A comparative radiographic investigation of femoroacetabular impingement in young patients with and without hip pain
Carregando...
Citações na Scopus
7
Tipo de produção
article
Data de publicação
2012
Título da Revista
ISSN da Revista
Título do Volume
Editora
HOSPITAL CLINICAS, UNIV SAO PAULO
Citação
CLINICS, v.67, n.5, p.463-467, 2012
Resumo
OBJECTIVE: 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.
Palavras-chave
Radiography, Articular Pain, Hip Joint, Femoral Head, Femoroacetabular Impingement
Referências
- Beall DP, 2005, SKELETAL RADIOL, V34, P691, DOI 10.1007/s00256-005-0932-9
- Beck M, 2005, J BONE JOINT SURG BR, V87B, P1012, DOI 10.1302/0301-620X.87B7.15203
- Blankenbaker DG, 2006, SKELETAL RADIOL, V35, P352, DOI 10.1007/s00256-006-0105-5
- Brown CR, 2007, ADULT HIP, P572
- Clohisy JC, 2009, CLIN ORTHOP RELAT R, V467, P638, DOI 10.1007/s11999-008-0680-y
- COOPERMAN DR, 1983, CLIN ORTHOP RELAT R, P79
- Correia AM, 2007, THESIS U SAO PAULO S
- Crestani MV, 2006, REV BRAS ORTOP, V41, P285
- Delaunay S, 1997, SKELETAL RADIOL, V26, P75
- Dudda M, 2009, CLIN ORTHOP RELAT R, V467, P651, DOI 10.1007/s11999-008-0617-5
- Eijer H, 2001, J ORTHOP TRAUMA, V15, P475, DOI 10.1097/00005131-200109000-00003
- Ganz R, 2003, CLIN ORTHOP RELAT R, P112, DOI 10.1097/01.blo.0000096804.78689.c2
- Goodman DA, 1997, J BONE JOINT SURG AM, V79A, P1489
- Graves ML, 2009, CLIN ORTHOP RELAT R, V467, P717, DOI 10.1007/s11999-008-0648-y
- HARRIS WH, 1986, CLIN ORTHOP RELAT R, P20
- KELLGREN JH, 1957, ANN RHEUM DIS, V16, P494, DOI 10.1136/ard.16.4.494
- KLAUE K, 1991, J BONE JOINT SURG BR, V73, P423
- Labronici JP, 2009, REV BRAS ORTOP, V44, P120
- Lequesne M, 2004, ANN RHEUM DIS, V63, P1145, DOI 10.1136/ard.2003.018424
- Leunig M, 2009, CLIN ORTHOP RELAT R, V467, P616, DOI 10.1007/s11999-008-0646-0
- LLOYDROBERTS GC, 1955, J BONE JOINT SURG BR, V37, P8
- Meyer DC, 2006, CLIN ORTHOP RELAT R, P181, DOI 10.1097/01.blo.0000201168.72388.24
- MURRAY RO, 1965, BRIT J RADIOL, V38, P810
- Notzli HP, 2002, J BONE JOINT SURG BR, V84B, P556, DOI 10.1302/0301-620X.84B4.12014
- Peelle MW, 2005, CLIN ORTHOP RELAT R, P327, DOI 10.1097/01.blo.0000181147.86058.74
- Peixoto SV, 2004, EPIDEMIOL SERV SAUDE, V13, P239
- Rackhra KS, 2009, CLIN ORTHOP RELAT R, P660
- Reynolds D, 1999, J BONE JOINT SURG BR, V81B, P281, DOI 10.1302/0301-620X.81B2.8291
- Siebenrock KA, 2003, J BONE JOINT SURG AM, V85A, P278
- SOLOMON L, 1976, J BONE JOINT SURG BR, V58, P176
- Tannast M, 2008, CLIN ORTHOP RELAT R, V466, P273, DOI 10.1007/s11999-007-0061-y
- Tannast M, 2007, AM J ROENTGENOL, V188, P1540, DOI 10.2214/AJR.06.0921
- Tonnis D, 1999, J BONE JOINT SURG AM, V81A, P1747
- Wenger DE, 2004, CLIN ORTHOP RELAT R, P145, DOI 10.1097/01.blo.0000136903.01368.20