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Regional muscle changes in adult dysfunctional hip conditions of femoroacetabular impingement and hip dysplasia

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A Correction to this article was published on 27 December 2019

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Abstract

Objective

To analyze regional muscle CT density and bulk in femoroacetabular impingement (FAI) and hip dysplasia (HD) versus controls.

Materials and methods

Patients who obtained perioperative CT imaging for FAI and HD before surgery were retrospectively studied. Asymptomatic controls included for comparison. Two readers independently evaluated regional hip muscle [iliopsoas (IP), rectus femoris (RF), gluteus minimus (Gm), and medius (GM)] density, muscle area, and muscle circumference. Inter-observer reliability calculated using intra-class correlation coefficient (ICC).

Results

A consecutive series of 25 FAI patients, 16 HD patients, and 38 controls were recruited in the study. FAI patients had significantly greater Gm and GM circumferences as well as greater RF and IP areas on the normal side compared to the asymptomatic control group (p values 0.004, 0.032, 0.033, and 0.028, respectively). In addition, Gm and RF circumferences and RF area were significantly larger (p values 0.029, 0.036, and 0.014, respectively) in FAI patients on the affected side compared to the control group. HD patients had significantly smaller Gm and GM circumferences on the affected side than normal side measurements in FAI group (p values 0.043 and 0.003, respectively). Normal side GM circumference was also smaller in HD patients than normal side FAI hips (p value 0.02). There was no significant difference between the measurements on normal and abnormal sides in each disease group. No significant difference was found between measurements of HD compared to controls (p > 0.05). No muscle density differences were seen among different groups. There was moderate to excellent inter-reader reliability for all measurements except Gm muscle density.

Conclusions

Muscle analysis was able to quantify differences among patients with FAI, HD, and asymptomatic controls. These changes could indicate either a muscle imbalance contributing to the pathology or disuse atrophy, which may have implications for specific muscle-strengthening therapies and rehabilitation procedures in such patients.

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Change history

  • 27 December 2019

    Unfortunately in Volume 49, Issue 1 had been published online with an incorrect date (2001 instead of 2020).

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Authors and Affiliations

  1. Radiology Department, UT Southwestern Medical Center, Dallas, TX, 75022, USA

    Majid Chalian, Natalie Schauwecker, Anthony Cai, Riham Dessouky, Nicholas Fey, Yin Xi & Avneesh Chhabra

  2. Orthopedics Department, UT Southwestern Medical Center, Dallas, TX, USA

    Joel Wells

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  1. Majid Chalian
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  2. Natalie Schauwecker
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  3. Anthony Cai
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  4. Riham Dessouky
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  7. Avneesh Chhabra
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Correspondence to Avneesh Chhabra.

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Conflict of interest

AC receives royalties from Jaypee and Wolters. AC also serves as consultant with ICON Medical and Treace Medical Concepts Inc.

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Chalian, M., Schauwecker, N., Cai, A. et al. Regional muscle changes in adult dysfunctional hip conditions of femoroacetabular impingement and hip dysplasia. Skeletal Radiol 49, 101–108 (2020). https://doi.org/10.1007/s00256-019-03263-4

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  • DOI: https://doi.org/10.1007/s00256-019-03263-4

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