Three‐dimensional hip joint congruity evaluation of the borderline dysplasia: Zonal‐acetabular radius of curvature

In theory, a hemispherical acetabulum provides the ideal hip congruity in any hip position. However, it remains unknown how the three‐dimensional acetabular morphology of borderline dysplastic and frank dysplastic hips compare to normal hips. This study inquires if borderline dysplastic zonal‐acetab...

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Veröffentlicht in:Journal of orthopaedic research 2020-10, Vol.38 (10), p.2197-2205
Hauptverfasser: Irie, Tohru, Espinoza Orías, Alejandro A., Irie, Tomoyo Y., Nho, Shane J., Takahashi, Daisuke, Iwasaki, Norimasa, Inoue, Nozomu
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container_title Journal of orthopaedic research
container_volume 38
creator Irie, Tohru
Espinoza Orías, Alejandro A.
Irie, Tomoyo Y.
Nho, Shane J.
Takahashi, Daisuke
Iwasaki, Norimasa
Inoue, Nozomu
description In theory, a hemispherical acetabulum provides the ideal hip congruity in any hip position. However, it remains unknown how the three‐dimensional acetabular morphology of borderline dysplastic and frank dysplastic hips compare to normal hips. This study inquires if borderline dysplastic zonal‐acetabular curvatures in the anterior, superior, and posterior zones are different from normal or dysplastic hips three‐dimensionally. One‐hundred and fifteen hips, grouped as control (25°≤ LCEA
doi_str_mv 10.1002/jor.24631
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However, it remains unknown how the three‐dimensional acetabular morphology of borderline dysplastic and frank dysplastic hips compare to normal hips. This study inquires if borderline dysplastic zonal‐acetabular curvatures in the anterior, superior, and posterior zones are different from normal or dysplastic hips three‐dimensionally. One‐hundred and fifteen hips, grouped as control (25°≤ LCEA &lt;40°), 36 hips; borderline (20°≤ LCEA &lt;25°), 32 hips; dysplasia (LCEA ≤20°), 47 hips were analyzed. The radii of acetabular curvature for the anterior, superior, and posterior zones were calculated as the zonal‐acetabular radius of curvature (ZARC). The mean acetabular roof obliquity of the borderline (10.6 ± 4.3 [SD]°) was significantly larger than the control (3.0° ± 5.4°; P &lt; .001) and smaller than the dysplasia (19.3° ± 5.7°; P &lt; .001). Although the mean acetabular anteversion angle of the borderline (21.3° ± 3.7°) was significantly larger than control (17.9 ± 3.5°; P = .001), that of the borderline was not different from the dysplasia (23.3° ± 4.0°; P = .053). The mean anterior ZARC in the borderline (29.8 ± 2.6 mm) was significantly larger than the control (28.0 ± 2.2 mm; P = .011) and smaller than the dysplasia (31.5 ± 2.7 mm; P = .009). The mean superior ZARC in the borderline (25.7 ± 3.0 mm) was not different from the control (25.9 ± 2.2 mm; P = .934) or the dysplasia (25.8 ± 2.5 mm; P = .991). Although the mean posterior ZARC in the borderline (27.2 ± 2.5 mm) was not different from the control (26.4 ± 1.9 mm; P = .455), that of the borderline group was significantly smaller than the dysplasia (30.4 ± 3.3 mm; P &lt; .001); that is, the severity of lateral under‐coverage affects the anterior and/or posterior zonal‐acetabular curvature.</description><identifier>ISSN: 0736-0266</identifier><identifier>EISSN: 1554-527X</identifier><identifier>DOI: 10.1002/jor.24631</identifier><identifier>PMID: 32073168</identifier><language>eng</language><publisher>United States</publisher><subject>acetabular morphology ; Acetabulum - diagnostic imaging ; Acetabulum - pathology ; Adolescent ; Adult ; borderline hip dysplasia ; Case-Control Studies ; computed tomography ; developmental dysplasia of the hip ; Female ; Hip Dislocation - diagnostic imaging ; Hip Dislocation - pathology ; Humans ; Imaging, Three-Dimensional ; joint congruity ; Male ; Middle Aged ; Tomography, Spiral Computed ; Young Adult</subject><ispartof>Journal of orthopaedic research, 2020-10, Vol.38 (10), p.2197-2205</ispartof><rights>2020 Orthopaedic Research Society. 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However, it remains unknown how the three‐dimensional acetabular morphology of borderline dysplastic and frank dysplastic hips compare to normal hips. This study inquires if borderline dysplastic zonal‐acetabular curvatures in the anterior, superior, and posterior zones are different from normal or dysplastic hips three‐dimensionally. One‐hundred and fifteen hips, grouped as control (25°≤ LCEA &lt;40°), 36 hips; borderline (20°≤ LCEA &lt;25°), 32 hips; dysplasia (LCEA ≤20°), 47 hips were analyzed. The radii of acetabular curvature for the anterior, superior, and posterior zones were calculated as the zonal‐acetabular radius of curvature (ZARC). The mean acetabular roof obliquity of the borderline (10.6 ± 4.3 [SD]°) was significantly larger than the control (3.0° ± 5.4°; P &lt; .001) and smaller than the dysplasia (19.3° ± 5.7°; P &lt; .001). Although the mean acetabular anteversion angle of the borderline (21.3° ± 3.7°) was significantly larger than control (17.9 ± 3.5°; P = .001), that of the borderline was not different from the dysplasia (23.3° ± 4.0°; P = .053). The mean anterior ZARC in the borderline (29.8 ± 2.6 mm) was significantly larger than the control (28.0 ± 2.2 mm; P = .011) and smaller than the dysplasia (31.5 ± 2.7 mm; P = .009). The mean superior ZARC in the borderline (25.7 ± 3.0 mm) was not different from the control (25.9 ± 2.2 mm; P = .934) or the dysplasia (25.8 ± 2.5 mm; P = .991). Although the mean posterior ZARC in the borderline (27.2 ± 2.5 mm) was not different from the control (26.4 ± 1.9 mm; P = .455), that of the borderline group was significantly smaller than the dysplasia (30.4 ± 3.3 mm; P &lt; .001); that is, the severity of lateral under‐coverage affects the anterior and/or posterior zonal‐acetabular curvature.</description><subject>acetabular morphology</subject><subject>Acetabulum - diagnostic imaging</subject><subject>Acetabulum - pathology</subject><subject>Adolescent</subject><subject>Adult</subject><subject>borderline hip dysplasia</subject><subject>Case-Control Studies</subject><subject>computed tomography</subject><subject>developmental dysplasia of the hip</subject><subject>Female</subject><subject>Hip Dislocation - diagnostic imaging</subject><subject>Hip Dislocation - pathology</subject><subject>Humans</subject><subject>Imaging, Three-Dimensional</subject><subject>joint congruity</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Tomography, Spiral Computed</subject><subject>Young Adult</subject><issn>0736-0266</issn><issn>1554-527X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kMFOGzEURa2KCtKURX8AeUkXA7Yn9ky6Q1FLQUiRqlRCbEZv7DfEkTNO7XGq2fEJfCNf0glJ2bF6i3fuWRxCvnB2wRkTlysfLsRE5fwDGXEpJ5kUxf0RGbEiVxkTSp2QTzGuGGMFF-UxOcnF8OKqHJHtYhkQX56ejV1jG61vwdGl3dCVt21HtW8fQ7JdT3ELLkE3ANQ3tFsirX0wGJxtkZo-bhxEC9_ow84w-EBjB3VyEGgAY1PczXQKW-hSwM_kYwMu4unhjsnvH98Xs5_Z3fz6ZnZ1l-lcMZ5BKRqtcwGGT3g9bUpZsgJ0rbnkxvCScVBFo6XguUEzUYJpIaaqZlgyrViTj8n53rsJ_k_C2FVrGzU6By36FCuRy1IWYsrlgH7dozr4GAM21SbYNYS-4qzaZa6GzNVr5oE9O2hTvUbzRv7vOgCXe-Cvddi_b6pu57_2yn9WO4tb</recordid><startdate>202010</startdate><enddate>202010</enddate><creator>Irie, Tohru</creator><creator>Espinoza Orías, Alejandro A.</creator><creator>Irie, Tomoyo Y.</creator><creator>Nho, Shane J.</creator><creator>Takahashi, Daisuke</creator><creator>Iwasaki, Norimasa</creator><creator>Inoue, Nozomu</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-3533-8277</orcidid></search><sort><creationdate>202010</creationdate><title>Three‐dimensional hip joint congruity evaluation of the borderline dysplasia: Zonal‐acetabular radius of curvature</title><author>Irie, Tohru ; 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However, it remains unknown how the three‐dimensional acetabular morphology of borderline dysplastic and frank dysplastic hips compare to normal hips. This study inquires if borderline dysplastic zonal‐acetabular curvatures in the anterior, superior, and posterior zones are different from normal or dysplastic hips three‐dimensionally. One‐hundred and fifteen hips, grouped as control (25°≤ LCEA &lt;40°), 36 hips; borderline (20°≤ LCEA &lt;25°), 32 hips; dysplasia (LCEA ≤20°), 47 hips were analyzed. The radii of acetabular curvature for the anterior, superior, and posterior zones were calculated as the zonal‐acetabular radius of curvature (ZARC). The mean acetabular roof obliquity of the borderline (10.6 ± 4.3 [SD]°) was significantly larger than the control (3.0° ± 5.4°; P &lt; .001) and smaller than the dysplasia (19.3° ± 5.7°; P &lt; .001). Although the mean acetabular anteversion angle of the borderline (21.3° ± 3.7°) was significantly larger than control (17.9 ± 3.5°; P = .001), that of the borderline was not different from the dysplasia (23.3° ± 4.0°; P = .053). The mean anterior ZARC in the borderline (29.8 ± 2.6 mm) was significantly larger than the control (28.0 ± 2.2 mm; P = .011) and smaller than the dysplasia (31.5 ± 2.7 mm; P = .009). The mean superior ZARC in the borderline (25.7 ± 3.0 mm) was not different from the control (25.9 ± 2.2 mm; P = .934) or the dysplasia (25.8 ± 2.5 mm; P = .991). Although the mean posterior ZARC in the borderline (27.2 ± 2.5 mm) was not different from the control (26.4 ± 1.9 mm; P = .455), that of the borderline group was significantly smaller than the dysplasia (30.4 ± 3.3 mm; P &lt; .001); that is, the severity of lateral under‐coverage affects the anterior and/or posterior zonal‐acetabular curvature.</abstract><cop>United States</cop><pmid>32073168</pmid><doi>10.1002/jor.24631</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-3533-8277</orcidid><oa>free_for_read</oa></addata></record>
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source Wiley Free Content; MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects acetabular morphology
Acetabulum - diagnostic imaging
Acetabulum - pathology
Adolescent
Adult
borderline hip dysplasia
Case-Control Studies
computed tomography
developmental dysplasia of the hip
Female
Hip Dislocation - diagnostic imaging
Hip Dislocation - pathology
Humans
Imaging, Three-Dimensional
joint congruity
Male
Middle Aged
Tomography, Spiral Computed
Young Adult
title Three‐dimensional hip joint congruity evaluation of the borderline dysplasia: Zonal‐acetabular radius of curvature
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