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Radiographic Parameters of Adult Hip Dysplasia

As knowledge about the origin and morphologic characteristics of hip pain in the young adult has evolved, so too has the clinician’s ability to assess for various pathologies of the hip on radiographs, magnetic resonance imaging (MRI)/magnetic resonance arthrography (MRA), and computed tomography (C...

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Autores principales: Welton, K. Linnea, Kraeutler, Matthew J., Garabekyan, Tigran, Mei-Dan, Omer
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9983115/
https://www.ncbi.nlm.nih.gov/pubmed/36874050
http://dx.doi.org/10.1177/23259671231152868
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author Welton, K. Linnea
Kraeutler, Matthew J.
Garabekyan, Tigran
Mei-Dan, Omer
author_facet Welton, K. Linnea
Kraeutler, Matthew J.
Garabekyan, Tigran
Mei-Dan, Omer
author_sort Welton, K. Linnea
collection PubMed
description As knowledge about the origin and morphologic characteristics of hip pain in the young adult has evolved, so too has the clinician’s ability to assess for various pathologies of the hip on radiographs, magnetic resonance imaging (MRI)/magnetic resonance arthrography (MRA), and computed tomography (CT). Because there is no algorithm at this time directly indicating what to do in more subtle hip morphologies, such as microinstability and borderline hip dysplasia (BHD), a skilled hip preservation specialist must use multiple imaging sources and know how to interpret them correctly. Imaging parameters used in the workup for hip dysplasia and BHD include the lateral center-edge angle, Tönnis angle, iliofemoral line, and presence of an upsloping lateral sourcil or everted labrum, among many others. The purpose of this narrative review was to detail various established criteria and parameters on anteroposterior pelvis plain radiographs, MRI/MRA, and CT that assist in defining the nature and severity of instability present in a dysplastic hip, thereby aiding in the development of patient-specific surgical treatment plans.
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spelling pubmed-99831152023-03-04 Radiographic Parameters of Adult Hip Dysplasia Welton, K. Linnea Kraeutler, Matthew J. Garabekyan, Tigran Mei-Dan, Omer Orthop J Sports Med Article As knowledge about the origin and morphologic characteristics of hip pain in the young adult has evolved, so too has the clinician’s ability to assess for various pathologies of the hip on radiographs, magnetic resonance imaging (MRI)/magnetic resonance arthrography (MRA), and computed tomography (CT). Because there is no algorithm at this time directly indicating what to do in more subtle hip morphologies, such as microinstability and borderline hip dysplasia (BHD), a skilled hip preservation specialist must use multiple imaging sources and know how to interpret them correctly. Imaging parameters used in the workup for hip dysplasia and BHD include the lateral center-edge angle, Tönnis angle, iliofemoral line, and presence of an upsloping lateral sourcil or everted labrum, among many others. The purpose of this narrative review was to detail various established criteria and parameters on anteroposterior pelvis plain radiographs, MRI/MRA, and CT that assist in defining the nature and severity of instability present in a dysplastic hip, thereby aiding in the development of patient-specific surgical treatment plans. SAGE Publications 2023-02-28 /pmc/articles/PMC9983115/ /pubmed/36874050 http://dx.doi.org/10.1177/23259671231152868 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by-nc-nd/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License (https://creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Article
Welton, K. Linnea
Kraeutler, Matthew J.
Garabekyan, Tigran
Mei-Dan, Omer
Radiographic Parameters of Adult Hip Dysplasia
title Radiographic Parameters of Adult Hip Dysplasia
title_full Radiographic Parameters of Adult Hip Dysplasia
title_fullStr Radiographic Parameters of Adult Hip Dysplasia
title_full_unstemmed Radiographic Parameters of Adult Hip Dysplasia
title_short Radiographic Parameters of Adult Hip Dysplasia
title_sort radiographic parameters of adult hip dysplasia
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9983115/
https://www.ncbi.nlm.nih.gov/pubmed/36874050
http://dx.doi.org/10.1177/23259671231152868
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