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DOI: 10.1055/s-0041-1731658
Anthropometric Tomographic Study of the Hip in a Brazilian Regional Population[*]
Article in several languages: português | English
Abstract
Objective The present study aimed to determine the average hip anthropometry of a regional Brazilian population using measurements based on computerized axial tomography (CAT).
Methods Retrospective, descriptive analysis of hip measurements from 200 abdominal CATs from patients visiting a medical center. The tests were selected at random to determine 30 previously defined anthropometric measurements. The data were statistically analyzed and compared according to gender and age.
Results The prevalence of hip dysplasia was 6%. Signs suggesting femoroacetabular impingement were seen in 26% of cases. Patients over 50 years old presented significantly greater measures of horizontal acetabulum sectors, center-edge angle, and acetabular arch, as well as lower extrusion index, cervical-diaphyseal angle and vertical offset. Some measurements were significantly different according to gender: the lateral center-edge angle (µ = 35.5°) and the acetabular arch (µ = 68.7°) were higher in females. Males presented increased extrusion index (µ = 16%), lateral offset (µ = 38.3 mm), depth (µ = 19.5 mm), and neck diameter (µ = 26.4 mm).
Conclusion The present study characterized the hip anthropometry of a regional Brazilian population. It also demonstrated significant morphological differences per age group and gender.
Financial Support
There was no financial support from public, commercial, or non-profit sources.
* Study developed by the Hip Group from CRIAr – Centro de Reconstrução e Instituto de Pesquisa Articular, Hospital Angelina Caron, Campina Grande do Sul, Paraná, Brazil.
Publication History
Received: 17 May 2020
Accepted: 11 February 2021
Article published online:
13 December 2021
© 2021. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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Referências
- 1 Saikia KC, Bhuyan SK, Rongphar R. Anthropometric study of the hip joint in northeastern region population with computed tomography scan. Indian J Orthop 2008; 42 (03) 260-266
- 2 Sengodan VC, Sinmayanantham E, Kumar JS. Anthropometric analysis of the hip joint in South Indian population using computed tomography. Indian J Orthop 2017; 51 (02) 155-161
- 3 Abbas K, Murtaza G, Umer M, Rashid H, Qadir I. Complications of total hip replacement. J Coll Physicians Surg Pak 2012; 22 (09) 575-578
- 4 Banerjee S, Faizan A, Nevelos J. et al. Innovations in hip arthroplasty three-dimensional modeling and analytical technology (SOMA). Surg Technol Int 2014; 24: 288-294
- 5 Parratte S, Flecher X, Vesin O, Brunet C, Aubaniac J, Argenson J. Anatomy of the hip before total hip arthroplasty: A tridimentionnal Ct study of 469 patients. Orthop Proc. 2018 ; 92-B Supp II. Disponível em: https://online.boneandjoint.org.uk/doi/abs/10.1302/0301-620X.92BSUPP_II.0920274d
- 6 Kang AC, Gooding AJ, Coates MH, Goh TD, Armour P, Rietveld J. Computed tomography assessment of hip joints in asymptomatic individuals in relation to femoroacetabular impingement. Am J Sports Med 2010; 38 (06) 1160-1165
- 7 Abel MF, Sutherland DH, Wenger DR, Mubarak SJ. Evaluation of CT scans and 3-D reformatted images for quantitative assessment of the hip. J Pediatr Orthop 1994; 14 (01) 48-53
- 8 Murtha PE, Hafez MA, Jaramaz B, DiGioia III AM. Variations in acetabular anatomy with reference to total hip replacement. J Bone Joint Surg Br 2008; 90 (03) 308-313
- 9 Stem ES, O'Connor MI, Kransdorf MJ, Crook J. Computed tomography analysis of acetabular anteversion and abduction. Skeletal Radiol 2006; 35 (06) 385-389
- 10 Mineta K, Goto T, Wada K. et al. CT-based morphological assessment of the hip joint in Japanese patients: association with radiographic predictors of femoroacetabular impingement. Bone Joint J 2016; 98-B (09) 1167-1174
- 11 Husmann O, Rubin PJ, Leyvraz PF, de Roguin B, Argenson JN. Three-dimensional morphology of the proximal femur. J Arthroplasty 1997; 12 (04) 444-450
- 12 Pasquier G, Ducharne G, Ali ES, Giraud F, Mouttet A, Durante E. Total hip arthroplasty offset measurement: is C T scan the most accurate option?. Orthop Traumatol Surg Res 2010; 96 (04) 367-375
- 13 Dandachli W, Ul Islam S, Tippett R, Hall-Craggs MA, Witt JD. Analysis of acetabular version in the native hip: comparison between 2D axial CT and 3D CT measurements. Skeletal Radiol 2011; 40 (07) 877-883
- 14 Lepage-Saucier M, Thiéry C, Larbi A, Lecouvet FE, Vande Berg BC, Omoumi P. Femoroacetabular impingement: normal values of the quantitative morphometric parameters in asymptomatic hips. Eur Radiol 2014; 24 (07) 1707-1714
- 15 Anda S, Terjesen T, Kvistad KA. Computed tomography measurements of the acetabulum in adult dysplastic hips: which level is appropriate?. Skeletal Radiol 1991; 20 (04) 267-271
- 16 Tannast M, Hanke MS, Zheng G, Steppacher SD, Siebenrock KA. What are the radiographic reference values for acetabular under- and overcoverage?. Clin Orthop Relat Res 2015; 473 (04) 1234-1246
- 17 Noble PC, Alexander JW, Lindahl LJ, Yew DT, Granberry WM, Tullos HS. The anatomic basis of femoral component design. Clin Orthop Relat Res 1988; (235) 148-165
- 18 Beltran LS, Mayo JD, Rosenberg ZS. et al. Fovea alta on MR images: is it a marker of hip dysplasia in young adults?. AJR Am J Roentgenol 2012; 199 (04) 879-883
- 19 Tannast M, Fritsch S, Zheng G, Siebenrock KA, Steppacher SD. Which radiographic hip parameters do not have to be corrected for pelvic rotation and tilt?. Clin Orthop Relat Res 2015; 473 (04) 1255-1266
- 20 Hauser DL, Fox JC, Sukin D, Mudge B, Coutts RD. Anatomic variation of structural properties of periacetabular bone as a function of age. A quantitative computed tomography study. J Arthroplasty 1997; 12 (07) 804-811