The relationship between acetabular retroversion and osteoarthritis of the hip.

Excessive acetabular cover secondary to a retroverted acetabulum causes pincer impingement, which may cause early osteoarthritis of the hip. Our aim was to determine if there was a relationship between acetabular version and osteoarthritis of the hip. Using image processing and analysis software we...

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Publicado en:Journal of Bone & Joint Surgery, British Volume Vol. 88B; no. 6; pp. 727 - 730
Autores principales: Kim WY, Hutchinson CE, Andrew JG, Allen PD
Formato: research tables/charts Journal Article
Publicado: British Editorial Society of Bone & Joint Surgery 2006 Jun
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2006 Jun
      vid: 88B
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      pub: British Editorial Society of Bone & Joint Surgery
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        10.1302/0301-620x.88b6.17430
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        atl: The relationship between acetabular retroversion and osteoarthritis of the hip.
      aug:
        au:
          Kim WY
          Hutchinson CE
          Andrew JG
          Allen PD
        affil: Department of Orthopaedics, Room 3114, 910 West 10th Avenue, Vancouver, V5Z 4E3, Canada.
      sug:
        subj:
          Acetabulum Anatomy and Histology
          Osteoarthritis, Hip
          Adult
          Colonography, Computed Tomographic
          Confidence Intervals
          Descriptive Statistics
          Female
          Human
          Image Processing, Computer Assisted
          Intrarater Reliability
          Male
          Middle Age
          Pearson's Correlation Coefficient
          Reproducibility of Results
          Single-Blind Studies
          Tomography, X-Ray Computed
          Two-Tailed Test
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Excessive acetabular cover secondary to a retroverted acetabulum causes pincer impingement, which may cause early osteoarthritis of the hip. Our aim was to determine if there was a relationship between acetabular version and osteoarthritis of the hip. Using image processing and analysis software we studied 117 CT images of the hip in patients aged less than 65 years who had undergone a CT virtual colonoscopy. The mean CT joint space of the 18 hips with acetabular retroversion was narrower compared with the 99 hips with normal acetabular alignment (p < 0.0001). A correlation of r = 0.46 (p < 0.01) was found between right hip acetabular version and the mean right hip joint space and of r = 0.31 (p = 0.02) between left hip acetabular version and the mean left hip joint space. Acetabular retroversion is associated with radiological evidence of osteoarthritis of the hip. An understanding of the mechanical basis of osteoarthritis of the hip allows early treatment of the underlying structural abnormality and prevents progression of the degenerative condition.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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