Abstract
Accurate preoperative assessment of osseous morphology is critical in the diagnosis and management of various hip and pelvic conditions, such as femoroacetabular impingement (FAI), acetabular dysplasia, traumatic hip instability, and other complex pediatric disorders. Plain radiography, ultrasound, and magnetic resonance imaging (MRI) have all been used to assess abnormal hip morphology pre- and postoperatively; however, computed tomography (CT) has emerged as the gold standard for detecting osseous deformities of hip and pelvic pathologies. Technical advancements have allowed this imaging modality to provide more precise and accurate anatomic characterizations of complex, bony lesions with lower doses of radiation than historical scanning. This review focuses on the use of computed tomography scanning in the assessment of a variety of hip pathologies.
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Kang RW, Yanke AB, Espinoza Orias AA, Inoue N, Nho SJ. Emerging ideas: novel 3-D quantification and classification of cam lesions in patients with femoroacetabular impingement. Clin Orthop Relat Res. 2013;471(2):358–62.
Goutallier D, Van Driessche S, Manicom O, Sariali E, Bernageau J, Radier C. Influence of lower-limb torsion on long-term outcomes of tibial valgus osteotomy for medial compartment knee osteoarthritis. J Bone Joint Surg Am. 2006;88:2439–47.
Flohr TG, Schaller S, Stierstorfer K, et al. Multi-detector row CT systems and image-reconstruction techniques. Radiology. 2005;235:756.
Amis ES Jr, Butler PF, Applegate KE, et al. American College of Radiology white paper on radiation dose in medicine. J Am Coll Radiol. 2007;4:272.
Gay F, Pavia Y, Pierrat N, Lasalle S, Neuenschwander S, Brisse HJ. Dose reduction with adaptive statistical iterative reconstruction for paediatric CT: phantom study and clinical experience on chest and abdomen CT. Eur Radiol. 2013;24(1):102–11.
Gervaise A, Osemont B, Louis M, Lecocq S, Teixeira P, Blum A. Standard dose versus low-dose abdominal and pelvic CT: comparison between filtered back projection versus adaptive iterative dose reduction 3D. Diagn Interv Imaging. 2013;95(1):47–53.
Goldman AR, Maldjian PD. Reducing radiation dose in body CT: a practical approach to optimizing CT protocols. Am J Roentgenol. 2013;200(4):748–54.
McCollough CH, Primak AN, Braun N, Kofler J, Yu L, Christner J. Strategies for reducing radiation dose in CT. Radiol Clin North Am. 2009;47(10):27–40.
Su AW, Hillen TJ, Eutsler EP, et al. Low-dose computed tomography reduces radiation exposure by 90% compared with traditional computed tomography among patients undergoing hip-preservation surgery. Arthroscopy. 2019;35(5):1385–92.
Wylie JD, Jenkins PA, Beckmann JT, et al. Computed tomography scans in patients with young adult hip pain carry a lifetime risk of malignancy. Arthroscopy. 2018;34(1):155–63.
Bedi A, Dolan M, Magennis E, Lipman J, Buly R, Kelly BT. Computer-assisted modeling of osseous impingement and resection in femoroacetabular impingement. Arthroscopy. 2012;28(2):204–10.
Notzli HP, Wyss TF, Stoecklin CH, Schmid MR, Treiber K, Hodler J. The contour of the femoral head-neck junction as a predictor for the risk of anterior impingement. J Bone Joint Surg Br. 2002;84:556–60.
Hetsroni I, Dela Torre K, Duke G, Lyman S, Kelly BT. Sex differences of hip morphology in young adults with hip pain and labral tears. Arthroscopy. 2013;29(1):54–63.
Ross JR, Larson CM, Adeoyo O, et al. Residual deformity is the most common reason for revision hip arthroscopy: a three-dimensional CT study. Clin Orthop Relat Res. 2015;473:1388–95.
Tonnis D, Heinecke A. Acetabular and femoral anteversion: relationship with osteoarthritis of the hip. J Bone Joint Surg Am. 1999;81:1747–70.
Jacquemier M, Jouve JL, Bollini G, Panuel M, Migliani R. Acetabular anteversion in children. J Pediatr Orthop. 1992;12:373–5.
Hetsroni I, Poultsides L, Bedi A, Larson CM, Kelly BT. Anterior inferior iliac spine morphology correlates with hip range of motion: a classification system and dynamic model. Clin Orthop Relat Res. 2013;471(8):2497–503.
Stubbs AJ, Anz AW, Frino J, Lang JE, Weaver AA, Stitzel JD. Classic measures of hip dysplasia do not correlate with three-dimensional computer tomographic measures and indices. Hip Int. 2011;21(5):549–58.
Ranawat AS, Schulz B, Baumbach SF, Meftah M, Ganz R, Leunig M. Radiographic predictors of hip pain in femoroacetabular impingement. HSS J. 2011;7(2):115–9.
Monazzam S, Bomar JD, Cidambi K, et al. Lateral center-edge angle on conventional radiography and computed tomography. Clin Orthop Relat Res. 2013;471(7):2233–7.
Wiberg G. Studies on dysplastic acetabula and congenital subluxation of the hip joint: with special reference to the complication of osteoarthritis. Acta Chir Scand Suppl. 1939;83(58):1–135.
Tallroth K, Lepistö J. Computed tomography measurement of acetabular dimensions: normal values for correction of dysplasia. Acta Orthop. 2006;77(4):598–602.
Crockarell JR, Trousdale RT, Guyton JL. The anterior centre-edge angle: a cadaver study. J Bone Joint Surg Br. 2000;82-B:532–4.
Ito H, Matsuno T, Hirayama T, Tanino H, Yamanaka Y, Minami A. Three-dimensional computed tomography analysis of non-osteoarthritic adult acetabular dysplasia. Skeletal Radiol. 2009;38(2):131–9.
Haddad FS, Garbuz DS, Duncan CP, Janzen DL, Munk PL. CT evaluation of periacetabular osteotomies. J Bone Joint Surg Br. 2000;82:526–31.
Beltran LS, Rosenberg ZS, Mayo JD, Diaz de Tuesta M, Martin O, Neto LP, Bencardino JT. Imaging evaluation of developmental hip dysplasia in the young adult. AJR. 2013;200:1077–88.
Anda S, Svenningsen S, Dale LG, Benum P. The acetabular sector angle of the adult hip determined by computed tomography. Acta Radiol Diagn (Stockh). 1986;27:443–7.
Murphy SB, Simon SR, Kijewski PK, Wilkinson RH, Griscom NT. Femoral anteversion. J Bone Joint Surg Am. 1987;69:1169–76.
Weiner DS, Cook AJ, Hoyt WA Jr, Oravec CE. Computed tomography in the measurement of femoral anteversion. Orthopedics. 1978;1:299–306.
Grissom L, Harcke HT, Thacker M. Imaging in the surgical management of developmental dislocation of the hip. Clin Orthop Relat Res. 2008;466:791–801.
Ranawat CS, Maynard MJ. Modern techniques of cemented total hip arthroplasty. Tech Orthopedics. 1991;6:17–25.
Zaltz I, Kelly BT, Larson CM, et al. Surgical treatment of femoroacetabular impingement: what are the limits of hip arthroscopy. Arthroscopy. 2014;30(1):99–110.
Schlesinger AE, Hernandez RJ. Diseases of the musculoskeletal system in children: imaging with CT, sonography and MR. AJR. 1992;158:729–41.
Atweh LA, Kan JH. Multimodality imaging of developmental dysplasia of the hip. Pediatr Radiol. 2013;43(1):S166–71.
Nelitz M, Lipppacher S, Krauspe R, Reichel H. Perthes disease- current principles of diagnosis and treatment. Dtsch Arztebl Int. 2009;106(31–32):517–23.
Dimeglio A, Canavese F. Imaging in Legg-Calvé-perthes disease. Orthop Clin North Am. 2011;42:297–302.
Gill KG. Pediatric hip: pearls and pitfalls. Semin Musculoskeletal Radiol. 2013;17:328–38.
Jarrett DY, Matheney T, Kleinman PK. Imaging SCFE: diagnosis, treatment and complications. Pediatr Radiol. 2013;43(1):S71–82.
Bruce WD, Stevens PM. Surgical correction of miserable malalignment syndrome. J Pediatr Orthop. 2004;24(4):392–6.
Eckhoff DG, Johnson KK. Three-dimensional computed tomography reconstruction of tibial torsion. Clin Orthop. 1997;339:152–5.
Boykin RE, Anz AW, Bushnell BD, Kocher MS, Stubbs AJ, Philippon MJ. Hip instability. J Am Acad Orthop Surg. 2011;19(6):340–9.
Moorman CT 3rd, Warren RF, Hershman EB, Crowe JF, Potter HG, Barnes R, O’Brien SJ, Guettler JH. Traumatic posterior hip subluxation in American football. J Bone Joint Surg Am. 2003;85(A7):1190–6.
Shindle MK, Ranawat AS, Kelly BT. Diagnosis and management of traumatic and atraumatic hip instability in the athletic patient. Clin Sports Med. 2006;25:309–26.
Wines AP, McNicol D. Computed tomography measurement of the accuracy of component version in total hip arthroplasty. J Arthroplasty. 2006;21:696.
van Holsbeeck MT, Eyler WR, Sherman LS, et al. Detection of infection in loosened hip prostheses: efficacy of sonography. AJR Am J Roentgenol. 1994;163:381.
Kitamura N, Pappedemos PC, Duffy PR 3rd, et al. The value of anteroposterior pelvic radiographs for evaluating pelvic osteolysis. Clin Orthop Relat Res. 2006;453:239.
Park JS, Ryu KN, Hong HP, et al. Focal osteolysis in total hip replacement: CT findings. Skeletal Radiol. 2004;33:632.
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Kang, R.W., Swartwout, E., Bogner, E., Park, C., Ranawat, A. (2021). Computer Tomography Scan of the Hip and Pelvis. In: Nho, S.J., Asheesh, B., Salata, M.J., Mather III, R.C., Kelly, B.T. (eds) Hip Arthroscopy and Hip Joint Preservation Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7321-3_4-2
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DOI: https://doi.org/10.1007/978-1-4614-7321-3_4-2
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Latest
Computer Tomography Scan of the Hip and Pelvis- Published:
- 12 February 2021
DOI: https://doi.org/10.1007/978-1-4614-7321-3_4-2
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Original
Computer Tomography Scan of the Hip and Pelvis- Published:
- 07 June 2014
DOI: https://doi.org/10.1007/978-1-4614-7321-3_4-1