Hawellek Thelonius, Meier Marc-Pascal, Seitz Mark-Tilman, Uhlig Johannes, Hosseini Ali Seif Amir, Beil Frank Timo, Lehmann Wolfgang, Hubert Jan
Department of Trauma Surgery, Orthopedics and Plastic Surgery, University Medical Center Göttingen, 37075 Göttingen, Germany.
Department of Diagnostic and Interventional Radiology, University Medical Center Göttingen, 37075 Göttingen, Germany.
Diagnostics (Basel). 2022 Jul 22;12(8):1774. doi: 10.3390/diagnostics12081774.
Background: Physiological reference values for morphological parameters of the hip (MPH) are of clinical importance for the treatment of painful, degenerated or fractured hip joints, as well as to detect morphological deformities, which could result in early osteoarthritis of the hip. Currently, sufficient data for MPH are lacking. Therefore, it remains unclear if age-dependent alterations in adult hip morphology are physiological and if there are side- and gender-dependent differences. The aim of the study was to analyze MPH according to gender, side and age in a large-scaled cohort by CT scans. Methods: A total of 1576 hip joints from 788 patients (female: 257, male: 531; mean age: 58.3 years (±18.9; 18−92 years)) were analyzed by CT. For all hips, acetabular anteversion (AcetAV); lateral centrum edge angle (LCE); acetabular index (AI); femoral neck version (FNV); centrum-collum-diaphyseal angle (CCD); and anterior alpha angle (AαA) were measured. Results: The mean values in this cohort were: AcetAV 20.5° (±6.9); LCE 40.8° (±8.8); AI 0.3° (±5.3); FNV 11.0° (±9.8); CCD 129.9° (±7.4); and AαA 41.2° (±7.7). There was a detectable side-specific difference for AcetAV (p = 0.001); LCE (p < 0.001); CCD (p < 0.001); and AαA (p < 0.001). All the analyzed parameters showed a significant gender-specific difference, except for AI (p = 0.37). There was a significant correlation between age and AcetAV (r = 0.17; p < 0.001); LCE (r = 0.39; p < 0.001); AI (r = −0.25; p < 0.001); CCD (r = −0.15; p < 0.001); and AαA (r = 0.09; p < 0.001), except FNV (p = 0.79). Conclusions: There are side-, gender- and age-specific alterations in hip morphology, which have to be considered in treating hip joint pathologies.
髋关节形态学参数的生理参考值对于治疗疼痛、退变或骨折的髋关节，以及检测可能导致早期髋关节骨关节炎的形态学畸形具有临床重要性。目前，缺乏关于髋关节形态学参数的充分数据。因此，尚不清楚成人髋关节形态随年龄的变化是否为生理性的，以及是否存在左右侧和性别差异。本研究的目的是通过CT扫描在一个大规模队列中分析按性别、左右侧和年龄分类的髋关节形态学参数。方法：对788例患者（女性：257例，男性：531例；平均年龄：58.3岁（±18.9；18 - 92岁））的1576个髋关节进行CT分析。测量所有髋关节的髋臼前倾角（AcetAV）、外侧中心边缘角（LCE）、髋臼指数（AI）、股骨颈前倾角（FNV）、中心 - 颈 - 骨干角（CCD）和前α角（AαA）。结果：该队列中的平均值为：AcetAV 20.5°（±6.9）；LCE 40.8°（±8.8）；AI 0.3°（±5.3）；FNV 11.0°（±9.8）；CCD 129.9°（±7.4）；AαA 41.2°（±7.7）。AcetAV（p = 0.001）、LCE（p < 0.001）、CCD（p < 0.001）和AαA（p < 0.001）存在可检测到的左右侧特异性差异。除AI外（p = 0.37），所有分析参数均显示出显著的性别特异性差异。年龄与AcetAV（r = 0.17；p < 0.001）、LCE（r = 0.39；p < 0.001）、AI（r = -0.25；p < 0.001）、CCD（r = -0.15；p < 0.001）和AαA（r = 0.09；p < 0.001）之间存在显著相关性，但FNV除外（p = 0.79）。结论：髋关节形态存在左右侧、性别和年龄特异性改变，在治疗髋关节疾病时必须予以考虑。
