Document Detail


The prevalence of cam-type femoroacetabular deformity in asymptomatic adults.
MedLine Citation:
PMID:  21969426     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We performed a retrospective examination of the anteroposterior pelvic CT scout views of 419 randomly selected patients between April 2004 and August 2009 in order to determine the prevalence of cam-type femoroacetabular deformity in the asymptomatic population. The CT scans had all been undertaken for conditions unrelated to disorders of the hip. The frequency of cam-type femoroacetabular deformity was assessed by measuring the α-angle of each hip on the anteroposterior images. The α-angles were classified according to the Copenhagen Osteoarthritis Study. Among 215 male hips (108 patients) the mean α-angle was 59.12° (37.75° to 103.50°). Of these, a total of 30 hips (13.95%) were defined as pathological, 32 (14.88%) as borderline and 153 (71.16%) as normal. Among 540 female hips (272 patients) the mean α-angle was 45.47° (34.75° to 87.00°), with 30 hips (5.56%) defined as pathological, 33 (6.11%) as borderline and 477 (88.33%) as normal. It appears that the cam-type femoroacetabular deformity is not rare among the asymptomatic population. These anatomical abnormalities, as determined by an increased α-angle, appear to be twice as frequent in men as in women. Although an association between osteoarthritis and femoroacetabular impingement is believed to exist, a long-term epidemiological study is needed to determine the natural history of these anatomical abnormalities.
Authors:
K A Jung; C Restrepo; M Hellman; H AbdelSalam; W Morrison; J Parvizi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of bone and joint surgery. British volume     Volume:  93     ISSN:  0301-620X     ISO Abbreviation:  J Bone Joint Surg Br     Publication Date:  2011 Oct 
Date Detail:
Created Date:  2011-10-04     Completed Date:  2011-11-22     Revised Date:  2012-02-01    
Medline Journal Info:
Nlm Unique ID:  0375355     Medline TA:  J Bone Joint Surg Br     Country:  England    
Other Details:
Languages:  eng     Pagination:  1303-7     Citation Subset:  AIM; IM    
Affiliation:
Rothman Institute, 925 Chestnut Street, Philadelphia, Pennsylvania 19107, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Factors
Aged
Aged, 80 and over
Female
Femoracetabular Impingement / epidemiology*,  pathology,  radiography
Hip Joint / radiography
Humans
Male
Middle Aged
Pennsylvania / epidemiology
Prevalence
Retrospective Studies
Tomography, X-Ray Computed
Comments/Corrections
Erratum In:
J Bone Joint Surg Br. 2011 Dec;93(12):1679

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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