Labral Tears with Axial Plane Disorders
Yıl: 2020 Cilt: 31 Sayı: 1 Sayfa Aralığı: 109 - 114 Metin Dili: İngilizce DOI: 10.5606/ehc.2020.70193 İndeks Tarihi: 23-10-2020
Labral Tears with Axial Plane Disorders
Öz: Objectives: This study aims to determine if there is an axialplane coverage insufficiency in patients with symptomatic labraltears compared to the contralateral asymptomatic side and healthycontrol subjects.Patients and methods: This retrospective study was conductedbetween December 2017 and January 2019. Thirty patients(21 males, 9 females; mean age 28 years; range, 20 to 36 years)operated due to unilateral symptomatic acetabular labral tearssecondary to femoroacetabular impingement were evaluated.Twenty asymptomatic patients (13 males, 7 females; mean age27±9 years; range, 19 to 36 years) were included in the controlgroup. The relationship between acetabular morphology andlabral tear was investigated with the comparison of unilateralsymptomatic hips with contralateral asymptomatic hips andthe control group by using radiological parameters on plainradiographs and computed tomography.Results: When the patient group symptomatic side wascompared to the control group, acetabular anteversion angle(AAA) and alpha (a) angle were higher, while posterioracetabular sector angle and horizontal acetabular sector anglewere lower. When the asymptomatic side was compared to thecontrol group, AAA was higher in the patient group. There wasno difference between the symptomatic and asymptomatic sidesin the patient group; the symptomatic side yielded a highera angle.Conclusion: Posterior axial plane coverage deficiency incombination with cam deformity (increased a angle) seems to playa role in the pathogenesis of symptomatic acetabular labral tears,even creating a side-to-side difference in some individuals.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- Beck M, Kalhor M, Leunig M, Ganz R. Hip morphology influences the pattern of damage to the acetabular cartilage: femoroacetabular impingement as a cause of early osteoarthritis of the hip. J Bone Joint Surg [Br] 2005;87:1012-8.
- Polat G, Şahin K, Arzu U, Kendirci AŞ, Aşık M. Prevalence of asymptomatic femoroacetabular impingement in Turkey; cross sectional study. Acta Orthop Traumatol Turc 2018;52:49-53.
- Aydin M, Kircil C, Polat O, Arikan M, Erdemli B. Adult acetabulo - pelvic parameters in Turkish society: A descriptive radiological study. Acta Orthop Traumatol Turc 2016;50:623-7.
- Tanzer M, Noiseux N. Osseous abnormalities and early osteoarthritis: the role of hip impingement. Clin Orthop Relat Res 2004;429:170-7.
- Hack K, Di Primio G, Rakhra K, Beaulé PE. Prevalence of cam-type femoroacetabular impingement morphology in asymptomatic volunteers. J Bone Joint Surg [Am] 2010;92:2436-44.
- Larson CM, Moreau-Gaudry A, Kelly BT, Byrd JW, Tonetti J, Lavallee S, et al. Are normal hips being labeled as pathologic? A CT-based method for defining normal acetabular coverage. Clin Orthop Relat Res 2015;473:1247-54.
- Nardo L, Parimi N, Liu F, Lee S, Jungmann PM, Nevitt MC, et al. Femoroacetabular ımpingement: Prevalent and often asymptomatic in older men: The osteoporotic fractures in men study. Clin Orthop Relat Res 2015;473:2578-86.
- Fujii M, Nakashima Y, Yamamoto T, Mawatari T, Motomura G, Matsushita A, et al. Acetabular retroversion in developmental dysplasia of the hip. J Bone Joint Surg [Am] 2010;92:895-903.
- Hapa O,Yüksel HY, Muratlı HH, Akşahin E, Gülçek S, Celebi L, et al. Axial plane coverage and torsion measurements in primary osteoarthritis of the hip with good frontal plane coverage and spherical femoral head. Arch Orthop Trauma Surg 2010;130:1305-10.
- Hingsammer AM, Bixby S, Zurakowski D, Yen YM, Kim YJ. How do acetabular version and femoral head coverage change with skeletal maturity? Clin Orthop Relat Res 2015;473:1224-33.
- Siebenrock KA, Kalbermatten DF, Ganz R. Effect of pelvic tilt on acetabular retroversion: a study of pelves from cadavers. Clin Orthop Relat Res 2003;407:241-8.
- Dandachli W, Islam SU, Liu M, Richards R, Hall-Craggs M, Witt J. Three-dimensional CT analysis to determine acetabular retroversion and the implications for the management of femoro-acetabular impingement. J Bone Joint Surg [Br] 2009;91:1031-6.
- 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;473:1255-66.
- Monazzam S, Bomar JD, Dwek JR, Hosalkar HS, Pennock AT. Development and prevalence of femoroacetabular impingement-associated morphology in a paediatric and adolescent population: a CT study of 225 patients. Bone Joint J 2013;95-B:598-604.
- Nötzli HP, Wyss TF, Stoecklin CH, Schmid MR, Treiber K, Hodler J. The contour of the femoral head-neck junction as a predictor for the risk of anterior impingement. J Bone Joint Surg [Br] 2002;84:556-60.
- Weiner LS, Kelley MA, Ulin RI, Wallach D. Development of the acetabulum and hip: computed tomography analysis of the axial plane. J Pediatr Orthop 1993;13:421-5.
- Anda S, Svenningsen S, Dale LG, Benum P. The acetabular sector angle of the adult hip determined by computed tomography. Acta Radiol Diagn (Stockh) 1986;27:443-7.
- Anda S, Terjesen T, Kvistad KA, Svenningsen S. Acetabular angles and femoral anteversion in dysplastic hips in adults: CT investigation. J Comput Assist Tomogr 1991;15:115-20.
- Atik OŞ. Is there something new and interesting in my article? Eklem Hastalik Cerrahisi 2019;30:69.
- Akiyama M, Nakashima Y, Fujii M, Sato T, Yamamoto T, Mawatari T, et al. Femoral anteversion is correlated with acetabular version and coverage in Asian women with anterior and global deficient subgroups of hip dysplasia: a CT study. Skeletal Radiol 2012;41:1411-8.
- Ito H, Matsuno T, Hirayama T, Tanino H, Yamanaka Y, Minami A. Three-dimensional computed tomography analysis of non-osteoarthritic adult acetabular dysplasia. Skeletal Radiol 2009;3:131-9.
- Witte H, Eckstein F, Recknagel S. A calculation of the forces acting on the human acetabulum during walking. Based On in vivo force measurements, kinematic analysis and morphometry. Acta Anat (Basel) 1997;160:269-80.
- McCarthy JC, Lee JA. Acetabular dysplasia: a paradigm of arthroscopic examination of chondral injuries. Clin Orthop Relat Res 2002;405:122-8.
- Valera M, Ibáñez N, Sancho R, Llauger J, Gich I. Acetabular overcoverage in the horizontal plane: an underdiagnosed trigger of early hip arthritis. A CT scan study in young adults. Arch Orthop Trauma Surg 2018;138:73-82.
- Dolan MM, Heyworth BE, Bedi A, Duke G, Kelly BT. CT reveals a high incidence of osseous abnormalities in hips with labral tears. Clin Orthop Relat Res 2011;469:831-8.
- Anda S, Svenningsen S, Grontvedt T, Benum P. Pelvic inclination and spatial orientation of the acetabulum. A radiographic, computed tomographic and clinical investigation. Acta Radiol 1990;31:389-94.
- Lembeck B, Mueller O, Reize P, Wuelker N. Pelvic tilt makes acetabular cup navigation inaccurate. Acta Orthop 2005;76:517-23.
- Zeng WN, Wang FY, Chen C, Zhang Y, Gong XY, Zhou K, et al. Investigation of association between hip morphology and prevalence of osteoarthritis. Sci Rep 2016;6:23477.
| APA | GÜRSAN O, AÇAN A, ASMA A, HAPA O (2020). Labral Tears with Axial Plane Disorders. , 109 - 114. 10.5606/ehc.2020.70193 |
| Chicago | GÜRSAN ONUR,AÇAN Ahmet Emrah,ASMA Ali,HAPA Onur Labral Tears with Axial Plane Disorders. (2020): 109 - 114. 10.5606/ehc.2020.70193 |
| MLA | GÜRSAN ONUR,AÇAN Ahmet Emrah,ASMA Ali,HAPA Onur Labral Tears with Axial Plane Disorders. , 2020, ss.109 - 114. 10.5606/ehc.2020.70193 |
| AMA | GÜRSAN O,AÇAN A,ASMA A,HAPA O Labral Tears with Axial Plane Disorders. . 2020; 109 - 114. 10.5606/ehc.2020.70193 |
| Vancouver | GÜRSAN O,AÇAN A,ASMA A,HAPA O Labral Tears with Axial Plane Disorders. . 2020; 109 - 114. 10.5606/ehc.2020.70193 |
| IEEE | GÜRSAN O,AÇAN A,ASMA A,HAPA O "Labral Tears with Axial Plane Disorders." , ss.109 - 114, 2020. 10.5606/ehc.2020.70193 |
| ISNAD | GÜRSAN, ONUR vd. "Labral Tears with Axial Plane Disorders". (2020), 109-114. https://doi.org/10.5606/ehc.2020.70193 |
| APA | GÜRSAN O, AÇAN A, ASMA A, HAPA O (2020). Labral Tears with Axial Plane Disorders. Joint diseases and related surgery, 31(1), 109 - 114. 10.5606/ehc.2020.70193 |
| Chicago | GÜRSAN ONUR,AÇAN Ahmet Emrah,ASMA Ali,HAPA Onur Labral Tears with Axial Plane Disorders. Joint diseases and related surgery 31, no.1 (2020): 109 - 114. 10.5606/ehc.2020.70193 |
| MLA | GÜRSAN ONUR,AÇAN Ahmet Emrah,ASMA Ali,HAPA Onur Labral Tears with Axial Plane Disorders. Joint diseases and related surgery, vol.31, no.1, 2020, ss.109 - 114. 10.5606/ehc.2020.70193 |
| AMA | GÜRSAN O,AÇAN A,ASMA A,HAPA O Labral Tears with Axial Plane Disorders. Joint diseases and related surgery. 2020; 31(1): 109 - 114. 10.5606/ehc.2020.70193 |
| Vancouver | GÜRSAN O,AÇAN A,ASMA A,HAPA O Labral Tears with Axial Plane Disorders. Joint diseases and related surgery. 2020; 31(1): 109 - 114. 10.5606/ehc.2020.70193 |
| IEEE | GÜRSAN O,AÇAN A,ASMA A,HAPA O "Labral Tears with Axial Plane Disorders." Joint diseases and related surgery, 31, ss.109 - 114, 2020. 10.5606/ehc.2020.70193 |
| ISNAD | GÜRSAN, ONUR vd. "Labral Tears with Axial Plane Disorders". Joint diseases and related surgery 31/1 (2020), 109-114. https://doi.org/10.5606/ehc.2020.70193 |
