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Is Femoral Version Associated with Changes in Hip Muscle Strength in Females with Symptomatic Femoroacetabular Impingement?[*]Article in several languages: português | English
16 July 2018
12 March 2019
20 August 2019 (online)
Objective The aim of the present study was to evaluate the association between femoral anteversion and hip muscle strength in subjects with femoroacetabular impingement syndrome.
Method The femoral version angles described in the arthro-magnetic resonance images and isokinetic tests were retrospectively evaluated from July 2016 to December 2017. The inclusion criteria were: a) femoral version evaluated by the same radiologist; b) α angle ≥ 55°; and c) no limiting pain during the isokinetic test. Flexion/extension, abduction/adduction, and internal/external rotation peak torques were evaluated at 30° per second in 5 repetitions. The correlation between femoral version and muscle strength was evaluated by simple linear regression at a 5% significance level.
Results A total of 37 females filled the inclusion criteria, and 51 symptomatic hips were evaluated. There was no correlation of the femoral anteversion in the flexion, extension, abduction, adduction, external rotation and internal rotation peak torques.
Conclusion Femoral anteversion did not show a correlation with hip muscle strength in females with symptomatic femoroacetabular impingement.
* Work conducted at Clinica Reab, Florianopolis, SC, Brazil.
- 1 Chegini S, Beck M, Ferguson SJ. The effects of impingement and dysplasia on stress distributions in the hip joint during sitting and walking: a finite element analysis. J Orthop Res 2009; 27 (02) 195-201
- 2 Beck M, Kalhor M, Leunig M, Ganz R. Hip morphology influences the pattern of damage to the acetabular cartilage: femoroacetabular impingement as a cause of early osteoarthritis of the hip. J Bone Joint Surg Br 2005; 87 (07) 1012-1018
- 3 Botser IB, Ozoude GC, Martin DE, Siddiqi AJ, Kuppuswami S, Domb BG. Femoral anteversion in the hip: comparison of measurement by computed tomography, magnetic resonance imaging, and physical examination. Arthroscopy 2012; 28 (05) 619-627
- 4 Jackson TJ, Lindner D, El-Bitar YF, Domb BG. Effect of femoral anteversion on clinical outcomes after hip arthroscopy. Arthroscopy 2015; 31 (01) 35-41
- 5 Satpathy J, Kannan A, Owen JR, Wayne JS, Hull JR, Jiranek WA. Hip contact stress and femoral neck retroversion: a biomechanical study to evaluate implication of femoroacetabular impingement. J Hip Preserv Surg 2015; 2 (03) 287-294
- 6 Baldon RdeM, Nakagawa TH, Muniz TB, Amorim CF, Maciel CD, Serrão FV. Eccentric hip muscle function in females with and without patellofemoral pain syndrome. J Athl Train 2009; 44 (05) 490-496
- 7 Ireland ML, Willson JD, Ballantyne BT, Davis IM. Hip strength in females with and without patellofemoral pain. J Orthop Sports Phys Ther 2003; 33 (11) 671-676
- 8 Bolgla LA, Malone TR, Umberger BR, Uhl TL. Hip strength and hip and knee kinematics during stair descent in females with and without patellofemoral pain syndrome. J Orthop Sports Phys Ther 2008; 38 (01) 12-18
- 9 Casartelli NC, Maffiuletti NA, Item-Glatthorn JF. , et al. Hip muscle weakness in patients with symptomatic femoroacetabular impingement. Osteoarthritis Cartilage 2011; 19 (07) 816-821
- 10 Diamond LE, Wrigley TV, Hinman RS. , et al. Isometric and isokinetic hip strength and agonist/antagonist ratios in symptomatic femoroacetabular impingement. J Sci Med Sport 2016; 19 (09) 696-701
- 11 Nepple JJ, Goljan P, Briggs KK, Garvey SE, Ryan M, Philippon MJ. Hip Strength Deficits in Patients With Symptomatic Femoroacetabular Impingement and Labral Tears. Arthroscopy 2015; 31 (11) 2106-2111
- 12 Casartelli NC, Maffiuletti NA, Item-Glatthorn JF, Impellizzeri FM, Leunig M. Hip muscle strength recovery after hip arthroscopy in a series of patients with symptomatic femoroacetabular impingement. Hip Int 2014; 24 (04) 387-393
- 13 Schutte LM, Hayden SW, Gage JR. Lengths of hamstrings and psoas muscles during crouch gait: effects of femoral anteversion. J Orthop Res 1997; 15 (04) 615-621
- 14 Barrientos C, Barahona M, Diaz J, Brañes J, Chaparro F, Hinzpeter J. Is there a pathological alpha angle for hip impingement? A diagnostic test study. J Hip Preserv Surg 2016; 3 (03) 223-228
- 15 de Sa D, Urquhart N, Philippon M, Ye JE, Simunovic N, Ayeni OR. Alpha angle correction in femoroacetabular impingement. Knee Surg Sports Traumatol Arthrosc 2014; 22 (04) 812-821
- 16 Beck M, Sledge JB, Gautier E, Dora CF, Ganz R. The anatomy and function of the gluteus minimus muscle. J Bone Joint Surg Br 2000; 82 (03) 358-363
- 17 Delp SL, Hess WE, Hungerford DS, Jones LC. Variation of rotation moment arms with hip flexion. J Biomech 1999; 32 (05) 493-501
- 18 Neumann DA. Kinesiology of the hip: a focus on muscular actions. J Orthop Sports Phys Ther 2010; 40 (02) 82-94
- 19 Cibulka MT, Strube MJ, Meier D. , et al. Symmetrical and asymmetrical hip rotation and its relationship to hip rotator muscle strength. Clin Biomech (Bristol, Avon) 2010; 25 (01) 56-62
- 20 Philippon MJ, Ejnisman L, Pennock AT. , et al. Does Femoral Anteversion Play a Role in the Pathomechanics and Subsequent Surgical Treatment of Femoroacetabular Impingement? (SS-44). Arthrosc J Arthrosc Relat Surg. 2011; 27 (05) e53
- 21 Nyland J, Kuzemchek S, Parks M, Caborn DNM. Femoral anteversion influences vastus medialis and gluteus medius EMG amplitude: composite hip abductor EMG amplitude ratios during isometric combined hip abduction-external rotation. J Electromyogr Kinesiol 2004; 14 (02) 255-261
- 22 Delp SL, Komattu AV, Wixson RL. Superior displacement of the hip in total joint replacement: effects of prosthetic neck length, neck-stem angle, and anteversion angle on the moment-generating capacity of the muscles. J Orthop Res 1994; 12 (06) 860-870
- 23 Souza RB, Powers CM. Predictors of hip internal rotation during running: an evaluation of hip strength and femoral structure in women with and without patellofemoral pain. Am J Sports Med 2009; 37 (03) 579-587
- 24 Powers CM. The influence of abnormal hip mechanics on knee injury: a biomechanical perspective. J Orthop Sports Phys Ther 2010; 40 (02) 42-51
- 25 Baldon RdeM, Lobato D FM, Carvalho LP, Wun P YL, Presotti CV, Serrão FV. Relationships between eccentric hip isokinetic torque and functional performance. J Sport Rehabil 2012; 21 (01) 26-33
- 26 Ferro FP, Ho CP, Briggs KK, Philippon MJ. Patient-centered outcomes after hip arthroscopy for femoroacetabular impingement and labral tears are not different in patients with normal, high, or low femoral version. Arthroscopy 2015; 31 (03) 454-459