Influence of Age on Parameters for Femoroacetabular Impingement and Hip Dysplasia in X-Rays

Hofmann, Ulf-Krister; Ipach, Ingmar; Rondak, Ina-Christine; Syha, Roland; Götze, Marco; Mittag, Falk

doi:10.1590/1413-785220172505173951

Cited by 6 publications

(7 citation statements)

References 20 publications

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“…12,13 It had been reported that there was no difference in depth of acetabulum as measured by the (CE) angle in adult African, Caucasian and Indian populations. 1,3,14 Our study shows a similar pattern of distribution in adult Jordanian normal hips. These findings of similar distributions of acetabular depth in different population suggest that acetabular dysplasia may not have a significant role in the development of the condition.…”

Section: Discussionsupporting

confidence: 76%

“…Murray 4 reported that at least 25% of cases of osteoarthritis in the hip were related to acetabular dysplasia and one expect, in view of rarity of osteoarthritis in the African, Indian and Arab, that acetabular dysplasia would be less frequent. 1,3,10,14 The findings in this study and other studies of a similar distribution of acetabular depth suggests that acetabular dysplasia could only be a contributory factor in the etiology of osteoarthritis. 1,3 In our study, we found that (CE) angle and acetabular depth increased significantly with age and becomes progressively deeper.…”

Section: Discussionsupporting

confidence: 62%

“…12,13 Congenital dislocation of the hip is rare in some races including the Chinese, Bantu and Indian. 3,14 In our Jordanian population the congenital dislocation of the hip is common.…”

Section: Discussionmentioning

confidence: 99%

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The centre edge angle of wiberg of acetabulum in adult jordanian population

El-Heis¹,

Gharaibeh²,

Al-Omari³

et al. 2018

MOJOR

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Objective: To measure the depth of acetabulum [the Centre edge (CE) angle] in adult normal Jordanian population. Design: Descriptive Case -Series Study.Participants: Antero -posterior (AP) radiographs of (400 hips) taken for adult nonorthopedic patients of various age groups, 105 were men and 95 were women. Main Outcome Measurements:The centre -edge (CE) angles of 400 hips were measured by Wiberg method.Results: The (CE) angle increased with age. There is no significant difference between men and women, nor is a significant difference between right and left. The distribution of (CE) angles is similar to other studies in Indians, Caucasians and Africans. Conclusion:The acetabular depth measured by the (CE) angle (acetabular dysplasia) could not be the main factor in etiology of osteoarthritis and congenital dislocation of the hip.

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Section: Discussionsupporting

confidence: 76%

Section: Discussionsupporting

confidence: 62%

See 1 more Smart Citation

The centre edge angle of wiberg of acetabulum in adult jordanian population

El-Heis¹,

Gharaibeh²,

Al-Omari³

et al. 2018

MOJOR

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“…Our analyses are cross‐sectional, but it is likely that age influences α angle, leading to higher prevalence of cam. It should be noted that this study did not consider aspects such as history of physical activity, occupation, or genetics 30,31 …”

Section: Discussionmentioning

confidence: 99%

A prospective cohort study on cam morphology and its role in progression of osteoarthritis

et al. 2022

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Background: Cam morphology contributes to the development of hip osteoarthritis (OA) but is less studied in the general population. This study describes its associations with clinical and imaging features of hip OA. Methods:Anteroposterior hip radiographs of 1019 participants from the Tasmanian Older Adult Cohort (TASOAC) were scored at baseline for α angle (cam morphology) in both hips. Using the Altman's atlas, radiographic hip OA (ROA) was assessed at baseline. Hip pain and right hip structural changes were assessed on a subset of 245 magnetic resonance images (MRI) at 5 years. Joint registry data for total hip replacement (THR) was acquired 14 years from baseline.Results: Of 1906 images, cam morphology was assessed in 1016 right and 890 left hips. Cross-sectionally, cam morphology modestly associated with age (prevalence ratio [PR]: 1.02 P = .03) and body mass index (BMI) (PR: 1.03-1.07, P = .03) and strongly related to male gender (PR: 2.96, P < .001). Radiographically, cam morphology was prevalent in those with decreased joint space (PR: 1.30 P = .03) and osteophytes (PR:1.47, P = .03). Longitudinally, participants with right cam and high BMI had more hip pain (PR: 17.9, P = .02). At the end of 5 years of follow-up these participants were also more likely to have structural changes such as bone marrow lesions (BMLs) (PR: 1.90 P = .04), cartilage defects (PR: 1.26, P = .04) and effusion-synovitis at multiple sites (PR: 1.25 P = .02). Cam morphology at baseline in either hip predicted up to threefold risk of THR (PR: 3.19, P = .003) at the end of 14 years. Conclusion:At baseline, cam morphology was linked with age, higher weight, male gender, early signs of radiographic OA such as joint space narrowing (JSN) and osteophytes (OST). At follow-up, cam predicted development of hip BMLs, hip effusionsynovitis, cartilage damage and THR. These findings suggest that cam morphology plays a significant role in early OA and can be a precursor or contribute to hip OA in later life.

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“…Previously, acetabulum morphology was evaluated by other authors, but in adults [11][12][13][14][15][16][17][18][19][20][21][22], the youngest age in these studies was 8 years. [16].…”

Section: Introductionmentioning

confidence: 99%

Femoral Head Coverage Assessment in Healthy Children Younger than 6 Years

Suvorov

Filipchuk

Evhen³

2022

Advances in Orthopedics

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Introduction. Developmental dysplasia of the hip (DDH) is one of the commonest hip joint pathologies in children; to treat it properly, hip surgeons should know the normal femoral head (FH) coverage by the acetabulum. This paper aims to assess the femoral head coverage in healthy children younger than 6 years. Methods. 270 hip joint CT scans were selected, and digital pelvic models were created according to these scans. FH coverage by the five acetabular regions was assessed according to patient’s age and sex. Results. Normal reference values of FH coverage by different acetabular regions were obtained. It was found that the growth process of different acetabular regions occurs nonlinearly with the periods of acceleration. Anterior and superior-anterior acetabular regions grow more intensively in boys up to 3 years old and between 4 and 5 years old both in boys and girls; superior-posterior, posterior-superior, and posterior-inferior acetabular regions grow more intensively in boys and girls up to 3 years old and between 4 and 5 years old ( p ≤ 0.005 ). The following sex differences in FH coverage by the acetabulum were found: more superior-anterior FH coverage was found in boys and posterior FH coverage in girls ( p ≤ 0.005 ).

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Influence of Age on Parameters for Femoroacetabular Impingement and Hip Dysplasia in X-Rays

Cited by 6 publications

References 20 publications

The centre edge angle of wiberg of acetabulum in adult jordanian population

The centre edge angle of wiberg of acetabulum in adult jordanian population

A prospective cohort study on cam morphology and its role in progression of osteoarthritis

Femoral Head Coverage Assessment in Healthy Children Younger than 6 Years

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