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. 2014 Nov 11;473(4):1234–1246. doi: 10.1007/s11999-014-4038-3

Table 5.

Selected publications on normal radiographic values describing the acetabular anatomy

Study Method Hips Hip dysplasia Normal hips Pincer/protrusio
Lateral center-edge angle
 Wiberg (1939) [36] AP pelvic radiograph 200 < 20°
Borderline: 20°–25°
> 25°
 Fredensborg (1976) [8] AP pelvic radiograph 40 Adults: < 20°
(borderline 20°–25°)
Children: < 15°
(borderline 15°–20°)
Adults: > 25°
Children: > 20°
 Anda et al. (1986) [2] and (1991) [3] Scout view of CT 82 and 33 13° ± 5° (3°–19°) Male: 38° ± 5° (23–42)
Female: 35° ± 6° (21–42)
 Murphy et al. (1995) [20] AP pelvic radiograph 117 7° ± 12° (−22°–28°) 34° ± 9° (16°–49°)
 Kojima et al. (1998) [14] Computer simulation and AP pelvic radiograph 146 9° ± 9° Male: 31° ± 6°
Female: 29° ± 5°
 Tönnis and Heinecke (1999) [34] AP pelvic radiograph NA < 20° Deep acetabulum: 39°–44°
Protrusio: > 44°
 Li and Ganz (2003) [18] AP pelvic radiograph 232 6° ± 9° (−22°–25°)
 Jacobsen et al. (2005) [13] AP pelvic radiograph 4151 Male: 35° ± 7° (10°–62°)
Female: 35° ± 7° (10°–65°)
 Ecker et al. (2007) [7] AP pelvic radiograph 25 33° ± 6° (24°–47°)
 Steppacher et al. (2008) [28] AP pelvic radiograph 100 14° ± 9° (−16°–24°) 44° ± 5° (39°–59°)
 Shi et al. (2010) [24] AP pelvic radiograph 1494 Childhood: 23° (5°–46°)
Adolescents: 29° (6°–48°)
Adults: 33° (14°–59°)
 Siebenrock et al. (2012) [25] AP pelvic radiograph 87 10° (−13°–21°) 27° (20°–35°) 42° (24°–56°)
 Lepage-Saucier et al. (2014) [16] AP pelvic radiograph 94 Male: 35° ± 6° (22°–47°)
Female: 32° ± 6° (21°–44°)
 Scheidt et al. (2014) [22] AP pelvic radiograph 164 34° ± 7° (20°–56°)
Acetabular index
 Murphy et al. (1995) [20] AP pelvic radiograph 117 25° ± 10° (6°–46°) 6° ± 6° (−5° to 15°)
 Tönnis and Heinecke (1999) [34] AP pelvic radiograph NA > 14° Deep acetabulum <−5°
 Li and Ganz (2003) [18] AP pelvic radiograph 232 25° ± 10° (0°–50°)
 Ecker et al. (2007) [7] AP pelvic radiograph 25 9° ± 5° (−4° to 16°)
 Steppacher et al. (2008) [28] AP pelvic radiograph 100 21° ± 6° (14°–38°) −1° ± 5° (−13° to 14°)
 Lepage-Saucier et al. (2014) [16] AP pelvic radiograph 94 Male: 6° ± 5° (−3° to 14°)
Female: 6° ± 4° (−1° to 16°)
 Scheidt et al. (2014) [22] AP pelvic radiograph 164 2° ± 5° (−11° to 14°)
Extrusion index
 Murphy et al. (1995) [20] AP pelvic radiograph 117 36% ± 12% (15%–62%) 12% ± 8% (0%–31%)
 Li and Ganz (2003) [18] AP pelvic radiograph 232 39% ± 12% (11%–65%°)
 Jacobsen et al. (2005) [13] AP pelvic radiograph 4151 Male: 12% ± 9% (0%–45%)
Female: 8% ± 7% (0%–46%)
 Ecker et al. (2007) [7] AP pelvic radiograph 25 15% ± 6% (2%–33%)
 Steppacher et al. (2008) [28] AP pelvic radiograph 100 34%° ± 7% (22%–57%) 9% ± 4% (0%–16%)
 Scheidt et al. (2014) [22] AP pelvic radiograph 164 11% ± 6% (6%–27%)
Sharp angle
 Sharp (1961) [23] AP pelvic radiograph 200 33°–38°
 Jacobsen et al. (2005) [13] AP pelvic radiograph 4151 Male: 37° ± 4° (26°–54°)
Female: 39° ± 4° (24°–56°)
 Scheidt et al. (2014) [22] AP pelvic radiograph 164 39° ± 4° (28°–49°)
Crossover sign
 Reynolds et al. (1999) [21] AP pelvic radiograph 446 Negative Negative
Posterior wall sign
 Reynolds et al. (1999) [21] AP pelvic radiograph 446 Positive Negative
Anterior coverage
 Siebenrock et al. (2012) [25] AP pelvic radiograph 87 10% (0%–22%) 19% (7%–29%) 36% (13%–54%)
Posterior coverage
 Siebenrock et al. (2012) [25] AP pelvic radiograph 87 37% (15%–53%) 43% (32%–59%) 59% (32%–79%)
Craniocaudal coverage
 Konishi et al. (1993) [15] CT 286 Male: 79% ± 5%
Female: 77% ± 6%
 Steppacher et al. (2008) [28] AP pelvic radiograph 100 63% ± 12% (32%–87%) 92% ± 6% (79%–100%)
 Dandachli et al. (2013) [5] CT 75 51% ± 7% (38%–64%) 73% ± 4% (66%–81%)

NA = not applicable.