Table 6.
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 |
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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.