Acetabular retroversion: Diagnosis and treatment
| Autor: | Costa A, França G, Emanuel B. Rodrigues, Nunes J, Silva Ap, Direito-Santos B, Pedro Varanda |
|---|---|
| Přispěvatelé: | Universidade do Minho |
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Retroversão Óssea
medicine.medical_specialty Radiography Ischial spine 03 medical and health sciences 0302 clinical medicine Deformity medicine Orthopedics and Sports Medicine Femoroacetabular impingement femoroacetabular impingement 030222 orthopedics Science & Technology Periacetabular osteotomy business.industry acetabular rim trimming acetabular retroversion 030229 sport sciences periacetabular osteotomy medicine.disease Acetabulum Sagittal plane medicine.anatomical_structure Surgery Acetabular retroversion Radiology medicine.symptom business Acetábulo |
| Zdroj: | Repositório Científico de Acesso Aberto de Portugal Repositório Científico de Acesso Aberto de Portugal (RCAAP) instacron:RCAAP |
| ISSN: | 2058-5241 |
| Popis: | Acetabular retroversion (AR) consists of a malorientation of the acetabulum in the sagittal plane. AR is associated with changes in load transmission across the hip, being a risk factor for early osteoarthrosis. The pathophysiological basis of AR is an anterior acetabular hyper-coverage and an overall pelvic rotation.The delay or the non-diagnosis of AR could have an impact in the overall management of femoroacetabular impingement (FAI). AR is a subtype of (focal) pincer deformity.The objective of this review was to clarify the pathophysiological, diagnosis and treatment fundaments inherent to AR, using a current literature review.Radiographic evaluation is paramount in AR: the cross-over, the posterior wall and ischial spine signs are classic radiographic signs of AR. However, computed tomography (CT) evaluation permits a three-dimensional characterization of the deformity, being more reliable in its recognition.Acetabular rim trimming (ART) and periacetabular osteotomy (PAO) are the best described surgical options for the treatment of AR.The clinical outcomes of both techniques are dependent on the correct characterization of existing lesions and adequate selection of patients. Cite this article: EFORT Open Rev 2018;3:595-603. DOI: 10.1302/2058-5241.3.180015. info:eu-repo/semantics/publishedVersion |
| Databáze: | OpenAIRE |
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