Acetabular anteversion is associated with gluteal tendinopathy at MRI

Moulton, Kyle M.; Aly, Abdel-Rahman; Rajasekaran, Sathish; Shepel, Michael; Obaid, Haron

doi:10.1007/s00256-014-1991-6

Cited by 21 publications

(12 citation statements)

References 24 publications

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“… 1 , 2 Additionally, it is reported that abnormal acetabular anteversion and/or femoral version participate in the etiogenesis of hip osteoarthritis, 3 , 4 developmental dysplasia of the hip (DDH), 5 , 6 and gluteal tendinopathy. 7 Femoral neck-shaft angle, defined as an intersection angle by proximal femoral shaft axis and femoral neck axis, is another clinically significant parameter of proximal femoral geometry (PFG). Recent studies 8 , 9 indicate that a greater neck-shaft angle may increase the risk of proximal femoral fracture.…”

Section: Introductionmentioning

confidence: 99%

Femoral Version, Neck-Shaft Angle, and Acetabular Anteversion in Chinese Han Population

et al. 2015

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Anatomic data regarding femoral version, neck-shaft angle, and acetabular anteversion are still limited in Chinese Han adult population. The aim of this study was to investigate the effects of age, sex, and body laterality on the 3 important anatomic indicators in Chinese Han healthy adults.Measurements were performed independently by 3 experienced observers using the picture archiving and communication system (PACS) in healthy adults who had received imaging tests of the femur and acetabulum between January 2009 and October 2014. Relevant data were measured and analyzed.A total of 466 adults (353 males and 113 females) were included. The mean femoral version, neck-shaft angle, and acetabular anteversion for all were 10.62, 133.02, and18.79, respectively. Age-based analysis showed that adults younger than 60 years had a significantly higher neck-shaft angle (P < 0.001) but a significantly lower acetabular anteversion (P < 0.001) than those older than 60 years. Sex-based analysis revealed that females had significantly higher values of femoral version (P < 0.001) and acetabular anteversion (P < 0.001) than males. Laterality-based analysis found the left side had a significantly lower acetabular anteversion (P < 0.001) than the right side. Outcomes of multiple linear regression analysis indicated that femoral version may be associated with sex (P < 0.001) but not age (P = 0.076) or laterality (P = 0.430), neck-shaft angle may be associated with age (P < 0.001) but not sex (P = 0.378) or laterality (P = 0.233), and acetabular anteversion may be associated with age (P < 0.001) and sex (P < 0.001) but not laterality (P = 0.060).In this representative Chinese cohort, neck-shaft angle may decrease, whereas acetabular anteversion may increase with age, females may have higher values of femoral version and acetabular anteversion than males, and the right body side may have a higher value of acetabular anteversion than the left side.

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Section: Introductionmentioning

confidence: 99%

Femoral Version, Neck-Shaft Angle, and Acetabular Anteversion in Chinese Han Population

et al. 2015

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“…8 This spawned several studies seeking to correlate radiographic findings with the presence of GTPS. 7,13 Fearon et al 7 examined differences in the femoral neckshaft angle, acetabular index, pelvic width, distance between the trochanters, and hip circumference (adiposity) in 220 women, concluding that a neck-shaft angle lower than 134 and increased adiposity were risk factors. A closer examination of their analysis, however, raises some doubts about the strength of these associations.…”

Section: Discussionmentioning

confidence: 99%

Hip Stability May Influence the Development of Greater Trochanteric Pain Syndrome: A Case-Control Study of Consecutive Patients

Goldman

Land

Adsit

et al. 2020

Orthopaedic Journal of Sports Medicine

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Background: Greater trochanteric pain syndrome (GTPS) is thought to relate primarily to tendinosis/tendinopathy of the hip abductors. Previous studies have suggested that certain anatomic factors may predispose one to development of the condition. Hypothesis: It was hypothesized that intrinsic acetabular bony stability of the hip is related to the development of GTPS. Study Design: Cross-sectional study; Level of evidence, 3. Methods: A total of 198 consecutive patients diagnosed with GTPS were compared with 198 consecutive patients without clinical evidence of GTPS. Electronic health records of the included patients were examined; data recorded included patient age, sex, race, and body mass index (BMI). Standing anteroposterior radiographs were evaluated by 2 blinded examiners who measured the Tönnis angle, lateral center-edge angle (LCEA), and acetabular depth/width ratio (ADW) and assessed for the presence of a posterior wall sign. The number of dysplastic measures was recorded for each patient based on published norms. Associations between radiographic and patient variables versus the presence or absence of GTPS were determined. Factors with univariate associations where P < .20 were included in a binary logistic regression model to identify independent predictors of the presence of GTPS. Results: There was no difference between groups in terms of age, BMI, or race. There were significantly more women than men in the GTPS group (71% vs 30%; P < .001). Intraclass correlation coefficients were good for the LCEA (0.82) and Tönnis angle (0.82) and poor (0.08) for the ADW. Kappa was moderate for the presence of a posterior wall sign (0.51). An increased Tönnis angle, decreased ADW, and ADW <0.25 were significantly associated with the presence of GTPS. The binary logistic regression model identified an increased Tönnis angle ( P < .010) and female sex ( P < .001) as independent risk factors for GTPS. Conclusion: Based on this preliminary retrospective study, decreased intrinsic acetabular bony stability of the hip may be associated with an increased risk of GTPS.

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“…48,49 Moulton et al showed that an increased acetabular anteversion is associated with tendinopathy of the gluteus minimus and medius as well as with trochanteric bursitis. 50 On US, tendinosis is defined by tendon thickening and heterogeneous hypoechogenicity due to edema. Peritendinous hyperemia may be demonstrated by color Doppler.…”

Section: Extra-articular Injuries Greater Trochanteric Pain Syndromementioning

confidence: 99%

Imaging of Articular and Extra-articular Sports Injuries of the Hip

Borić

Isaac

Dalili

et al. 2019

Semin Musculoskelet Radiol

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Sports-related articular and periarticular hip injuries are common in athletes. Knowledge of patient complaints and clinical findings are crucial for adequate interpretation of imaging examinations. However, asymptomatic athletes can present abnormal imaging findings, and clinical presentation of hip injuries may be nonspecific. Therefore, a thorough examination of the hip and surrounding soft tissue images is essential.This review describes the intra-articular pathologies encountered in sports activities including labrum or cartilage lesions, associated or not with femoroacetabular hip impingement syndromes, as well as ligament teres injuries, using magnetic resonance imaging (MRI) or computed tomography arthrography. Different causes of snapping hip syndrome (from intra- and extra-articular origins) are also discussed and illustrated. The extra-articular forms of hip impingement syndromes including ischiofemoral and subspine impingement are depicted with MRI and ultrasound. Diagnostic imaging of bone avulsions, greater trochanteric syndrome, athletic pubalgia, and myotendinous injuries is also described.

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Acetabular anteversion is associated with gluteal tendinopathy at MRI

Abstract: Our MRI study suggests that there is an association between increased AA and gluteal tendinopathy, which supports a growing body of evidence implicating abnormal biomechanics in the development of this condition.

Cited by 21 publications

References 24 publications

Femoral Version, Neck-Shaft Angle, and Acetabular Anteversion in Chinese Han Population

Femoral Version, Neck-Shaft Angle, and Acetabular Anteversion in Chinese Han Population

Hip Stability May Influence the Development of Greater Trochanteric Pain Syndrome: A Case-Control Study of Consecutive Patients

Imaging of Articular and Extra-articular Sports Injuries of the Hip

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