Morphological Analysis of Hip Joint of Patients Suffering From Recurrent Patella Dislocation

Abstract

The purpose was to investigate morphological changes of the hip joint in patients with recurrent dislocation of the patella combined with trochlear dysplasia. There was a retrospective analysis of 148 patients and 150 control subjects. The selection of participants was randomized. Hip and knee data for all participants were obtained from X-ray or computed tomography measurements. Nine values, that is, central edge angle (CEA), acetabulum index angle (AIA), femoral neck-shaft angle, sharp angle, the depth of the acetabulum, femoral anteversion angle (FAA), anterior acetabular section angle (AASA), posterior acetabular section angle (PASA), and sulcus angle, were measured to evaluate differences between the control group and the patient group and analyze the correlation of the sulcus angle in patients to FAA and CEA. Patients with recurrent dislocation of the patella had less acetabular coverage and are more likely to develop developmental dysplasia of the hip than the hips of patients with normal knees. For the patient group, three values, that is, CEA (27.68 ± 5.25 vs. 34.30 ± 3.51 degrees, p < 0.001), AASA (57.14 ± 6.17 vs. 63.08 ± 7.23 degrees, p < 0.001), and PASA (89.53 ± 6.51 vs. 99.63 ± 5.94 degrees, p < 0.001), were decreased. The sharp angle (43.77 ± 3.23 vs. 39.28 ± 3.19 degrees, p < 0.001), AIA (11.52 ± 4.41 vs. 3.73 ± 2.51 degrees, p < 0.001), and FAA (24.68 ± 3.44 vs. 18.49 ± 3.55 degrees, p < 0.001) were increased. The acetabulum became shallower in-depth (7.05 ± 2.18 vs. 10.45 ± 1.61 mm, p < 0.001). There was a weak correlation between the sulcus angle and CEA (r =  − 0.302, p < 0.001) and FAA (r = 0.212, p = 0.022). Recurrent patellar dislocation combined with trochlear dysplasia may be associated with the hip morphology. Developmental disorders of the knee joint, and hip joint should be considered in the treatment of patients with recurrent dislocation of the patella.

Keywords

recurrent patellar dislocation - trochlear dysplasia - developmental dysplasia of the hip - morphological analysis of hip joint

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