Skip to main content

Advertisement

SpringerLink
Log in

The relationship between pelvic incidence and anatomical acetabular anteversion in female Japanese patients with hip osteoarthritis: a retrospective iconographic study

  • Original Article
  • Published:
Surgical and Radiologic Anatomy Aims and scope Submit manuscript

Abstract

Purpose

This study aimed (1) to investigate the relationship between pelvic incidence (PI) and the anatomical acetabular anteversion (AA) relative to the spino-pelvic tilt (SPT) plane (anatomical AASPT), relative to the anterior pelvic plane (anatomical AAAPP), and functional standing AA; and (2) to compare AA and the sagittal spino-pelvic parameters of lumbo-pelvic complex types 1 (PI ≤ 30°) and 2 (PI > 30°), in Japanese females with hip osteoarthritis.

Methods

We conducted a retrospective study on 110 Japanese females with unilateral hip osteoarthritis. PI, standing lumbar lordosis (LL), standing SPT, anatomical AASPT, anatomical AAAPP, and functional standing AA were measured and calculated using radiographs and computed tomography. The PI-LL difference was defined as the mathematical difference between the PI and standing LL angles. Pearson’s correlation test was used to measure the relationship between the PI and AA. Student’s t test was used to compare spino-pelvic parameters between lumbo-pelvic complex type 1 (n = 24) and type 2 (n = 86).

Results

There was a significant relationship between the PI and anatomical AASPT (r =  −0.532, p < 0.001), but no significant relationship between the PI and anatomical AAAPP (r =  −0.021, p = 0.824) or functional standing AA (r = 0.104, p = 0.299). Lumbo-pelvic complex type 1 had a higher anatomical AASPT (22.4° ± 9.1° vs. 5.4° ± 15.1°, p < 0.001), similar anatomical AAAPP (15.0° ± 10.6° vs. 15.1° ± 15.3°, p = 0.981) and functional standing AA (12.4° ± 8.0° vs. 15.0° ± 14.1°, p = 0.254), a lower standing SPT (− 14.3° ± 11.0° vs. 13.7° ± 12.6°, p < 0.001), and a lower PI-LL difference (− 14.4° ± 18.5° vs. 6.4° ± 17.1°, p < 0.001) in comparison to lumbo-pelvic complex type 2.

Conclusion

Our findings will help to improve the understanding of hip anatomy and its relationship with the standing spino-pelvic alignment in Japanese females with hip osteoarthritis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

Code availability

Not applicable to that section.

References

  1. Boulay C, Bollini G, Legaye J, Tardieu C, Prat-Pradal D, Chabrol B et al (2014) Pelvic incidence: a predictive factor for three-dimensional acetabular orientation-a preliminary study. Anat Res Int 2014:594650. https://doi.org/10.1155/2014/594650

    Article  PubMed  PubMed Central  Google Scholar 

  2. Buckland AJ, DelSole E, George S, Vira S, Lafage V, Errico T et al (2017) Sagittal pelvic orientation a comparison of two methods of measurement. Bull Hosp Jt Dis 75(4):234–240

    Google Scholar 

  3. Buckland AJ, Fernandez L, Shimmin AJ, Bare JV, McMahon SJ, Vigdorchik JM (2019) Effects of sagittal spinal alignment on postural pelvic mobility in total hip arthroplasty candidates. J Arthroplasty 34(11):2663–2668. https://doi.org/10.1016/j.arth.2019.06.036

    Article  PubMed  Google Scholar 

  4. Maillot C, Harman C, Villet L, Cobb J, Rivière C (2019) Modern cup alignment techniques in total hip arthroplasty: a systematic review. Orthop Traumatol Surg Res 105(5):907–913. https://doi.org/10.1016/j.otsr.2019.03.015

    Article  PubMed  Google Scholar 

  5. Morris WZ, Fowers CA, Yuh RT, Gebhart JJ, Salata MJ, Liu RW (2016) Decreasing pelvic incidence is associated with greater risk of cam morphology. Bone Joint Res 5(9):387–392. https://doi.org/10.1302/2046-3758.59.BJR-2016-0028.R1

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Rivière C, Harman C, Parsons T, Villet L, Cobb J, Maillot C (2019) Kinematic alignment vs. conventional techniques for total hip arthroplasty: a retrospective case control study. Orthop Traumatol Surg Res 105(5):895–905. https://doi.org/10.1016/j.otsr.2019.02.012

    Article  PubMed  Google Scholar 

  7. Rivière C, Lazennec JY, Van Der Straeten C, Auvinet E, Cobb J, Muirhead-Allwoodc S (2017) The influence of spine-hip relations on total hip replacement: a systematic review. Orthop Traumatol Surg Res 103(4):559–568. https://doi.org/10.1016/j.otsr.2017.02.014

    Article  PubMed  Google Scholar 

  8. Sautet P, Giorgi H, Chabrand P, Tropiano P, Argenson JN, Parratte S et al (2018) Is anatomic acetabular orientation related to pelvic morphology? CT analysis of 150 healthy pelvises. Orthop Traumatol Surg Res 104(3):347–351. https://doi.org/10.1016/j.otsr.2017.10.006

    Article  CAS  PubMed  Google Scholar 

  9. Gebhart JJ, Streit JJ, Bedi A, Bush-Joseph CA, Nho SJ, Salata MJ (2014) Correlation of pelvic incidence with cam and pincer lesions. Am J Sports Med 42(11):2649–2653. https://doi.org/10.1177/0363546514548019

    Article  PubMed  Google Scholar 

  10. Legaye J, Duval-Beaupere G, Barrau A, Boulay C, Hecquet J, Montigny JP et al (2011) Relationship between sacral pelvic incidence and acetabular orientation. Hip Int 21(1):87–97. https://doi.org/10.5301/hip.2011.6283

    Article  PubMed  Google Scholar 

  11. Thelen T, Thelen P, Demezon H, Aunoble S, Le Huec JC (2017) Normative 3D acetabular orientation measurements by the low-dose EOS imaging system in 102 asymptomatic subjects in standing position: analyses by side, gender, pelvic incidence and reproducibility. Orthop Traumatol Surg Res 103(2):209–215. https://doi.org/10.1016/j.otsr.2016.11.010

    Article  CAS  PubMed  Google Scholar 

  12. Fujii M, Nakashima Y, Sato T, Akiyama M, Iwamoto Y (2012) Acetabular tilt correlates with acetabular version and coverage in hip dysplasia. Clin Orthop Relat Res 470(10):2827–2835. https://doi.org/10.1007/s11999-012-2370-z

    Article  PubMed  PubMed Central  Google Scholar 

  13. Lazennec JY, Boyer P, Gorin M, Catonné Y, Rousseau MA (2011) Acetabular anteversion with CT in supine, simulated standing, and sitting positions in a THA patient population. Clin Orthop Relat Res 469(4):1103–1109. https://doi.org/10.1007/s11999-010-1732-7

    Article  PubMed  Google Scholar 

  14. Le Huec JC, Hasegawa K (2016) Normative values for the spine shape parameters using 3D standing analysis from a database of 268 asymptomatic Caucasian and Japanese subjects. Eur Spine J 25(11):3630–3637. https://doi.org/10.1007/s00586-016-4485-5

    Article  PubMed  Google Scholar 

  15. Lembeck B, Mueller O, Reize P, Wuelker N (2005) Pelvic tilt makes acetabular cup navigation inaccurate. Acta Orthop 76(4):517–523. https://doi.org/10.1080/17453670510041501

    Article  PubMed  Google Scholar 

  16. Weir JP (2005) Quantifying test-retest reliability using the intraclass correlation coefficient and the SEM. J Strength Cond Res 19(1):231–240. https://doi.org/10.1519/15184.1

    Article  PubMed  Google Scholar 

  17. Schober P, Schwarte LA (2018) Correlation coefficients: appropriate use and interpretation. Anesth Analg 126(5):1763–1768. https://doi.org/10.1213/ANE.0000000000002864

    Article  PubMed  Google Scholar 

Download references

Funding

No funding was available for this manuscript.

Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga, 849-8501, Japan

    Takaomi Kobayashi, Tadatsugu Morimoto, Tomohito Yoshihara, Motoki Sonohata & Masaaki Mawatari

  2. MSK Lab - Imperial College London, White City Campus, London, UK

    Charles Rivière

  3. The Lister Hospital, Chelsea Bridge, London, UK

    Charles Rivière

  4. Centre de L’Arthrose, Clinique du Sport, Bordeaux-Mérignac, France

    Charles Rivière

Authors
  1. Takaomi Kobayashi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Tadatsugu Morimoto
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Tomohito Yoshihara
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Motoki Sonohata
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Charles Rivière
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Masaaki Mawatari
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

TK: Conception, design of the study, data collection, critically drafting and revising the article for important intellectual content, and final approval of the version to be submitted. TM: Conception and design of the study, critically drafting and revising the article for important intellectual content, and final approval of the version to be submitted. TY: Data collection and final approval of the version to be submitted. MS: Final approval of the version to be submitted. CR: Critically drafting and revising the article for important intellectual content and final approval of the version to be submitted. MM: Final approval of the version to be submitted.

Corresponding author

Correspondence to Takaomi Kobayashi.

Ethics declarations

Conflict of interest

None of the other authors had conflict of interest related to the current study.

Ethics approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional review board of Saga Medical University School of Medicine (registration number: 2017-11-R-04) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Consent to participate

Not applicable to that section.

Consent for publication

All authors have seen and approved the final manuscript and have given their consent for publication.

Availability of data and material

The datasets used during the current study are not publicly available because of patient confidentiality but are available from the corresponding author on reasonable request.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Kobayashi, T., Morimoto, T., Yoshihara, T. et al. The relationship between pelvic incidence and anatomical acetabular anteversion in female Japanese patients with hip osteoarthritis: a retrospective iconographic study. Surg Radiol Anat 43, 1141–1147 (2021). https://doi.org/10.1007/s00276-021-02710-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00276-021-02710-z

Keywords

Search

Navigation