A versão femoral está associada a alterações na força dos músculos do quadril em mulheres com impacto femoroacetabular sintomático?

Marostica, Adriano David; Pizzolatti, André Luiz Almeida; Adam, G.; Codonho, Daniel; Canella, Richard Prazeres; Ganev, Gerson Gandhi

doi:10.1055/s-0039-1694019

Cited by 3 publications

(1 citation statement)

References 26 publications

(69 reference statements)

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“…In patient with increased AVA but normal foot progression angle, Passmore et al [29] showed that higher gluteus medius muscle forces are needed for walking with the patient-speci c femoral geometry compared to a normal, typical geometry. Several other studies [70][71][72][73] investigated the relationship between femoral geometry and muscle strength. To the best of our knowledge, no studies showed a clear relationship between the femoral geometry (combined AVA and NSA), muscle strength and gait pattern.…”

Section: Discussionmentioning

confidence: 99%

Influence of femoral anteversion angle and neck-shaft angle on muscle forces and joint loading during walking

Kainz

Mindler

Kranzl

2023

Preprint

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Femoral deformities, e.g. increased or decreased femoral anteversion (AVA) and neck-shaft angle (NSA), can lead to pathological gait patterns, altered joint loads, and degenerative joint diseases. The mechanism how femoral geometry influences muscle forces and joint load during walking is still not fully understood. Hence, we conducted a comprehensive musculoskeletal modelling study to investigate the influence of femoral AVA and NSA on muscle forces and joint loads during walking. We created 25 musculoskeletal models with a variety of NSA and AVA. For each model we calculated moment arms, muscle forces, muscle moments, and joint loads based on motion capture data of a healthy person with a typical gait pattern. We found a significant increase in co-contraction of hip and knee joint spanning muscles in models with increasing AVA and NSA, which led to a substantial increase in hip and knee joint contact forces. Decreased AVA and NSA had a minor impact on muscle and joint contact forces. Neglecting an individual’s femoral geometry when estimating joint contact forces can lead to errors above five times body weight. Knowing the influence of femoral geometry on muscle forces and joint loads can help clinicians to improve treatment strategies in patients with femoral deformities.

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Section: Discussionmentioning

confidence: 99%

Influence of femoral anteversion angle and neck-shaft angle on muscle forces and joint loading during walking

Kainz

Mindler

Kranzl

2023

Preprint

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Over one third of patients with symptomatic femoroacetabular impingement display femoral or acetabular version abnormalities

Arshad

Maughan

Kumar

et al. 2021

Knee Surg Sports Traumatol Arthrosc

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Purpose The aim of this study was investigate the relationship between version and torsional abnormalities of the acetabulum, femur and tibia in patients with symptomatic FAI. Methods A systematic review was performed according to PRISMA guidelines using the EMBASE, MEDLINE, PubMed and Cochrane databases. Original research articles evaluating the described version and torsional parameters in FAI were included. The MINORS criteria were used to appraise study quality and risk of bias. Mean version and torsion values were displayed using forest plots and the estimated proportion of hips displaying abnormalities in version/torsion were calculated. Results A total of 1206 articles were identified from the initial search, with 43 articles, involving 8861 hips, meeting the inclusion criteria. All studies evaluating femoral or acetabular version in FAI reported ‘normal’ mean version values (10–25 °). However, distribution analysis revealed that an estimated 31% and 51% of patients with FAI displayed abnormal central acetabular and femoral version, respectively. Conclusion Up to 51% of patients presenting with symptomatic FAI show an abnormal femoral version, whilst up to 31% demonstrate abnormal acetabular version. This high percentage of version abnormalities highlights the importance of evaluating these parameters routinely during assessment of patients with FAI, to guide clinical decision-making. Level of evidence IV.

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Does Increased Femoral Anteversion Can Cause Hip Abductor Muscle Weakness?

Apti

Akalan

2023

Children

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Background: Increased femoral anteversion (IFA) causes functional problems (i.e., tripping, frequently falling, and fatigue) by affecting the pelvis and lower extremity biomechanics. In the frontal plane, increased contralateral pelvic drop and ipsilateral hip adduction, which are mainly considered deteriorated hip abductor muscle mechanisms, are associated with hip and knee injuries. Aims: The aim of this study was to examine the effects of femoral anteversion on hip abductor weakness and frontal plane pelvis–hip biomechanics during walking. Methods: The study included nine subjects with increased femoral anteversion and a control group of eleven subjects. Maximum isometric voluntary contraction (MIVC) values of the hip abductor muscles were measured with a handheld dynamometer. Three-dimensional gait analysis was performed for kinetic, kinematic, and temporo-spatial gait parameters. Non-parametric tests were used for statistical analysis (p < 0.05). Results: There was no significant difference found between the MIVC values of the IFA and control groups (p = 0.14). Moreover, no significant difference was determined between the ipsilateral peak hip adduction (p = 0.088) and contralateral pelvic drop (p = 0.149) in the stance phase. Additionally, there was no correlation between the peak hip adduction angle in the stance phase and normalized MIVC values in the IFA group (r = −0.198, p = 0.44), or in the control group (r = −0.174, p = 0.55). The deviations of pelvic rotation (p = 0.022), hip internal rotation (p = 0.003), and internal foot progression (p = 0.022), were found to be higher in the IFA group than in the controls. Conclusions: IFA may not be associated with hip abductor muscle weakness, and it may not lead to the hip adduction and pelvic depression that can be seen in hip abductor weakness. Increased pelvic rotation and internal hip rotation during walking might be considered as a compensation for the femoral head–acetabulum alignment mechanism in the frontal plane.

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A versão femoral está associada a alterações na força dos músculos do quadril em mulheres com impacto femoroacetabular sintomático?

Cited by 3 publications

References 26 publications

Influence of femoral anteversion angle and neck-shaft angle on muscle forces and joint loading during walking

Influence of femoral anteversion angle and neck-shaft angle on muscle forces and joint loading during walking

Over one third of patients with symptomatic femoroacetabular impingement display femoral or acetabular version abnormalities

Does Increased Femoral Anteversion Can Cause Hip Abductor Muscle Weakness?

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