Femoroacetabular impingement: Normal values of the quantitative morphometric parameters in asymptomatic hips
(2014) European Radiology : journal of the European Congress of Radiology — Vol. 24, n° 7, p. 1707-1714 (2014)
Files
pdfdocument.pdf
Restricted Access - Adobe PDF
- 506.64 KB
Details
- Authors
- Abstract
- Objective: To determine the means and the reference intervals of the quantitative morphometric parameters of femoroacetabular impingement (FAI) in normal hips with high-resolution computed tomography (CT). Methods: We prospectively included 94 adult individuals who underwent CT for thoracic, abdominal or urologic pathologies. Patients with a clinical history of hip pathology and/or with osteoarthritis on CT were excluded. We calculated means and 95 % reference intervals for imaging signs of cam-type (alpha angle at 90° and 45° and femoral head-neck offset) and pincer-type impingement (acetabular version angle, lateral centre-edge angle and acetabular index). Results: The 95 % reference interval limits were all far beyond the abnormal thresholds found in the literature for cam-type and to a lesser extent for pincer-type FAI. The upper limits of the reference intervals for the alpha angles (at 90°/45°) were 68°/83° (men) and 69°/84° (women), compared to thresholds from the literature (50°, 55° or 60°). Reference intervals were similar between genders for cam-type parameters, and slightly differed for pincer-type. Conclusion: The 95 % reference intervals of morphometric measurements of FAI in asymptomatic hips were beyond the abnormal thresholds, which was especially true for cam-type FAI. Our results suggest the need for redefining the current morphometric parameters used in the diagnosis of FAI. Key Points: • 95 % reference intervals limits of FAI morphotype were beyond currently defined thresholds. • Reference intervals of pincer-type morphotype measurements were close to current definitions. • Reference intervals of cam-type morphotype measurements were far beyond the current definitions. • Current morphometric definitions of cam-type morphotype should be used with care. © 2014 European Society of Radiology.
- Affiliations
Citations
Lepage-Saucier, M., Thiéry, C., Larbi, A., Lecouvet, F., Vande Berg, B., & Omoumi, P. (2014). Femoroacetabular impingement: Normal values of the quantitative morphometric parameters in asymptomatic hips. European Radiology : journal of the European Congress of Radiology, 24(7), 1707-1714. https://doi.org/10.1007/s00330-014-3171-4 (Original work published 2014)