Table 5.
Study | Study population | Modality | Association between sex and | ||||
---|---|---|---|---|---|---|---|
Alpha angle | Femoral version | Acetabular version | Lateral CEA | Neck-shaft angle | |||
Atkinson et al. [5] | Australian patients undergoing hip resurfacing | CT scan | None Avg F: 9° Avg M: 8° p = 0.387 |
Sex difference Avg F: 23° Avg M: 18° p = 0.02 |
None Avg F: 128° Avg M: 129° p = 0.85 |
||
Buller et al. [9] | Asymptomatic US patients (29–75 years old) | CT scans originally obtained for vascular angiography | Positive correlation for F sex: 2.6° to 1° p = 0.018 |
Positive correlation for F sex: 2.79° to 1° p = 0.018 |
|||
Gerhardt et al. [17] | Asymptomatic US professional soccer players | Pelvic radiographs | Avg F: 52.9° Avg M: 65.6° |
||||
Laborie et al. [29] | General population of 17- to 20-year-olds in Norway | Pelvic radiographs | 10% of F with one or more cam-type findings, 35% of M with one or more cam-type findings p < 0.001 | ||||
Nakahara et al. [37] | Asymptomatic elderly Japanese | CT scan | F had smaller alpha angles 7% of F and 25% of M with alpha angle > 55° | Sex difference Avg F: 25.2° Avg M: 20.3° p = 0.021 |
Sex difference Avg F: 21.3° Avg M: 17.5° p = 0.023 |
Sex difference Avg F: 34.7° Avg M: 37.9° p = 0.043 |
None Avg F: 125.5° Avg M: 124.3° p = 0.347 |
Reikeras et al. [46] | Cadaveric study in Norway | Direct bone measurement and radiographs | No difference between M and F | ||||
Sutter et al. [52] | Swiss patients with FAI compared to asymptomatic volunteers | MRI | Avg F: 16° Avg M: 10° p < 0.001 |
||||
Current study | Swiss patients undergoing hip MR arthrography for any reason | MR arthrography and pelvic radiographs | Stronger association; explains 23% of variance Avg F: 58° Avg M: 70° p < 0.001 |
Weak association; explains 7% of variance Avg F: 20° Avg M: 15° p = 0.008 |
Weak association; explains 4% of variance Avg F: 17° Avg M: 14° p = 0.038 |
Weak association; explains 4% of variance Avg F: 27° Avg M: 31° p = 0.039 |
None Avg F: 131° Avg M: 129° p = 0.125 |
CEA = center-edge angle; FAI = femoroacetabular impingement; avg = average; F = female; M = male.