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. 2015 Feb 18;2(1):28–41. doi: 10.1093/jhps/hnv013

Table IV.

Definition of pincer impingement across continents

North America South America Europe Asia Australia
Definition of pincer impingement
Number of studies reporting (subjects) (% of studies reporting a definition) 16 (949) (21%) 0 8 (471) (22%) 1 (21) (9%) 0
    Crossover sign 9 (535) 7 (353) 1 (21)
    Coxa profunda 7 (522) 4 (182) 1 (21)
    Protrusio acetabulae 7 (430) 4 (182) 0
    Acetabular retroversion 3 (305) 1 (118)a 1 (21)
    LCEA > 40° 2 (150) 0 1 (21)
    ACEA > 35° 1 (60) 0 0
    Tönnis angle < 0° 1 (60) 0 0
    Ischial spine sign 1 (36) 1 (101) 0
    Posterior wall sign 0 1 (11) 0
Mean lateral center edge angle (degrees) 31.2 ± 10.8 nr 31.7 ± 6.71 nr nr
    Number of studies reported (subjects) 12 (1747) 3 (215)
    Proportion of studies reporting (subjects) 15% (30%) 8.1% (6.0%)
Mean anterior center edge angle (degrees) 28.5 ± 3.54 nr nr nr nr
    Number of studies reported (subjects) 2 (110)
    Proportion of studies reporting (subjects) 2.6% (1.9%)
Mean Tönnis angle 7.0° nr 12.8° nr nr
    Number of studies reported (subjects) 4 (26) 1 (86)
    Proportion of studies reporting (subjects) 5.1% (0.4%) 2.7% (2.4%)
Number of studies assessing AIIS impingement (subspine impingement) 4 (228) nr nr nr nr

ACEA, anterior center edge angle; AIIS, anterior inferior iliac spine; LCEA, lateral center edge angle; nr, not recorded.

aRetroversion defined as anteversion less than 14 degrees.