bedi A, Robertson CM, Dela Torre K, Giveans MR, Larson CM (2012) Alterations in internal rotation and alpha angles are associated with arthroscopic cam decompression in the hip. Am J Sports Med 40:1107–1112CrossRefPubMed
Metadaten
Titel
Assessment of the alpha angle and mobility of the hip in patients with noncontact anterior cruciate ligament injury
verfasst von
Osmar Valadao Lopes Jr
Gustavo Tragnago
Cristiano Gatelli
Rogério Nascimento Costa
Leandro de Freitas Spinelli
Paulo Renato Fernandes Saggin
André Kuhn
Publikationsdatum
20.04.2017
Verlag
Springer Berlin Heidelberg
Erschienen in
International Orthopaedics / Ausgabe 8/2017
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-017-3482-6

Weitere Artikel der Ausgabe 8/2017

International Orthopaedics 8/2017 Zur Ausgabe

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Arthroskopie kann Knieprothese nicht hinauszögern

25.04.2024 Gonarthrose Nachrichten

Ein arthroskopischer Eingriff bei Kniearthrose macht im Hinblick darauf, ob und wann ein Gelenkersatz fällig wird, offenbar keinen Unterschied.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Ärztliche Empathie hilft gegen Rückenschmerzen

23.04.2024 Leitsymptom Rückenschmerzen Nachrichten

Personen mit chronischen Rückenschmerzen, die von einfühlsamen Ärzten und Ärztinnen betreut werden, berichten über weniger Beschwerden und eine bessere Lebensqualität.

Update Orthopädie und Unfallchirurgie

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