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. 2013 Mar 20;471(12):3762–3773. doi: 10.1007/s11999-013-2918-6

Table 6.

Previously published associations between radiographic parameters

Study Study population Modality Association between lateral CEA and Association between
Femoral version Acetabular version Alpha angle Neck-shaft angle Neck-shaft angle and femoral version Femoral and acetabular version Femoral version, acetabular version, and alpha angle
Akiyama et al. [1] Japanese females with dysplasia compared with controls CT scan and pelvic radiographs Higher version in DDH (avg 22°) compared to controls (14°) p < 0.001 Higher anteversion in DDH (avg 24°) compared with controls (avg 21°) p = 0.006 Correlation in anterior and global deficiency subgroups of hips with DDH No correlation in controls
Anda et al. [2] Norwegian patients with symptomatic dysplasia CT scan Increased version in DDH compared to controls, but no correlation None None
Argenson et al. [3] French patients with DDH and arthrosis compared to controls CT scan and pelvic radiographs Increased anteversion for DDH compared to controls 46.5% incidence of coxa valga in hips with DDH None
Buller et al. [9] Asymptomatic US patients (29–75 years old) CT scans originally obtained for vascular angiography None None Positive correlation: 0.38° to 1° p < 0.05
Ellis et al. [14] Cadaveric femora CT scan No difference in femoral version between cam morphology femurs (9°) and normal femurs (9°) p = 0.816
Ito et al. [24] Swiss patients with hip pain compared to controls MRI Decreased anteversion for patients with hip pain/impingement (10°) compared to controls (16°)
Leunig et al. [31] Swiss patients with OA secondary to protrusio compared to patients with OA but no protrusio Pelvic radiographs Lower neck-shaft angle (121°) in protrusio group (CEA = 60°) compared to controls (CEA = 36°, neck-shaft angle 130°’)
Noble et al. [39] Japanese women with DDH compared to controls CT scan Higher avg anteversion in DDH (42°) compared to controls (36°) p = 0.007 No difference in neck-shaft angle between DDH and controls (avg 124° for both) p = 0.897
Reikeras et al. [46] Cadaveric study in Norway Direct bone measurement and radiographs Weak correlation between version and neck-shaft angle
Steppacher et al. [50] Swiss patients with DDH compared to patients with a deep acetabulum MR arthrography Hips with DDH (CEA < 25°) had more oval femoral heads Overcovered hips (CEA > 39°) had rounder femoral heads Avg alpha angle < 41° in all positions for both groups Avg DDH: 137° Avg overcovered: 129° p < 0.001
Sutter et al. [52] Swiss patients with FAI compared to asymptomatic volunteers MRI Femoral version similar for both cohorts (avg 12° for both) and not different for cam FAI (11°) compared to normal (13°)
Tönnis and Heinecke [54] German patients with hip pain CT scan and pelvic radiograph No association between femoral version and DDH No association between acetabular version and DDH Significant numbers of patients with all combinations of femoral and acetabular version, some with compensatory relationships
No correlation coefficient given
Current study Swiss patients undergoing hip MR arthrography for any reason MR arthrography and pelvic radiographs None None None None Association between neck-shaft angle and version; explains 13% of variance of version Weak association; femoral version explains 5% of variance in acetabular version Acetabular version is a weak predictor of alpha angle; explains 5% of variance

CEA = center-edge angle; DDH = developmental dysplasia of the hip; OA = osteoarthritis; FAI = femoroacetabular impingement; avg = average.