Acetabular Retroversion in Military Recruits with Femoral Neck Stress Fractures

被引:29
|
作者
Kuhn, Kevin M. [3 ]
Riccio, Anthony I. [1 ]
Saldua, Nelson S. [1 ]
Cassidy, Jeffrey [2 ]
机构
[1] USN, San Diego Med Ctr, Dept Orthopaed Surg, San Diego, CA 92134 USA
[2] Helen DeVos Childrens Hosp, Dept Orthopaed Surg, Grand Rapids, MI USA
[3] Naval Hosp Guam, Dept Orthopaed Surg, Agana Hts, Guatemala
关键词
FEMOROACETABULAR IMPINGEMENT; PELVIC RADIOGRAPHS; FATIGUE FRACTURES; HIP; OSTEOARTHRITIS; DYSPLASIA; VERSION;
D O I
10.1007/s11999-009-0969-5
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Acetabular retroversion (AR) alters load distribution across the hip and is more prevalent in pathologic conditions involving the hip. We hypothesized the abnormal orientation and mechanical changes may predispose certain individuals to stress injuries of the femoral neck. We retrospectively reviewed the anteroposterior (AP) pelvic radiographs of 54 patients (108 hips) treated for a femoral neck stress fracture (FNSF) and compared these radiographs with those for a control group of patients with normal pelvic radiographs. We determined presence of a crossover sign (COS), femoral neck abnormalities, and neck shaft angle. The prevalence of a positive COS was greater in patients with stress fractures than in the control subjects (31 of 54 [57%] versus 17 of 54 [31%], respectively) and higher than for control subjects reported in the literature. Thirteen patients had radiographic changes of the femoral neck consistent with femoroacetabular impingement (FAI). These radiographic abnormalities were seen more commonly in retroverted hips. A greater incidence of AR was noted in patients with FNSF. Potential implications include more aggressive screening of military recruits with AR and the new onset of hip pain. Finally, we present an algorithm we use to diagnose and treat these relatively rare FNSFs.
引用
收藏
页码:846 / 851
页数:6
相关论文
共 50 条
  • [1] Letter to the Editor: Acetabular Retroversion in Military Recruits with Femoral Neck Stress Fractures
    Davis, Derik L.
    [J]. CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2014, 472 (04) : 1337 - 1338
  • [2] Reply to the Letter to the Editor: Acetabular Retroversion in Military Recruits with Femoral Neck Stress Fractures
    Kuhn, Kevin M.
    [J]. CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2014, 472 (04) : 1339 - 1339
  • [3] Femoral Neck Stress Fractures in South Korean Male Military Recruits
    Yoon, Hyung Ku
    Ryu, Yun Ki
    Song, Dae Guen
    Yoon, Byung-Ho
    [J]. CLINICS IN ORTHOPEDIC SURGERY, 2021, 13 (01) : 24 - 29
  • [4] Modified valgus osteotomy of the femoral neck for late presenting femoral neck stress fractures in military recruits
    Sen, Ramesh Kumar
    Tripathy, Sujit Kumar
    Manoharan, Shakthivel R. R.
    Chakrabarty, Somya
    [J]. INDIAN JOURNAL OF ORTHOPAEDICS, 2013, 47 (05) : 510 - 514
  • [5] Modified valgus osteotomy of the femoral neck for late presenting femoral neck stress fractures in military recruits
    Ramesh Kumar Sen
    Sujit Kumar Tripathy
    Shakthivel R. R. Manoharan
    Somya Chakrabarty
    [J]. Indian Journal of Orthopaedics, 2013, 47 : 510 - 514
  • [6] Modified valgus osteotomy of the femoral neck for late presenting femoral neck stress fractures in military recruits
    Singh, Satya Prakash
    Tanwar, Yashwant
    Jaiswal, Atin
    Habib, Masood
    [J]. INDIAN JOURNAL OF ORTHOPAEDICS, 2014, 48 (03) : 343 - U124
  • [7] Modified valgus osteotomy of the femoral neck for late presenting femoral neck stress fractures in military recruits
    Satya Prakash Singh
    Yashwant Tanwar
    Atin Jaiswal
    Masood Habib
    [J]. Indian Journal of Orthopaedics, 2014, 48 : 343 - 344
  • [8] Bilateral femoral neck stress fractures in military recruits with unilateral hip pain
    Moo, Ing How
    Lee, Y. H. D.
    Lim, K. K.
    Mehta, K. V.
    [J]. JOURNAL OF THE ROYAL ARMY MEDICAL CORPS, 2016, 162 (05) : 387 - 390
  • [9] Displaced femoral neck fatigue fractures in military recruits
    Pihlajamaki, Harri K.
    Ruohola, Juha-Petri
    Kiuru, Martti J.
    Visuri, Tuomo I.
    [J]. JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2006, 88A (09): : 1989 - 1997
  • [10] Modified valgus osteotomy of the femoral neck for late presenting femoral neck stress fractures in military recruits Reply
    Tripathy, Sujit Kumar
    Sen, Ramesh Kumar
    Manoharan, Shakthivel R. R.
    Chakrabarty, Somya
    [J]. INDIAN JOURNAL OF ORTHOPAEDICS, 2014, 48 (03) : 344 - 345