Proposal for Standardization of Radiographic Studies on the Hip and Pelvis

Polesello, Giancarlo Cavalli; Nakao, Tarsila Sato; Queiroz, Marcelo Cavalheiro de; Daniachi, Daniel; Junior, Walter Ricioli; Guimarães, Rodrigo Pereira; Honda, Emerson Kiyoshi; Ono, Nelson Keiske

doi:10.1016/s2255-4971(15)30318-9

Cited by 20 publications

(20 citation statements)

References 16 publications

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“…In the immediate post‐operative period, plain digital radiographies (anteroposterior [AP] and profile [P] views) of the pelvis and of the hip ipsilateral to the osteosynthesis were obtained, according to the standardization proposed by Polesello et al 22 In AP view, the patient was positioned supine with the legs in internal rotation of 15–20° and with the beam of X‐rays directed at the midline just above the pubic symphysis. In Acelin's profile view, the patient was positioned supine with 90° of flexion of the contralateral hip, with the X‐ray tube angled at 45° cranially in the horizontal plane, toward the root of the affected thigh ( Fig.…”

Section: Methodsmentioning

confidence: 99%

Analysis of using antirotational device on cephalomedullary nail for proximal femoral fractures

Takano

Moraes

Almeida

et al. 2014

Revista Brasileira de Ortopedia (English Edition)

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ObjectiveTo analyze the influence of femoral neck diameter in the positioning of the sliding screw in cefalomedulares nails for treatment of unstable transtrochanteric fractures.MethodsProspectively throughout 2011, patients with unstable fractures transtrochanteric undergoing osteosynthesis with cephalomedullary nail using antirotacional device. They were evaluated for sex, age and fracture classification according to Tronzo. Through digital radiographs angle reduction, tip apex distance (TAD), stem diameter and measures between the positioning of the screws and the limits of the cervix were measured.ResultsOf the 58 patients, 42 (72.4%) were female and 16 (27.6%) were male. 33 patients were classified as Tronzo III (56.9%), 6 patients as Tronzo IV (10.4%) and 19 as Tronzo V (19.8%). The majority were in between the eighth and ninth decade of life. The average reduction in the angle was 130.05° for females and 129.4° for males. The TAD average was 19.7 mm for females and 21.6 for males. The average diameter of the neck and head vary with statistical significance between men and women. In 19 patients the placement of the sliding bolt can be optimal. If the ideal positioning was not possible, the mean displacement for non‐infringement of higher cortical neck was 4.06 mm.ConclusionThe optimal placement would not be possible for the majority of the population, for the average diameter of the neck of the sample.

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Section: Methodsmentioning

confidence: 99%

Analysis of using antirotational device on cephalomedullary nail for proximal femoral fractures

Takano

Moraes

Almeida

et al. 2014

Revista Brasileira de Ortopedia (English Edition)

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“…Padronização na análise dos exames de imagem aumenta a precisão e a velocidade com que se realiza essa análise. 35 Outro componente importante ao avaliar as imagens é considerar-se o todo, ou seja, os achados devem ser entendidos em associação. Por exemplo, uma deformidade tipo came pequena associada a retroversão femoral pode ser mais grave do que uma deformidade tipo came maior com anteversão femoral normal.…”

Section: Estudos De Imagemunclassified

“…Diferentes séries radiográficas são indicadas na literatura para avaliação inicial do quadril doloroso em adultos jovens. 35,37,38 Nepple et al 39 avaliaram a acurácia de diferentes incidências radiográficas na detecção de deformidades tipo came, comparando-as com a tomografia computadorizada (TC). Estes autores demonstraram que a incidência de Dunn com 45°de flexão foi a mais sensível (71% a 80%) e a de Lauenstein (frog leg lateral) foi a mais específica (91% a 100%).…”

Section: Radiografiaunclassified

Impacto femoroacetabular e lesão do lábio acetabular – Parte 2: Diagnóstico clínico, exame físico e imagiologia

Polesello

Eisjman

Queiroz

et al. 2020

Rev Bras Ortop (Sao Paulo)

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ResumoO diagnóstico clínico do impacto femoroacetabular continua a evoluir conforme o entendimento dos quadris normal e patológico progride. Impacto femoroacetabular é atualmente definido como uma síndrome na qual o diagnóstico se baseia no somatório de uma história clínica abrangente obtida previamente, seguida de um exame físico coerente e padronizado com manobras ortopédicas específicas. Além disso, exames radiográficos e tomográficos são usados para a avaliação morfológica do quadril, e para verificar a existência de sequelas de doenças do quadril da infância e a presença de osteoartrose. O entendimento da morfologia e versão femoral e acetabular associado às imagens de lesões labrais e osteocondrais obtidas com a ressonância magnética contribuem para a confirmação da síndrome nos pacientes sintomáticos, além de auxiliar na exclusão de diagnósticos diferenciais, como ressalto do tendão do músculo iliopsoas, impacto subespinhal, impacto isquiofemoral, e outras patologias da articulação do quadril.

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“…Since then, the number of articles on the subject has grown exponentially 15, 18. In recent years, the issue has been repeatedly addressed in the Brazilian Journal of Orthopedics 4, 8, 19, 20, 21, 22, 23…”

Section: Introductionmentioning

confidence: 99%

Femoroacetabular impingement

Volpon

2016

Revista Brasileira de Ortopedia (English Edition)

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The femoroacetabular impingement (FAI) is as condition recently characterized that results from the abnormal anatomic and functional relation between the proximal femur and the acetabular border, associated with repetitive movements, which lead labrum and acetabular cartilage injuries. Such alterations result from anatomical variations such as acetabular retroversion or decrease of the femoroacetabular offset. In addition, FAI may result from acquired conditions as malunited femoral neck fractures, or retroverted acetabulum after pelvic osteotomies. These anomalies lead to pathological femoroacetabular contact, which in turn create impact and shear forces during hip movements. As a result, there is early labrum injury and acetabulum cartilage degeneration. The diagnosis is based on the typical clinical findings and images. Treatment is based on the correction of the anatomic anomalies, labrum debridement or repair, and degenerate articular cartilage removal. However, the natural evolution of the condition, as well as the outcome from long-term treatment, demand a better understanding, mainly in the asymptomatic individuals.

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Proposal for Standardization of Radiographic Studies on the Hip and Pelvis

Cited by 20 publications

References 16 publications

Analysis of using antirotational device on cephalomedullary nail for proximal femoral fractures

Analysis of using antirotational device on cephalomedullary nail for proximal femoral fractures

Impacto femoroacetabular e lesão do lábio acetabular – Parte 2: Diagnóstico clínico, exame físico e imagiologia

Femoroacetabular impingement

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