A comparative radiographic investigation of femoroacetabular impingement in young patients with and without hip pain

dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorMIGUEL, Omar Ferreira
dc.contributor.authorCABRITA, Henrique Berwanger de Amorim
dc.contributor.authorRODRIGUES, Marcelo Bordalo
dc.contributor.authorCROCI, Alberto Tesconi
dc.date.accessioned2013-07-30T15:13:13Z
dc.date.available2013-07-30T15:13:13Z
dc.date.issued2012
dc.description.abstractOBJECTIVE: To compare the existence of radiographic abnormalities in two groups of patients, those with and without hip pain. METHODS: A total 222 patients were evaluated between March 2007 and April 2009; 122 complained of groin pain, and 100 had no symptoms. The individuals in both groups underwent radiographic examinations of the hip using the following views: anteroposterior, Lequesne false profile, Dunn, Dunn 45 degrees, and Ducroquet. RESULTS: A total of 1110 radiographs were evaluated. Female patients were prevalent in both groups (52% symptomatic, 58% asymptomatic). There were statistically significant differences between the groups in age (p < 0.0001), weight (p = 0.002) and BMI (p = 0.006). The positive findings in the group with groin pain consisted of the presence of a bump on the femoral head in the anteroposterior view (p < 0.0001) or in the Dunn 45 degrees view (p = 0.008). The difference in the alpha angle in the anteroposterior, Dunn, Dunn 45 degrees, and Ducroquet views for all of the cases studied was p, 0.0001. The joint space measurement differed significantly between groups in the Lequesne view (p = 0.007). The Lequesne anteversion angle (rho) and the femoral offset measurement also differed significantly (p = 0.005 and p = 0.0001, respectively). CONCLUSIONS: We conclude that the best views for diagnosing a femoroacetabular impingement are the anteroposterior pelvic orthostatic, the Dunn 45 degrees, and the Ducroquet views. The following findings correlated with hip pain: a decrease in the femoral offset, an increase in the a angle, an increase in the Lequesne r angle, a decrease in the CE angle of Wiberg, a thinner articular space and the presence of a bump on the femoral head-neck transition.
dc.description.indexMEDLINE
dc.identifier.citationCLINICS, v.67, n.5, p.463-467, 2012
dc.identifier.doi10.6061/clinics/2012(05)10
dc.identifier.issn1807-5932
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/856
dc.language.isoeng
dc.publisherHOSPITAL CLINICAS, UNIV SAO PAULO
dc.relation.ispartofClinics
dc.rightsopenAccess
dc.rights.holderCopyright HOSPITAL CLINICAS, UNIV SAO PAULO
dc.subjectRadiography
dc.subjectArticular Pain
dc.subjectHip Joint
dc.subjectFemoral Head
dc.subjectFemoroacetabular Impingement
dc.subject.otherhead-neck junction
dc.subject.otherclinical presentation
dc.subject.otherlabral tears
dc.subject.otherosteoarthritis
dc.subject.otherabnormalities
dc.subject.otherretroversion
dc.subject.otherasphericity
dc.subject.otherdysplasia
dc.subject.otherdamage
dc.subject.otheradult
dc.subject.wosMedicine, General & Internal
dc.titleA comparative radiographic investigation of femoroacetabular impingement in young patients with and without hip pain
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.citation.scopus7
hcfmusp.contributor.author-fmusphcOMAR FERREIRA MIGUEL
hcfmusp.contributor.author-fmusphcHENRIQUE ANTONIO BERWANGER DE AMORIM CABRITA
hcfmusp.contributor.author-fmusphcMARCELO BORDALO RODRIGUES
hcfmusp.contributor.author-fmusphcALBERTO TESCONI CROCI
hcfmusp.description.beginpage463
hcfmusp.description.endpage467
hcfmusp.description.issue5
hcfmusp.description.volume67
hcfmusp.lim.ref2012
hcfmusp.origemWOS
hcfmusp.origem.pubmed22666790
hcfmusp.origem.scieloSCIELO:S1807-59322012000500010
hcfmusp.origem.scopus2-s2.0-84863974337
hcfmusp.origem.wosWOS:000304827700010
hcfmusp.publisher.citySAO PAULO
hcfmusp.publisher.countryBRAZIL
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