使用可靠且经过验证的Hip2Norm对股骨髋臼撞击症进行影像学分析。

Radiographic analysis of femoroacetabular impingement with Hip2Norm-reliable and validated.

作者信息

Tannast Moritz, Mistry Sapan, Steppacher Simon D, Reichenbach Stephan, Langlotz Frank, Siebenrock Klaus A, Zheng Guoyan

机构信息

Department of Orthopaedic Surgery, Inselspital, University of Bern, Freiburgstrasse, 3010 Bern, Switzerland.

出版信息

J Orthop Res. 2008 Sep;26(9):1199-205. doi: 10.1002/jor.20653.

Abstract

The purpose of this study was to validate the accuracy, consistency, and reproducibility/reliability of a new method for correction of pelvic tilt and rotation of radiographic hip parameters for pincer type of femoroacetabular impingement on an anteroposterior pelvic radiograph. Thirty cadaver hips and 100 randomized, blinded AP pelvic radiographs were used for investigation. To detect the software accuracy, the calculated femoral head coverage and classic hip parameters determined with our software were compared to reference measurements based on CT scans or conventional radiographs in a neutral orientation as gold standard. To investigate software consistency, differences among the different parameters for each cadaver pelvis were calculated when reckoned back from a random to the neutral orientation. Intra- and interobserver comparisons were used to analyze the reliability and reproducibility of all parameters. All but two parameters showed a good-to-very good accuracy with the reference measurements. No relevant systematic errors were detected in the Bland-Altman analysis. Software consistency was good-to-very good for all parameters. A good-to-very good reliability and reproducibility was found for a substantial number of the evaluated radiographic acetabular parameters. The software appears to be an accurate, consistent, reliable, and reproducible method for analysis of acetabular pathomorphologies.

摘要

本研究的目的是验证一种用于纠正前后位骨盆X线片上钳夹型股骨髋臼撞击症骨盆倾斜和髋关节X线参数旋转的新方法的准确性、一致性及可重复性/可靠性。使用30具尸体髋关节和100张随机、盲法处理的前后位骨盆X线片进行研究。为检测软件准确性,将用我们的软件计算出的股骨头覆盖率和经典髋关节参数与基于CT扫描或中立位传统X线片的参考测量值(作为金标准)进行比较。为研究软件一致性,计算每个尸体骨盆从随机位恢复到中立位时不同参数之间的差异。采用观察者内和观察者间比较分析所有参数的可靠性和可重复性。除两个参数外,所有参数与参考测量值相比均显示出良好至极优的准确性。在Bland-Altman分析中未检测到相关系统误差。所有参数的软件一致性均为良好至极优。大量评估的X线髋臼参数显示出良好至极优的可靠性和可重复性。该软件似乎是一种用于分析髋臼病理形态的准确、一致、可靠且可重复的方法。

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