An accurate knowledge of the relationship between the neck and the epiphyseal plate at the end of growth is important for biomechanical investigations of femoral neck remodelling during childhood. Statistical data about the position of the epiphyseal femoral cartilage in relation to the neck axis at the end of the growth, are rare in the literature. As the trace of the epiphysis can be observed on a CT scan view of an adult hip, cadaver femurs were investigated to study this relationship and to avoid irradiation of children. The mean anteversion angle of the epiphyseal line towards the patient's coronal plane is 2.3 degrees. The plate is retroverted in an average of 8.2 degrees in relation to the neck axis and is related to neck anteversion. The more the neck is anteverted, the more the plate is retroverted.
Lequesne introduced a radiological projection, which is an oblique view of the edge of the acetabulum, to diagnose arthrosis affecting the anterior part of the joint and to measure the anterior coverage of the femoral head. In this study, we attempted to determine the anatomical correlation of his technique. Fifteen in vitro hemipelvises underwent radiography according to Lequesne's description, using metallic markers and wires to mark physical landmarks. According to geometric laws, the points used by Lequesne do not correlate anatomically. Although Lequesne's technique allows a diagnosis of acetabular dysplasia, measurements are on average 5.5 degrees less than those made anatomically.
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