The Method of Contact Area Assessment between the Femoral Head and Acetabulum in Children that Takes into Account Triradiate Cartilage
ARTICLE PDF (Українська)

Keywords

hip joint
contact area
acetabulum
triradiate cartilage

How to Cite

Filipchuk, V., Suvorov, V., Melnyk, M., & Ziablovskyi, Y. (2022). The Method of Contact Area Assessment between the Femoral Head and Acetabulum in Children that Takes into Account Triradiate Cartilage. TERRA ORTHOPAEDICA, (2(113), 68-73. https://doi.org/10.37647/0132-2486-2022-113-2-68-73

Abstract

Relevance. Specific hip joint pathologies in children are characterized by insufficiency of the femoral head (FH) coverage by the acetabulum. This is reflected in the contact area reduction between the FH and acetabulum. In order to correct these acetabular deformities properly, the pediatric orthopedist must know in which direction develops a deficit of contact area between the FH and acetabulum and be able to assess the level of this deficit.

Objective: to create an algorithm for the contact area assessment between the FH and acetabulum in children taking into account triradiate cartilage.

Materials and Methods. Pelvic CT scans of a 6-year-old male child without hip joint pathologies were selected. A digital model of the pelvis was created using these CT scans. The pelvic model was transferred to a custom-made software, where the contact area between the FH and acetabulum was assessed in an indirect way.

Results. The algorithm of the contact area assessment between the FH and acetabulum in children that takes into account triradiate cartilage was developed. Using the abovementioned algorithm, the contact area between the FH and acetabulum from both sides was assessed in a 6-year-old male child.

Conclusions. Assessment of the normal contact area between the FH and acetabulum and in various pathological conditions in children will help pediatric orthopedists to understand better different hip joint pathologies and improve preoperative planning.

https://doi.org/10.37647/0132-2486-2022-113-2-68-73
ARTICLE PDF (Українська)

References

Filipchuk V, Suvorov V. Acetabular Dysplasia: a Modern View of the Problem (Literature Review). Visnyk Ortopedii Travmatologii Protezuvannia. 2020 Jun;1 (104), 92-100. DOI: 10.37647/0132-2486-2020-104-1-92-100.

Huhnstock S, Svenningsen S, Pripp AH, Terjesen T, Wiig O. The acetabulum in Perthes' disease: a prospective study of 123 children. J Child Orthop. 2014 Dec;8(6):457-65. DOI: 10.1007/s11832-014-0617-9. Epub 2014 Nov 20. PMID: 25409924; PMCID: PMC4252266.

Aroojis A, Mantri N, Johari AN. Hip Displacement in Cerebral Palsy: The Role of Surveillance. Indian J Orthop. 2020 Jun 11;55(1):5-19. DOI: 10.1007/s43465-020-00162-y. PMID: 33569095; PMCID: PMC7851306.

Fu Z, Yang JP, Zeng P, Zhang ZL. Surgical implications for residual subluxation after closed reduction for developmental dislocation of the hip: a long-term follow-up. Orthop Surg. 2014 Aug;6(3):210-6. DOI: 10.1111/os.12113. PMID: 25179355; PMCID: PMC6583416.

Suvorov V, Filipchuk V, Mazevich V, Suvorov L. Simulation of pelvic osteotomies applied for DDH treatment in pediatric patients using piglet models. Adv Clin Exp Med. 2021 Oct;30(10):1085-1090. DOI: 10.17219/acem/140548. PMID: 34549556.

El-Sayed M, Ahmed T, Fathy S, Zyton H. The effect of Dega acetabuloplasty and Salter innominate osteotomy on acetabular remodeling monitored by the acetabular index in walking DDH patients between 2 and 6 years of age: short- to middle-term follow-up. J Child Orthop. 2012 Dec;6(6):471-7. DOI: 10.1007/s11832-012-0451-x. Epub 2012 Nov 28. PMID: 24294309; PMCID: PMC3511692.

Filipchuk V, Suvorov V. Pelvic osteotomies for DDH treatment in pediatric patients: assessment of risk factors. Int J Med Rev Case Rep. 2021 Jul;5 (7): 66-77. DOI: 10.5455 / IJMRCR.Pelvic-osteotomies-ddh-treatment.

Tannenbaum E, Kopydlowski N, Smith M, Bedi A, Sekiya JK. Gender and racial differences in focal and global acetabular version. J Arthroplasty. 2014 Feb;29(2):373-6. DOI: 10.1016/j.arth.2013.05.015. Epub 2013 Jun 18. PMID: 23786986; PMCID: PMC4049456.

Larson CM, Moreau-Gaudry A, Kelly BT, Byrd JW, Tonetti J, Lavallee S, Chabanas L, Barrier G, Bedi A. Are normal hips being labeled as pathologic? A CT-based method for defining normal acetabular coverage. Clin Orthop Relat Res. 2015 Apr;473(4):1247-54. DOI: 10.1007/s11999-014-4055-2. PMID: 25407391; PMCID: PMC4353516.

Tannenbaum EP, Zhang P, Maratt JD, Gombera MM, Holcombe SA, Wang SC, Bedi A, Goulet JA. A Computed Tomography Study of Gender Differences in Acetabular Version and Morphology: Implications for Femoroacetabular Impingement. Arthroscopy. 2015 Jul;31(7):1247-54. DOI: 10.1016/j.arthro.2015.02.007. Epub 2015 May 13. PMID: 25979688.

Edwards K, Leyland KM, Sanchez-Santos MT, Arden CP, Spector TD, Nelson AE, Jordan JM, Nevitt M, Hunter DJ, Arden NK. Differences between race and sex in measures of hip morphology: a population-based comparative study. Osteoarthritis Cartilage. 2020 Feb;28(2):189-200. DOI: 10.1016/j.joca.2019.10.014. Epub 2019 Dec 13. PMID: 31843571.

Hofmann UK, Ipach I, Rondak IC, Syha R, Götze M, Mittag F. Influence of age on parameters for femoroacetabular impingement and hip dysplasia in x-rays. Acta Ortop Bras. 2017 Sep-Oct;25(5):197-201. DOI: 10.1590/1413-785220172505173951. PMID: 29081704; PMCID: PMC5608738.

Peterson JB, Doan J, Bomar JD, Wenger DR, Pennock AT, Upasani VV. Sex Differences in Cartilage Topography and Orientation of the Developing Acetabulum: Implications for Hip Preservation Surgery. Clin Orthop Relat Res. 2015 Aug;473(8):2489-94. DOI: 10.1007/s11999-014-4109-5. Erratum in: Clin Orthop Relat Res. 2015 Aug;473(8):2721. PMID: 25537807; PMCID: PMC4488199.

Novais EN, Pan Z, Autruong PT, Meyers ML, Chang FM. Normal Percentile Reference Curves and Correlation of Acetabular Index and Acetabular Depth Ratio in Children. J Pediatr Orthop. 2018 Mar;38(3):163-169. DOI: 10.1097/BPO.0000000000000791. PMID: 27261963.

Araujo-Monsalvo B, Trujillo-Satow A, Araujo-Monsalvo VM, Cuevas-Olivo R, Hernández-Simón LM, Domínguez-Hernández VM. Volumetric measurement of the acetabular cavity in patients with unilateral neglected developmental dysplasia of the dislocated hip operated in a single time. Cir Cir. 2019;87(5):490-495. English. DOI: 10.24875/CIRU.19000436. PMID: 31448800.

Zhao X, Yan YB, Cao PC, Ma YS, Wu ZX, Zhang Y, Zang Y, Jie Q, Lei W. Surgical results of developmental dysplasia of the hip in older children based on using three-dimensional computed tomography. J Surg Res. 2014 Jun 15;189(2):268-73. DOI: 10.1016/j.jss.2014.03.003. Epub 2014 Mar 11. PMID: 24703507.

Merckaert SR, Pierzchala K, Bregou A, Zambelli PY. Residual hip dysplasia in children: osseous and cartilaginous acetabular angles to guide further treatment-a pilot study. J Orthop Surg Res. 2019 Nov 21;14(1):379. DOI: 10.1186/s13018-019-1441-1. PMID: 31752955; PMCID: PMC6868726.

Dogan O, Caliskan E, Duran S, Bicimoglu A. Evaluation of cartilage coverage with magnetic resonance imaging in residual dysplasia and its impact on surgical timing. Acta Orthop Traumatol Turc. 2019 Sep;53(5):351-355. DOI: 10.1016/j.aott.2019.05.004. Epub 2019 Jul 26. PMID: 31358402; PMCID: PMC6819792.

Irie T, Espinoza Orías AA, Irie TY, Nho SJ, Takahashi D, Iwasaki N, Inoue N. Three-dimensional hip joint congruity evaluation of the borderline dysplasia: Zonal-acetabular radius of curvature. J Orthop Res. 2020 Oct;38(10):2197-2205. DOI: 10.1002/jor.24631. Epub 2020 Mar 2. PMID: 32073168.

Novais EN, Pan Z, Autruong PT, Meyers ML, Chang FM. Normal Percentile Referenc Curves and Correlation of Acetabular Index and Acetabular Depth Ratio in Children. J Pediatr Orthop. 2018 Mar;38(3):163-169. DOI: 10.1097/BPO.0000000000000791. PMID: 27261963.

Li LY, Zhang LJ, Li QW, Zhao Q, Jia JY, Huang T. Development of the osseous and cartilaginous acetabular index in normal children and those with developmental dysplasia of the hip: a cross-sectional study using MRI. J Bone Joint Surg Br. 2012 Dec;94(12):1625-31. DOI: 10.1302/0301-620X.94B12.29958. PMID: 23188902.

Li Y, Guo Y, Li M, Zhou Q, Liu Y, Chen W, Li J, Canavese F, Xu H; Multi-center Pediatric Orthopedic Study Group of China. Acetabular index is the best predictor of late residual acetabular dysplasia after closed reduction in developmental dysplasia of the hip. Int Orthop. 2018 Mar;42(3):631-640. DOI: 10.1007/s00264-017-3726-5. Epub 2017 Dec 29. PMID: 29285666.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.