Pelvic deformity influences acetabular version and coverage in hip dysplasia

Masanori Fujii, Yasuharu Nakashima, Taishi Sato, Mio Akiyama, Yukihide Iwamoto

Research output: Contribution to journalArticle

38 Citations (Scopus)

Abstract

Background: Although a wide variety of acetabular deformities in developmental dysplasia of the hip (DDH) have been reported, the morphologic features of the entire pelvis in DDH are not well characterized and their correlation with acetabular deformity is unknown. Questions/purposes: We determined whether there was a rotational deformity of the entire innominate bone, and if so, whether it related to acetabular version and coverage. Patients and Methods: We examined the morphologic features of the pelvis using CT for 50 patients with DDH (82 hips). Forty normal hips were used as controls. The innominate rotation angle was determined at three levels in the axial plane. The acetabular sector angle served as an indicator of acetabular coverage of the femoral head. We evaluated the association between innominate rotation angles and acetabular version and coverage. Results: We observed greater internal rotation of the innominate bone in patients with DDH than in the control subjects. Internal rotation of the innominate bone was associated with increased acetabular anteversion angle and acetabular inclination angle. In hips with acetabular retroversion (nine of 82 hips; 11.0 %), the entire innominate bone was externally rotated, compared with hips with acetabular anteversion. Internal rotation of the innominate bone also was associated with decreased anterior and superior acetabular coverage. Conclusion: Our observations suggest structural abnormalities exist throughout the pelvis in DDH, and the morphologic abnormalities of the acetabulum are not caused solely by local dysplasia around the hip, but are influenced by the morphologic features of the entire pelvis. Level of Evidence: Level IV, prognostic study. See Guidelines for Authors for a complete description of levels of evidence.

Original languageEnglish
Pages (from-to)1735-1742
Number of pages8
JournalClinical orthopaedics and related research
Volume469
Issue number6
DOIs
Publication statusPublished - Jan 1 2011

Fingerprint

Hip Dislocation
Pelvic Bones
Hip
Pelvis
Acetabulum
Thigh
Guidelines

All Science Journal Classification (ASJC) codes

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Pelvic deformity influences acetabular version and coverage in hip dysplasia. / Fujii, Masanori; Nakashima, Yasuharu; Sato, Taishi; Akiyama, Mio; Iwamoto, Yukihide.

In: Clinical orthopaedics and related research, Vol. 469, No. 6, 01.01.2011, p. 1735-1742.

Research output: Contribution to journalArticle

@article{af22e2d9dcbe4e42b3a68ef1b80e2c56,
title = "Pelvic deformity influences acetabular version and coverage in hip dysplasia",
abstract = "Background: Although a wide variety of acetabular deformities in developmental dysplasia of the hip (DDH) have been reported, the morphologic features of the entire pelvis in DDH are not well characterized and their correlation with acetabular deformity is unknown. Questions/purposes: We determined whether there was a rotational deformity of the entire innominate bone, and if so, whether it related to acetabular version and coverage. Patients and Methods: We examined the morphologic features of the pelvis using CT for 50 patients with DDH (82 hips). Forty normal hips were used as controls. The innominate rotation angle was determined at three levels in the axial plane. The acetabular sector angle served as an indicator of acetabular coverage of the femoral head. We evaluated the association between innominate rotation angles and acetabular version and coverage. Results: We observed greater internal rotation of the innominate bone in patients with DDH than in the control subjects. Internal rotation of the innominate bone was associated with increased acetabular anteversion angle and acetabular inclination angle. In hips with acetabular retroversion (nine of 82 hips; 11.0 {\%}), the entire innominate bone was externally rotated, compared with hips with acetabular anteversion. Internal rotation of the innominate bone also was associated with decreased anterior and superior acetabular coverage. Conclusion: Our observations suggest structural abnormalities exist throughout the pelvis in DDH, and the morphologic abnormalities of the acetabulum are not caused solely by local dysplasia around the hip, but are influenced by the morphologic features of the entire pelvis. Level of Evidence: Level IV, prognostic study. See Guidelines for Authors for a complete description of levels of evidence.",
author = "Masanori Fujii and Yasuharu Nakashima and Taishi Sato and Mio Akiyama and Yukihide Iwamoto",
year = "2011",
month = "1",
day = "1",
doi = "10.1007/s11999-010-1746-1",
language = "English",
volume = "469",
pages = "1735--1742",
journal = "Clinical Orthopaedics and Related Research",
issn = "0009-921X",
publisher = "Springer New York",
number = "6",

}

TY - JOUR

T1 - Pelvic deformity influences acetabular version and coverage in hip dysplasia

AU - Fujii, Masanori

AU - Nakashima, Yasuharu

AU - Sato, Taishi

AU - Akiyama, Mio

AU - Iwamoto, Yukihide

PY - 2011/1/1

Y1 - 2011/1/1

N2 - Background: Although a wide variety of acetabular deformities in developmental dysplasia of the hip (DDH) have been reported, the morphologic features of the entire pelvis in DDH are not well characterized and their correlation with acetabular deformity is unknown. Questions/purposes: We determined whether there was a rotational deformity of the entire innominate bone, and if so, whether it related to acetabular version and coverage. Patients and Methods: We examined the morphologic features of the pelvis using CT for 50 patients with DDH (82 hips). Forty normal hips were used as controls. The innominate rotation angle was determined at three levels in the axial plane. The acetabular sector angle served as an indicator of acetabular coverage of the femoral head. We evaluated the association between innominate rotation angles and acetabular version and coverage. Results: We observed greater internal rotation of the innominate bone in patients with DDH than in the control subjects. Internal rotation of the innominate bone was associated with increased acetabular anteversion angle and acetabular inclination angle. In hips with acetabular retroversion (nine of 82 hips; 11.0 %), the entire innominate bone was externally rotated, compared with hips with acetabular anteversion. Internal rotation of the innominate bone also was associated with decreased anterior and superior acetabular coverage. Conclusion: Our observations suggest structural abnormalities exist throughout the pelvis in DDH, and the morphologic abnormalities of the acetabulum are not caused solely by local dysplasia around the hip, but are influenced by the morphologic features of the entire pelvis. Level of Evidence: Level IV, prognostic study. See Guidelines for Authors for a complete description of levels of evidence.

AB - Background: Although a wide variety of acetabular deformities in developmental dysplasia of the hip (DDH) have been reported, the morphologic features of the entire pelvis in DDH are not well characterized and their correlation with acetabular deformity is unknown. Questions/purposes: We determined whether there was a rotational deformity of the entire innominate bone, and if so, whether it related to acetabular version and coverage. Patients and Methods: We examined the morphologic features of the pelvis using CT for 50 patients with DDH (82 hips). Forty normal hips were used as controls. The innominate rotation angle was determined at three levels in the axial plane. The acetabular sector angle served as an indicator of acetabular coverage of the femoral head. We evaluated the association between innominate rotation angles and acetabular version and coverage. Results: We observed greater internal rotation of the innominate bone in patients with DDH than in the control subjects. Internal rotation of the innominate bone was associated with increased acetabular anteversion angle and acetabular inclination angle. In hips with acetabular retroversion (nine of 82 hips; 11.0 %), the entire innominate bone was externally rotated, compared with hips with acetabular anteversion. Internal rotation of the innominate bone also was associated with decreased anterior and superior acetabular coverage. Conclusion: Our observations suggest structural abnormalities exist throughout the pelvis in DDH, and the morphologic abnormalities of the acetabulum are not caused solely by local dysplasia around the hip, but are influenced by the morphologic features of the entire pelvis. Level of Evidence: Level IV, prognostic study. See Guidelines for Authors for a complete description of levels of evidence.

UR - http://www.scopus.com/inward/record.url?scp=79959546088&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79959546088&partnerID=8YFLogxK

U2 - 10.1007/s11999-010-1746-1

DO - 10.1007/s11999-010-1746-1

M3 - Article

C2 - 21203874

AN - SCOPUS:79959546088

VL - 469

SP - 1735

EP - 1742

JO - Clinical Orthopaedics and Related Research

JF - Clinical Orthopaedics and Related Research

SN - 0009-921X

IS - 6

ER -