Ultrasound is as reliable as plain radiographs in the diagnosis of cam-type femoroacetabular impingement

Autor: Andreas Kasperczyk, Thomas Berndt, Solveig Lerch, Oliver Rühmann
Rok vydání: 2016
Předmět:
Zdroj: Archives of Orthopaedic and Trauma Surgery. 136:1437-1443
ISSN: 1434-3916
0936-8051
DOI: 10.1007/s00402-016-2509-6
Popis: In the diagnosis of femoroacetabular impingement (FAI), plain radiographs are accepted as the initial imaging method. However, there is no consensus regarding the optimal lateral view, and radiographs can underestimate the asphericity of the head–neck junction. Our research question was if ultrasound has at least the same reliability as X-ray and can be used as an alternative or additional method in the initial imaging of FAI. Forty patients with a median age of 39 years were consecutively included after diagnosis of cam-type FAI on magnetic resonance imaging (MRI). All patients underwent radiography involving a plain anteroposterior-view, frog-leg lateral view, and ultrasound of the hip joint in the ventral longitudinal section at 20° internal rotation. Parameters measured by MRI, radiographs, and ultrasound were the alpha angle, anterior offset, offset ratio, and anterior femoral distance. No significant difference between the alpha angle on MRI (64.8°), the frog-leg view (66.3°), or ultrasound (65.6°) could be detected. Comparable correlation was found between the alpha angle on MRI and the frog-leg lateral view (r = 0.73; p
Databáze: OpenAIRE
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