Passive Hip Range of Motion Predicts Femoral Torsion and Acetabular Version

The Journal of Bone and Joint Surgery. American Volume
Vivek ChadayammuriOmer Mei-Dan

Abstract

Orientation abnormalities of the acetabulum and femur have been implicated in early-onset coxarthrosis. The purpose of this study was to identify clinical examination findings predictive of such hip morphologies. A consecutive cohort of 221 patients (442 hips) undergoing hip arthroscopy was included. Demographic characteristics including age, diagnosis, sex, height, weight, body mass index (BMI), and physical activity level were recorded. Passive range of motion was measured for all hips. Preoperative computed tomography scans were utilized to measure femoral torsion and central acetabular version, and a combined femoral torsion-acetabular version (COTAV) index was defined as their sum. The study cohort comprised 221 patients (sixty-four males, 157 females) with a mean age of 32.5 years and mean BMI of 24.2 kg/m(2). Overall, hips with femoral antetorsion and acetabular anteversion exhibited the greatest internal rotation range of motion at a neutral hip position (mean, 44.2°), whereas hips with femoral retrotorsion and acetabular retroversion demonstrated the lowest corresponding value (20.1°; p < 0.001). Femoral torsion was significantly associated with female sex (p < 0.001), BMI (p < 0.001), and presence of pathology corresp...Continue Reading

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Citations

Feb 7, 2018·The Journal of Bone and Joint Surgery. American Volume·Matthew J KraeutlerOmer Mei-Dan
Jun 8, 2018·The Journal of the American Academy of Orthopaedic Surgeons·Wudbhav N SankarIra Zaltz
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Jan 10, 2019·JBJS Reviews·Jordan A GruskayS Robert Rozbruch
Jan 10, 2019·Clinical Orthopaedics and Related Research·Florian SchmaranzerSimon D Steppacher
Aug 23, 2019·The Journal of Bone and Joint Surgery. American Volume·Omer Mei-DanTigran Garabekyan
Nov 15, 2019·The American Journal of Sports Medicine·Matthew J KraeutlerOmer Mei-Dan
Sep 4, 2019·The American Journal of Sports Medicine·Sivashanmugam Raju, Karthikeyan Chinnakkannu
Jun 10, 2020·Radiology·Florian SchmaranzerEduardo N Novais
Jun 25, 2020·Journal of Anatomy·Matteo ScorcellettiAlex Ireland
Jan 7, 2020·Journal of Nippon Medical School = Nippon Ika Daigaku Zasshi·Tatsunori KataokaShinro Takai
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Mar 7, 2021·Clinics in Sports Medicine·Joshua D HarrisKwan J Park

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