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May 1, 2014The Bone & Joint Journal

Three-dimensional morphology and bony range of movement in hip joints in patients with hip dysplasia

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Why the study?

Does developmental dysplasia of the hip alter the maximum range of movement and risk of bony impingement compared to normal healthy hips?

Population

125 hip joints, comprising 52 with developmental dysplasia of the hip (DDH) and 73 normal healthy hip joints

Comparison

Computed tomography with three-dimensional… vs Normal healthy hip joints

Design

Case-control

Authors

INIchiro NAKAHARASuzuki (Japan)MTMasaki TakaoNational Center of Neurology and PsychiatryTSTakashi SakaiYamaguchi University

Discussion

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Implication

May inform impingement assessment in DDH; leaves open prospective validation of symptom impact and management.

Structured PICO

Does developmental dysplasia of the hip alter the maximum range of movement and risk of bony impingement compared to normal healthy hips?

P
Population
125 hip joints, comprising 52 with developmental dysplasia of the hip (DDH) and 73 normal healthy hip joints
I
Intervention
Computed tomography with three-dimensional (3D) surface modeling of the pelvis and femur
C
Comparator
Normal healthy hip joints
O
Outcome
Maximum ranges of movement to the point of bony impingement and impingement locationsurrogate

DDH hips exhibit altered 3D morphology and range of motion, with a higher risk of extra-articular impingement, particularly posterior impingement in patients with highly anteverted femoral necks.

Cite This Study

NAKAHARA et al. (2014) studied this question.

synapsesocial.com/papers/69ded45f57c7c8340a5595a9https://doi.org/10.1302/0301-620x.96b5.32503
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Total hip replacement in congenital dislocation and dysplasia of the hip.1979 · 1,330 citations
  2. 2Normal Values of the Hip Joint for the Evaluation of X-rays in Children and Adults1976 · 717 citations
  3. 3Ischiofemoral impingement2011 · 151 citations
  4. 4Studies on Dysplastic Acetabula and Congenital Subluxation of the Hip Joint with Special Reference to the Complication of Osteo-Arthritis1940 · 926 citations