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[Preoperative MR imaging for hip dysplasia : Assessment of associated deformities and intraarticular pathologies].

Till D LerchFlorian Schmaranzer
Published in: Orthopadie (Heidelberg, Germany) (2023)
Acetabular morphology can be divided in anterior, lateral and posterior hip dysplasia. Combined osseous deformities are common, such as hip dysplasia combined with cam deformity (86%). Valgus deformities were reported in 44%. Combined hip dysplasia and increased femoral antetorsion can occur in 52%. Posterior extraarticular ischiofemoral impingement between the lesser trochanter and the ischial tuberosity can occur in patients with increased femoral antetorsion. Typically, labrum damage and hypertrophy, cartilage damage, subchondral cysts can occur in hip dysplasia. Hypertrophy of the muscle iliocapsularis is a sign for hip instability. Acetabular morphology and femoral deformities (cam deformity and femoral anteversion) should be evaluated before surgical therapy for patients with hip dysplasia, considering the different measurement techniques and normal values of femoral antetorsion.
Keyphrases
  • total hip arthroplasty
  • oxidative stress
  • magnetic resonance imaging
  • skeletal muscle
  • minimally invasive
  • computed tomography
  • contrast enhanced