Hüftgelenkskontrakturen, Beinlängendifferenzen und spinopelvines Alignement – Einfluss auf die Arthroseentwicklung der Hüfte?

Hip joint contractures, leg length discrepancies, and spinopelvic alignment: impact on the development of osteoarthritis of the hip?

Zusammenfassung

Hüftgelenksbeschwerden sind häufig im orthopädischen Alltag. Im Alter von 60 Jahren leiden etwa 5 % der Bevölkerung in Deutschland unter einer symptomatischen Arthrose des Hüftgelenkes. Einer der Hauptauslöser ist die abnormale Morphologie des Gelenks. Ursachen können aber z. B. auch Überlastungen des Gelenks, kongenitale Hüftdysplasien mit Minderüberdachung sowie femorale oder azetabuläre Fehlstellungen sein. Der Einfluss von Hüftgelenkskontrakturen, Beinlängendifferenzen und des spinopelvinen Alignements sowie deren prophylaktische Therapie im Kindes‑, Jugend- und frühen Erwachsenenalter werden hier diskutiert.

Abstract

Hip joint problems are common in every-day orthopedic practice. At the age of 60, approximately 5% of the German population suffer from symptomatic osteoarthritis of the hip. One of the main trigger is the morphological abnormality of the joint. Causes may also be overloading of the joint, developmental dysplasia of the hip with reduced coverage, as well as femoral or acetabular malpositioning, for example. The impact of hip joint contractures, leg length discrepancies, and the spinopelvic alignment and their prophylactic treatment in childhood, adolescence and early adulthood are discussed here.

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Abbreviations

FAI:

Femoroazetabuläres Impingement

LAMA2 :

Laminin Subunit Alpha 2

PI :

Pelvic Incidence

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Correspondence to Dr. Marco Götze M.D..

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Götze, M., Hagmann, S. Hüftgelenkskontrakturen, Beinlängendifferenzen und spinopelvines Alignement – Einfluss auf die Arthroseentwicklung der Hüfte?. Orthopäde 49, 877–882 (2020). https://doi.org/10.1007/s00132-020-03977-7

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Schlüsselwörter

  • Azetabulofemoralgelenk
  • Koxarthrose
  • Femoroazetabuläres Impingement
  • Hüftdysplasie
  • Beinlängenungleichheit

Keywords

  • Acetabulofemoral joint
  • Hip osteoarthritis
  • Femoroacetabular impingement
  • Developmental dysplasia of the hip
  • Leg length discrepancy