Focal concavity of posterior superior acetabulum and its relation with acetabular dysplasia and retroversion in adults without advanced hip osteoarthritis

BMC Musculoskeletal Disorders

Hirohiko Azuma³  Hiromi Oda³  Yoon Taek Kim³  Michio Shiibashi²  Iichiro Osawa¹  Keisuke Watarai³  Hirohito Tanaka³ 

[1] Department of Radiology, Saitama Medical University, 38 Morohongo, Moroyama-machi, Iruma-gun 350–0495, Saitama, Japan;Information Technology Center, Saitama Medical University, 38 Morohongo, Moroyama-machi, Iruma-gun 350–0495, Saitama, Japan;Department of Orthopaedic Surgery, Saitama Medical University, 38 Morohongo, Moroyama-machi, Iruma-gun 350–0495, Saitama, Japan

关键词: Retroversion;    Dysplasia;    Focal concavity;    Computed tomography;    Acetabulum;   

Others  :  1234047
DOI  :  10.1186/s12891-015-0791-z

 received in 2015-09-01, accepted in 2015-10-24,  发布年份 2015

【 摘 要 】

Background

Although little is known, a limited number of three-dimensional computed tomography (CT) images of the pelvis present focal concavity of posterior superior acetabulum. The purpose of the present study was to investigate this morphologic deformity and its relation with dysplasia and retroversion in adults who were expected to have the original morphology of the acetabulum after growth.

Methods

Consecutive adult patients with hip pain who visited our hospital and had three-dimensional pelvic CT images were retrospectively analyzed after approval of the institutional review board; exclusion criterions included diseases, injuries and operations that affect the morphology of the hip including radiographic osteoarthritis Tönnis grades 2 and 3. Focal concavity of posterior superior acetabulum was evaluated by three-dimensional CT image. Acetabular dysplasia was determined by lateral center edge (LCE) angle <25°, Tönnis angle >10°, and anterior center edge (ACE) angle <25° on standing hip radiographs. Acetabular version angle was measured at the one-fourth cranial level of axial CT image. A subgroup analysis included only younger adult patients up to 50 years.

Results

The subjects analyzed were 46 men (92 hips) and 54 women (108 hips) with a median age of 57.5 (21–79) and 51.0 (26–77) years, respectively. Focal concavity of posterior superior acetabulum was observed in 13 hips; 7 patients had unilaterally, while 3 patients showed bilaterally. Among these hips, pain was observed in 8 hips but 4 hips (2 patients) were associated with injuries. This morphologic abnormality was not associated with acetabular dysplasia determined by LCE angle <25°, Tönnis angle >10° or ACE angle <25°. Of note, no acetabulum with the deformity plus dysplasia was retroverted. These findings were confirmed in a subgroup analysis including 22 men (44 hips) and 27 women (54 hips) with a median age of 31.0 (21–50) and 41.0 (26–50) years, respectively.

Conclusions

Focal concavity of posterior superior acetabulum could be a rare morphologic abnormality of acetabular formation independent of lateral or anterior dysplasia or retroversion.

【 授权许可】

   
2015 Tanaka et al.

【 图 表 】

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