Using Sourcil vs Bone Margin as Anatomic Landmark on False-Profile Radiographs Yields Different ACEA Values: Response

Aoki, Stephen K.; Mozingo, Joseph D.; Schuring, Lindsay L.; Anderson, Andrew E.; Rosenthal, Reece M.

doi:10.1177/23259671221112438

Cited by 1 publication

(3 citation statements)

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“…In addition to confirming the difference between sourcil ACEA and bone-edge ACEA, which matches the results of previous studies, 4,24 in this experiment, we found that neither the sourcil ACEA nor the bone-edge ACEA represent the actual anterior hip coverage precisely. When the ACEA is discussed, it should be specified which landmark is used.…”

Section: Discussionsupporting

confidence: 92%

“…To our knowledge, it has not yet been determined which landmark can be a more instructive measurement for guiding hip preservation surgery. 4 , 7 , 15 , 21 , 24 , 27 …”

mentioning

confidence: 99%

“…To our knowledge, it has not yet been determined which landmark can be a more instructive measurement for guiding hip preservation surgery. 4,7,15,21,24,27 In this study, we increased the visibility of the actual edge of the articular surfaces of the acetabulum and the edge of the acetabular sourcil on simulated images generated from the 3D model and used this to create a ''true ACEA'' measurement. We proposed the following questions: Is the sourcil ACEA or bone-edge ACEA equal to the true ACEA?…”

mentioning

confidence: 99%

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Comparison of Anterior Center-Edge Angle Measured From the Acetabular Sourcil Versus the Anterior Bone-Edge of the Acetabulum: A Descriptive Laboratory Study

Cheng,

Ren,

et al. 2024

Orthopaedic Journal of Sports Medicine

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Background: Measuring anterior hip coverage on false-profile (FP) radiographs is important for judging anterior hip coverage. Conventionally, the anterior center-edge angle (ACEA) is measured from the anterior edge of the acetabular sourcil (sourcil ACEA); however, the anterior bone edge is also used as the anterior landmark. Purpose: To determine whether the sourcil ACEA or the bone-edge ACEA better represents the anterior coverage of the hip joint. Study Design: Descriptive laboratory study. Methods: We retrospectively observed 49 hips in 49 patients who underwent isolated periacetabular osteotomy. The sourcil ACEA was measured according to the standard procedure. Then, 3-dimensional (3D) volumetric models were made from computed tomographic data. The acetabular surface of the 3D model was labeled and projected onto a simulated FP radiograph, enabling the edge of the acetabulum to be identified. This simulated FP radiograph was used to measure the “true ACEA,” as well as the sourcil ACEA and the bone-edge ACEA, and the 3 measurements were compared. Statistical analysis was performed—including testing for normal distribution, measuring interobserver agreement, evaluating differences between measurements, and validating correlation. Results: The mean sourcil ACEA was 8.6° (range, –3.9° to 31.7°) smaller than that of the true ACEA ( P < .001); there was a strong correlation ( r = 0.81; P < .001) between the 2. The mean bone-edge ACEA was 16.8° (range, –1.7° to 45.4°) greater than that of the true ACEA ( P < .001); there was a moderate correlation ( r = 0.57; P < 0.001) between the 2. Conclusion: Both the sourcil ACEA and bone-edge ACEA differed from the true ACEA. However, compared with the bone-edge ACEA, the sourcil ACEA was numerically closer to the true ACEA and had a stronger correlation with it . Clinical Relevance: While the exact edge of the true bearing surface of the articular cartilage may not be visible on the FP radiograph, the sourcil ACEA can be effectively utilized as a reliable surrogate when evaluating the anterior acetabular coverage in hip preservation surgery.

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Section: Discussionsupporting

confidence: 92%

“…To our knowledge, it has not yet been determined which landmark can be a more instructive measurement for guiding hip preservation surgery. 4 , 7 , 15 , 21 , 24 , 27 …”

mentioning

confidence: 99%