Acetabular Dysplasia in the Adult

Cooperman, Daniel R.; Wallensten, Richard; Stulberg, S. David

doi:10.1097/00003086-198305000-00013

Cited by 372 publications

(263 citation statements)

References 0 publications

Supporting

Mentioning

256

Contrasting

Unclassified

Order By: Relevance

“…1) [8,28]. Radiographic indices of the acetabular dysplasia, including the lateral center-edge angle, the Sharp angle [29], the acetabular roof obliquity [24], the head extrusion index [20], and the acetabular depth ratio [9], were measured.…”

Section: Radiographic Evaluationsmentioning

confidence: 99%

Does Radiographic Coxa Profunda Indicate Increased Acetabular Coverage or Depth in Hip Dysplasia?

Fujii

Nakamura

Hara

et al. 2015

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

Background Although radiographic coxa profunda has been considered an indicator of acetabular overcoverage, recent studies suggest that radiographic coxa profunda is a nonspecific finding seen even in hip dysplasia. The morphologic features of coxa profunda in hip dysplasia and the frequency with which the two overlap are not well defined. Questions/purposes We determined (1) the prevalence of radiographic coxa profunda in patients with hip dysplasia;(2) the morphologic differences of the acetabulum and pelvis between patients with hip dysplasia and control subjects; and (3) the morphologic differences between hip dysplasia with and without coxa profunda. Methods We retrospectively reviewed the pelvic radiographs and CT scans of 70 patients (70 hips) with hip dysplasia. Forty normal hips were used as controls. Normal hips were defined as those with a lateral center-edge angle between 25°and 40°. Coxa profunda was defined as present when the acetabular fossa was observed to touch or was medial to the ilioischial line on an AP pelvic radiograph. CT measurements included acetabular version, acetabular coverage, acetabular depth, and rotational alignment of the innominate bone. Results The prevalence of coxa profunda was 44% (31 of 70 hips) in dysplastic hips and 73% (29 of 40 hips) in the control hips (odds ratio, 3.32; 95% CI, 1.43-7

show abstract

Section: Radiographic Evaluationsmentioning

confidence: 99%

Does Radiographic Coxa Profunda Indicate Increased Acetabular Coverage or Depth in Hip Dysplasia?

Fujii

Nakamura

Hara

et al. 2015

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

show abstract

“…It has been suggested that osteonecrosis of the femoral epiphysis secondary to treatment of DDH can affect acetabular remodeling [5,6,8,9], but there are no robust data from longitudinal studies describing the magnitude of this effect. Understanding this effect would allow for more accurate anticipation of residual dysplasia and thus be helpful in planning additional treatment.…”

Section: Discussionmentioning

confidence: 99%

“…Consequences of osteonecrosis such as loss of femoral head sphericity or subluxation have been associated with premature osteoarthritis [8,12]. Although osteonecrosis primarily affects the proximal femur, it has been suggested that it can produce a compromise in acetabular remodeling [5,6,8,9], the degree to which this occurs is unclear. Understanding to what degree osteonecrosis worsens acetabular remodeling would allow more accurate anticipation of residual dysplasia and thus be helpful in planning additional treatment.…”

Section: Introductionmentioning

confidence: 99%

Osteonecrosis Complicating Developmental Dysplasia of the Hip Compromises Subsequent Acetabular Remodeling

Roposch

Ridout

Protopapa

et al. 2013

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

Background Osteonecrosis of the femoral head secondary to treatment of developmental dysplasia of the hip (DDH) affects acetabular remodeling but the magnitude of this effect is unclear. Questions/purposes Using four measures of acetabular development, we (1) determined whether acetabular remodeling differed in hips with and without osteonecrosis; and (2) determined the impact of severity of osteonecrosis contributing to acetabular remodeling. Methods We retrospectively reviewed 95 patients (118 hips) treated for DDH by closed or open reduction with or without femoral osteotomy between 1992 and 2006. We evaluated serial radiographs from the time when a stable reduction had been achieved. In 902 radiographs taken over 19 years, we measured the acetabular index and three other indices of hip development. Patients were followed for a mean of 8 years (range,

show abstract

“…25,26 The following measurements were performed digitally. Markers for acetabular dysplasia (Fig 4 A-D): The centeredge (CE) angle of Wiberg, 27 the femoral head extrusion index (FHEI), 28 the acetabular depth-width ratio (ADR), 29 and Sharp' s angle. 30 Minimum joint space width (JSW) as a marker for early degenerative change was measured digitally at 3 locations: laterally, centrally, and medially ( Fig 5).…”

Section: Figurementioning

confidence: 99%

Screening Strategies for Hip Dysplasia: Long-term Outcome of a Randomized Controlled Trial

et al. 2013

View full text Add to dashboard Cite

WHAT'S KNOWN ON THIS SUBJECT: Only 2 randomized controlled trials have addressed effects of ultrasound screening for developmental hip dysplasia. Both concluded that adding universal or selective ultrasound to routine clinical examination gave a nonsignificant reduction in rates of late presenting cases, but higher treatment rates. WHAT THIS STUDY ADDS:This maturity review assesses long-term outcome of one of these trials. Rates of radiographic findings indicating acetabular dysplasia and degenerative change were similar across the 3 screening groups in young adulthood. Increased treatment rates were not associated with avascular necrosis. abstract OBJECTIVE: Screening for hip dysplasia is controversial. A previous randomized controlled trial revealed that adding universal or selective ultrasound to routine clinical examination gave a nonsignificant reduction in rates of late presenting cases, but with higher treatment rates. This study assesses differences in outcome at skeletal maturity for the 3 newborn screening strategies in terms of radiographic markers of acetabular dysplasia and early degenerative change and avascular necrosis (AVN) secondary to neonatal treatment. METHODS:From the initial trial including 11 925 newborns, a populationbased sample of 3935 adolescents was invited for follow-up at age 18 to 20 years. A standardized weight-bearing anteroposterior view was obtained. The outcomes evaluated were the radiographic findings of dysplasia (center-edge angle, femoral head extrusion-index, acetabular depth-width ratio, Sharp' s angle, subjective evaluation of dysplasia) and degenerative change (joint-space width). Signs of AVN were documented. RESULTS:Of the 3935 subjects invited, 2038 (51.8%) attended the maturity review, of which 2011 (58.2% female patients) were included: 551, 665, and 795 subjects from the universal, selective, and clinical groups, respectively. Rates per group of positive radiographic findings associated with dysplasia or degenerative change varied depending on radiographic marker used. No statistically significant differences were detected between groups. No AVN was seen. CONCLUSIONS:Although both selective and universal ultrasound screenings gave a nonsignificant reduction in rates of late cases when compared with expert clinical programs, we were unable to demonstrate any additional reduction in the rates of radiographic findings associated with acetabular dysplasia or degenerative change at maturity. Increased treatment rates were not associated with AVN. Pediatrics 2013;132:492-501

show abstract

Acetabular Dysplasia in the Adult

Cited by 372 publications

References 0 publications

Does Radiographic Coxa Profunda Indicate Increased Acetabular Coverage or Depth in Hip Dysplasia?

Does Radiographic Coxa Profunda Indicate Increased Acetabular Coverage or Depth in Hip Dysplasia?

Osteonecrosis Complicating Developmental Dysplasia of the Hip Compromises Subsequent Acetabular Remodeling

Screening Strategies for Hip Dysplasia: Long-term Outcome of a Randomized Controlled Trial

Contact Info

Product

Resources

About