Labral tears with axial plane disorders
| Autor: | Gürsan, Onur, Açan, Ahmet Emrah, Asma, Ali, Hapa, Onur |
|---|---|
| Přispěvatelé: | MÜ |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male musculoskeletal diseases medicine.medical_specialty Acetabular anteversion angle Acetabular Anteversion Angle Asymptomatic alpha angle axial plane coverage Young Adult Femoroacetabular Impingement labral tear Femoracetabular Impingement Axial Plane Coverage medicine Humans Orthopedics and Sports Medicine Young adult Patient group Femoroacetabular impingement femoroacetabular impingement Retrospective Studies Hip dysplasia business.industry Alpha Angle Rehabilitation Acetabulum Retrospective cohort study medicine.disease hip dysplasia Surgery Hip Dysplasia Labral Tear Case-Control Studies Labral tears Orthopedic surgery Original Article Female medicine.symptom Tomography X-Ray Computed business |
| Zdroj: | Joint Diseases and Related Surgery |
| ISSN: | 2687-4792 2687-4784 |
| DOI: | 10.5606/ehc.2020.70193 |
| Popis: | Acan, Ahmet/0000-0001-7116-8773; GURSAN, ONUR/0000-0002-6356-3834 WOS: 000521139200019 PubMed ID: 32160503 Objectives: This study aims to determine if there is an axial plane coverage insufficiency in patients with symptomatic labral tears compared to the contralateral asymptomatic side and healthy control subjects. Patients and methods: This retrospective study was conducted between December 2017 and January 2019. Thirty patients (21 males, 9 females; mean age 28 years; range, 20 to 36 years) operated due to unilateral symptomatic acetabular labral tears secondary to femoroacetabular impingement were evaluated. Twenty asymptomatic patients (13 males, 7 females; mean age 27 +/- 9 years; range, 19 to 36 years) were included in the control group. The relationship between acetabular morphology and labral tear was investigated with the comparison of unilateral symptomatic hips with contralateral asymptomatic hips and the control group by using radiological parameters on plain radiographs and computed tomography. Results: When the patient group symptomatic side was compared to the control group, acetabular anteversion angle (AAA) and alpha (alpha) angle were higher, while posterior acetabular sector angle and horizontal acetabular sector angle were lower. When the asymptomatic side was compared to the control group. AAA was higher in the patient group. There was no difference between the symptomatic and asymptomatic sides in the patient group: the symptomatic side yielded a higher a angle. Conclusion: Posterior axial plane coverage deficiency in combination with cam deformity (increased alpha angle) seems to play a role in the pathogenesis of symptomatic acetabular labral tears, even creating a side-to-side difference in some individuals. |
| Databáze: | OpenAIRE |
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