Litrenta Jody M, Domb Benjamin G
American Hip Institute, 1010 Executive Court, Suite 250, Westmont, IL, USA.
NYU Langone Orthopedic Hospital, New York, NY, USA.
J Hip Preserv Surg. 2018 Dec 24;5(4):410-424. doi: 10.1093/jhps/hny048. eCollection 2018 Dec.
Femoral version is reported to vary in relation to age, gender and other patient-specific factors. Differences in femoral version are suspected to contribute to the development of hip pathology. However, normative data on pathologic hips has never been reported. To evaluate the femoral version in a large population of patients with symptomatic hip pathology treated with arthroscopy and report differences within this group based on age, gender, bony morphology and other hip-related factors. A prospectively gathered database of 1449 hips was reviewed. All patients underwent pre-operative MRI with measure of femoral version. The average femoral version of the entire population was 8.4+ 9.2°, range -23 to 63. There no statistically significant differences encountered based on age, gender, bony morphology or other hip-related factors. Across all groups, there was wide variation in the femoral version present. Among younger patients, there was trend to have a greater proportion of retroversion. Significant variation in femoral version exists in patients with symptomatic hip pathology. Although the geometry of the proximal femur is commonly described as anteverted, relative retroversion is also frequently encountered.
据报道，股骨扭转角会因年龄、性别和其他患者特定因素而有所不同。股骨扭转角的差异被怀疑与髋关节病变的发生有关。然而，从未有过关于病理性髋关节的规范数据报道。为了评估大量接受关节镜治疗的有症状髋关节病变患者的股骨扭转角，并根据年龄、性别、骨骼形态和其他与髋关节相关的因素报告该组内的差异。回顾了一个前瞻性收集的包含1449个髋关节的数据库。所有患者术前均接受了股骨扭转角测量的MRI检查。整个人群的平均股骨扭转角为8.4±9.2°，范围为-23°至63°。基于年龄、性别、骨骼形态或其他与髋关节相关的因素，未发现统计学上的显著差异。在所有组中，股骨扭转角存在广泛差异。在年轻患者中，存在后倾比例更高的趋势。有症状髋关节病变患者的股骨扭转角存在显著差异。尽管近端股骨的几何形状通常被描述为前倾，但相对后倾也经常出现。
