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Anatomical Description and Classification of Hip Dysplasia

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Hip Dysplasia

Abstract

Developmental dysplasia of the hip (DDH) consists of several morphologic abnormalities caused by intrauterine mechanical factors leading to dysplastic changes of the femoral and acetabular sides that continue until the bones reach maturity. In the literature, many classification systems for hip dysplasia have been described. The goals of these classification systems are to better understand the pathology, to achieve better communication among physicians, to establish better treatment planning, and to evaluate better the results of various treatment options. The different classification systems described for hip dysplasia vary according to the radiological modality used, i.e., ultrasound, X-ray, and CT, according to the skeletal age and ossific center maturation. Classification systems for hip dysplasia could also be categorized either as those that grade the degree or direction of dysplasia or as those that grade the degree of displacement of the femoral head. Although a single classification system does not exist for DDH throughout all ages due to the vast spectrum of the disorder, familiarity of the aforementioned classifications is important.

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References

  1. Dupuytren G. Original or congenital displacement of the heads OF THIGH-bones. Clin Orthop Relat Res. 1964;33:3–8.

    Article  Google Scholar 

  2. Klisic PJ. Congenital dislocation of the hip–a misleading term: brief report. J Bone Joint Surg Br. 1989;71(1):136.

    Article  CAS  PubMed  Google Scholar 

  3. Seringe R, Bonnet J-C, Katti E. Pathogeny and natural history of congenital dislocation of the hip. Orthop Traumatol Surg Res. 2014;100(1):59–67. https://doi.org/10.1016/j.otsr.2013.12.006.

    Article  CAS  PubMed  Google Scholar 

  4. Catterall A. What is congenital dislocation of the hip? J Bone Joint Surg Br. 1984;66:469–70.

    Article  CAS  PubMed  Google Scholar 

  5. Genda E, Iwasaki N, Li G, MacWilliams BA, Barrance PJ, Chao EY. Normal hip joint contact pressure distribution in single-leg standing–effect of gender and anatomic parameters. J Biomech. 2001;34(7):895–905.

    Article  CAS  PubMed  Google Scholar 

  6. Henak CR, Abraham CL, Anderson AE, Maas SA, Ellis BJ, Peters CL, Weiss JA. Patient-specific analysis of cartilage and labrum mechanics in human hips with acetabular dysplasia. Osteoarthr Cartil. 2014;22(2):210–7. https://doi.org/10.1016/j.joca.2013.11.003.

    Article  CAS  Google Scholar 

  7. Klaue K, Durnin CW, Ganz R. The acetabular rim syndrome. A clinical presentation of dysplasia of the hip. J Bone Joint Surg Br. 1991;73(3):423–9.

    Article  CAS  PubMed  Google Scholar 

  8. Murphy SB, Ganz R, Muller ME. The prognosis in untreated dysplasia of the hip. A study of radiographic factors that predict the outcome. J Bone Joint Surg Am. 1995;77(7):985–9.

    Article  CAS  PubMed  Google Scholar 

  9. Mavcic B, Iglic A, Kralj-Iglic V, Brand RA, Vengust R. Cumulative hip contact stress predicts osteoarthritis in DDH. Clin Orthop Relat Res. 2008;466(4):884–91. Published online 2008 Feb 21. https://doi.org/10.1007/s11999-008-0145-3.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Cooperman D. What is the evidence to support acetabular dysplasia as a cause of osteoarthritis? J Pediatr Orthop. 2013;33(Suppl 1):S2–7. https://doi.org/10.1097/BPO.0b013e3182770a8d.

    Article  PubMed  Google Scholar 

  11. Chegini S, Beck M, Ferguson SJ. The effects of impingement and dysplasia on stress distributions in the hip joint during sitting and walking: a finite element analysis. J Orthop Res. 2009;27(2):195–201. https://doi.org/10.1002/jor.20747.

    Article  PubMed  Google Scholar 

  12. Parvizi J, Bican O, Bender B, Mortazavi SM, Purtill JJ, Erickson J, Peters C. Arthroscopy for labral tears in patients with developmental dysplasia of the hip: a cautionary note. J Arthroplast. 2009;24(6 Suppl):110–3. https://doi.org/10.1016/j.arth.2009.05.021.

    Article  Google Scholar 

  13. Do Kim S, Jessel R, Zurakowski D, Millis MB, Kim Y-J. Anterior delayed gadolinium-enhanced MRI of cartilage values predict joint failure after periacetabular osteotomy. Clin Orthop Relat Res. 2012;470(12):3332–41. https://doi.org/10.1007/s11999-012-2519-9.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Larson CM, Moreau-Gaudry A, Kelly BT, Byrd JW, Tonetti J, Lavallee S, et al. Are normal hips being labeled as pathologic? A CT-based method for defining normal acetabular coverage. Clin Orthop Relat Res. 2015;473(4):1247–54. https://doi.org/10.1007/s11999-014-4055-2.

    Article  PubMed  Google Scholar 

  15. Hingsammer AM, Kalish LA, Stelzeneder D, Bixby S, Mamisch TC, Connell P, et al. Does periacetabular osteotomy for hip dysplasia modulate cartilage biochemistry? J Bone Joint Surg Am. 2015;97(7):544–50. https://doi.org/10.2106/JBJS.M.01233.

    Article  PubMed  Google Scholar 

  16. van Bosse H, Wedge JH, Babyn P. How are dysplastic hips different? A three-dimensional CT study. Clin Orthop Relat Res. 2015;473(5):1712–23. https://doi.org/10.1007/s11999-014-4103-y.

    Article  PubMed  Google Scholar 

  17. Abraham CL, Knight SJ, Peters CL, Weiss JA, Anderson AE. Patient-specific chondrolabral contact mechanics in patients with acetabular dysplasia following treatment with peri-acetabular osteotomy. Osteoarthr Cartil. 2017;25(5):676–84. https://doi.org/10.1016/j.joca.2016.11.016.

    Article  CAS  Google Scholar 

  18. Gala L, Clohisy JC, Beaule PE. Hip dysplasia in the young adult. J Bone Joint Surg Am. 2016;98(1):63–73. https://doi.org/10.2106/JBJS.O.00109.

    Article  PubMed  Google Scholar 

  19. Colvin AC, Harrast J, Harner C. Trends in hip arthroscopy. J Bone Joint Surg Am. 2012;94(4):e23. https://doi.org/10.2106/JBJS.J.01886.

    Article  PubMed  Google Scholar 

  20. Kremers HM, Schilz SR, Van Houten HK, Herrin J, Koenig KM, Bozic KJ, Berry DJ. Trends in utilization and outcomes of hip arthroscopy in the United States between 2005 and 2013. J Arthroplast. 2017;32(3):750–5. https://doi.org/10.1016/j.arth.2016.09.004.

    Article  Google Scholar 

  21. Beaule PE, Bleeker H, Singh A, Dobransky J. Defining modes of failure after joint-preserving surgery of the hip. Bone Joint J. 2017;99-B(3):303–9. https://doi.org/10.1302/0301-620X.99B3.BJJ-2016-0268.R1.

    Article  CAS  PubMed  Google Scholar 

  22. Clohisy JC, Nepple JJ, Larson CM, Zaltz I, Millis M. Persistent structural disease is the most common cause of repeat hip preservation surgery. Clin Orthop Relat Res. 2013;471(12):3788–94. https://doi.org/10.1007/s11999-013-3218-x.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Afoke NY, Byers PD, Hutton WC. The incongruous hip joint. A casting study. J Bone Joint Surg Br. 1980;62-B(4):511–4.

    Article  CAS  PubMed  Google Scholar 

  24. Dy CJ, Thompson MT, Crawford MJ, Alexander JW, McCarthy JC, Noble PC. Tensile strain in the anterior part of the acetabular labrum during provocative maneuvering of the normal hip. J Bone Joint Surg Am. 2008;90(7):1464–72. https://doi.org/10.2106/JBJS.G.00467.

    Article  PubMed  Google Scholar 

  25. Safran MR, Lopomo N, Zaffagnini S, Signorelli C, Vaughn ZD, Lindsey DP, et al. In vitro analysis of peri-articular soft tissues passive constraining effect on hip kinematics and joint stability. Knee Surg Sports Traumatol Arthrosc. 2013;21(7):1655–63. https://doi.org/10.1007/s00167-012-2091-6.

    Article  PubMed  Google Scholar 

  26. Gilles B, Christophe FK, Magnenat-Thalmann N, Becker CD, Duc SR, Menetrey J, Hoffmeyer P. MRI-based assessment of hip joint translations. J Biomech. 2009;42(9):1201–5. https://doi.org/10.1016/j.jbiomech.2009.03.033.

    Article  PubMed  Google Scholar 

  27. Charbonnier C, Kolo FC, Duthon VB, Magnenat-Thalmann N, Becker CD, Hoffmeyer P, Menetrey J. Assessment of congruence and impingement of the hip joint in professional ballet dancers: a motion capture study. Am J Sports Med. 2011;39(3):557–66. https://doi.org/10.1177/0363546510386002.

    Article  PubMed  Google Scholar 

  28. Barlow TG. Early diagnosis and treatment of congenital dislocation of the hip. Proc R Soc Med. 1963;56:804–6.

    CAS  PubMed  PubMed Central  Google Scholar 

  29. Barlow TG. Congenital dislocation of the hip. Early diagnosis and treatment. Lond Clin Med J. 1964;5:47–58.

    CAS  PubMed  Google Scholar 

  30. Ortolani M. Congenital hip dysplasia in the light of early and very early diagnosis. Clin Orthop Relat Res. 1976;119:6–10.

    Google Scholar 

  31. Weinstein SL, Mubarak SJ, Wenger DR. Fundamental concepts of developmental dysplasia of the hip. Instr Course Lect. 2014;63:299–305.

    PubMed  Google Scholar 

  32. Nepple JJ, Wells J, Ross JR, Bedi A, Schoenecker PL, Clohisy JC. Three patterns of acetabular deficiency are common in young adult patients with acetabular dysplasia. Clin Orthop Relat Res. 2017;475(4):1037–44. https://doi.org/10.1007/s11999-016-5150-3.

    Article  PubMed  Google Scholar 

  33. Beaulé PE, Zaragoza E, Motamedi K, Copelan N, Dorey FJ. Three-dimensional computed tomography of the hip in the assessment of femoroacetabular impingement. J Orthop Res. 2005;23(6):1286–92.

    Article  PubMed  Google Scholar 

  34. Kim SS, Frick SL, Wenger DR. Anteversion of the acetabulum in developmental dysplasia of the hip: analysis with computed tomography. J Pediatr Orthop. 1999;19(4):438–42.

    Article  CAS  PubMed  Google Scholar 

  35. Wells J, Nepple JJ, Crook K, Ross JR, Bedi A, Schoenecker P, Clohisy JC. Femoral morphology in the dysplastic hip: three-dimensional characterizations with CT. Clin Orthop Relat Res. 2017;475(4):1045–54. https://doi.org/10.1007/s11999-016-5119-2.

    Article  PubMed  Google Scholar 

  36. Dandachli W, Kannan V, Richards R, Shah Z, Hall-Craggs M, Witt J. Analysis of cover of the femoral head in normal and dysplastic hips: new CT-based technique. J Bone Joint Surg Br. 2008;90(11):1428–34. https://doi.org/10.1302/0301-620X.90B11.20073.

    Article  CAS  PubMed  Google Scholar 

  37. Akiyama M, Nakashima Y, Fujii M, Sato T, Yamamoto T, Mawatari T, et al. Femoral anteversion is correlated with acetabular version and coverage in Asian women with anterior and global deficient subgroups of hip dysplasia: a CT study. Skelet Radiol. 2012;41(11):1411–8.

    Article  Google Scholar 

  38. Benson MKD. Developmental dysplasia of the hip: early diagnosis and management. Curr Paediatr. 1996;6(1):2–8.

    Article  Google Scholar 

  39. Graf R. Classification of hip joint dysplasia by means of sonography. Arch Orthop Trauma Surg. 1984;102(4):248–55.

    Article  CAS  PubMed  Google Scholar 

  40. Graf R. Fundamentals of sonographic diagnosis of infant hip dysplasia. J Pediatr Orthop. 1984;4(6):735–40.

    Article  CAS  PubMed  Google Scholar 

  41. Graf R. Ultrasonography-guided therapy. Orthopade. 1997;26(1):33–42.

    CAS  PubMed  Google Scholar 

  42. Hareendranathan AR, Mabee M, Punithakumar K, Noga M, Jaremko JL. A technique for semiautomatic segmentation of echogenic structures in 3D ultrasound, applied to infant hip dysplasia. Int J Comput Assist Radiol Surg. 2016;11(1):31–42. https://doi.org/10.1007/s11548-015-1239-5.

    Article  PubMed  Google Scholar 

  43. Clarke NM, Harcke HT, McHugh P, Lee MS, Borns PF, MacEwen GD. Real-time ultrasound in the diagnosis of congenital dislocation and dysplasia of the hip. J Bone Joint Surg Br. 1985;67(3):406–12.

    Article  CAS  PubMed  Google Scholar 

  44. Clohisy JC, Carlisle JC, Beaulé PE, Kim YJ, Trousdale RT, Sierra RJ, et al. A systematic approach to the plain radiographic evaluation of the young adult hip. J Bone Joint Surg Am. 2008;90(Suppl 4):47–66. https://doi.org/10.2106/JBJS.H.00756.

    Article  PubMed  PubMed Central  Google Scholar 

  45. Yeung M, Kowalczuk M, Simunovic N, Ayeni OR. Hip arthroscopy in the setting of hip dysplasia: a systematic review. Bone Joint Res. 2016;5(6):225–31. https://doi.org/10.1302/2046-3758.56.2000533.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  46. Jacobsen S, Romer L, Soballe K. Degeneration in dysplastic hips. A computer tomography study. Skelet Radiol. 2005;34(12):778–84.

    Article  Google Scholar 

  47. Eckman K, Hafez MA, Ed F, Jaramaz B, Levison TJ, Digioia AM. Accuracy of pelvic flexion measurements from lateral radiographs. Clin Orthop Relat Res. 2006;451:154–60.

    Article  PubMed  Google Scholar 

  48. Nishihara S, Sugano N, Nishii T, Ohzono K, Yoshikawa H. Measurements of pelvic flexion angle using three-dimensional computed tomography. Clin Orthop Relat Res. 2003;411:140–51.

    Article  Google Scholar 

  49. Siebenrock KA, Kalbermatten DF, Ganz R. Effect of pelvic tilt on acetabular retroversion: a study of pelves from cadavers. Clin Orthop Relat Res. 2003;407:241–8.

    Article  Google Scholar 

  50. Maruyama M, Feinberg JR, Capello WN, D’Antonio JA. The Frank Stinchfield award: morphologic features of the acetabulum and femur: anteversion angle and implant positioning. Clin Orthop Relat Res. 2001;393:52–65.

    Article  Google Scholar 

  51. Tonnis D. Normal values of the hip joint for the evaluation of X-rays in children and adults. Clin Orthop Relat Res. London, UK. 1976;119:39–47.

    Google Scholar 

  52. Benson M, Fixsen J, Macnicol M, Parsch K. Children’s orthopaedics and fractures: Springer; 2009.

    Google Scholar 

  53. Narayanan U, Mulpuri K, Sankar WN, Clarke NM, Hosalkar H, Price CT. Reliability of a new radiographic classification for developmental dysplasia of the hip. J Pediatr Orthop. 2015;35(5):478–84. https://doi.org/10.1097/BPO.0000000000000318.

    Article  PubMed  PubMed Central  Google Scholar 

  54. Crowe JF, Mani VJ, Ranawat CS. Total hip replacement in congenital dislocation and dysplasia of the hip. J Bone Joint Surg Am. 1979;61(1):15–23.

    Article  CAS  PubMed  Google Scholar 

  55. Eftekhar NS. Principles of total hip arthroplasty. St. Louis: CV Mosby Company; 1978.

    Google Scholar 

  56. Brunner A, Ulmar B, Reichel H, Decking R. The Eftekhar and Kerboul classifications in assessment of developmental dysplasia of the hip in adult patients. Measurement of inter-and intraobserver reliability. HSS J. 2008;4(1):25–31. Published online 2007 Dec 18. https://doi.org/10.1007/s11420-007-9066-z.

    Article  PubMed  Google Scholar 

  57. Hartofilakidis G, Stamos K, Ioannidis TT. Low friction arthroplasty for old untreated congenital dislocation of the hip. J Bone Joint Surg Br. 1988;70(2):182–6.

    Article  CAS  PubMed  Google Scholar 

  58. Hartofilakidis G, Yiannakopoulos CK, Babis GC. The morphologic variations of low and high hip dislocation. Clin Orthop Relat Res. 2008;466(4):820–4. Published online 2008 Feb 21. https://doi.org/10.1007/s11999-008-0131-9.

    Article  PubMed  PubMed Central  Google Scholar 

  59. Hartofilakidis G, Stamos K, Karachalios T, Ioannidis TT, Zacharakis N. Congenital hip disease in adults. Classification of acetabular deficiencies and operative treatment with acetabuloplasty combined with total hip arthroplasty. J Bone Joint Surg Am. 1996;78(5):683–92.

    Article  CAS  PubMed  Google Scholar 

  60. Tönnis D. Clinical and radiographic schemes for evaluating therapeutic results. In: Congenital dysplasia and dislocation of the hip in children and adults. Berlin: Springer; 1987. p. 165–71.

    Chapter  Google Scholar 

  61. Severin E. Contribution to the knowledge of congenital dislocation of the hip joint: late results of closed reduction and arthrographic studies of recent cases. Acta Chir Scand. 1941;84(suppl 63):1–142.

    Google Scholar 

  62. Wiberg G. Studies on dysplastic acetabula and congenital subluxation of the hip joint: with special reference to the complication of osteoarthritis. Acta Chir Scand. 1939;83:58.

    Google Scholar 

  63. Barrett WP, Staheli LT, Chew DE. The effectiveness of the salter innominate osteotomy in the treatment of congenital dislocation of the hip. J Bone Joint Surg Am. 1986;68(1):79–87.

    Article  CAS  PubMed  Google Scholar 

  64. Blockey NJ. Derotation osteotomy in the management of congenital dislocation of the hip. J Bone Joint Surg Br. 1984;66(4):485–90.

    Article  CAS  PubMed  Google Scholar 

  65. Galpin RD, Roach JW, Wenger DR, Herring JA, Birch JG. One-stage treatment of congenital dislocation of the hip in older children, including femoral shortening. J Bone Joint Surg Am. 1989;71(5):734–41.

    Article  CAS  PubMed  Google Scholar 

  66. Ali AM, Angliss R, Fujii G, Smith DM, Benson MK. Reliability of the Severin classification in the assessment of developmental dysplasia of the hip. J Pediatr Orthop B. 2001;10(4):293–7.

    CAS  PubMed  Google Scholar 

  67. Ward WT, Vogt M, Grudziak JS, Tumer Y, Cook PC, Fitch RD. Severin classification system for evaluation of the results of operative treatment of congenital dislocation of the hip. A study of intraobserver and interobserver reliability. J Bone Joint Surg Am. 1997;79(5):656–63.

    Article  CAS  PubMed  Google Scholar 

  68. Omeroglu H, Ucar DH, Tumer Y. A new, objective radiographic classification system for the assessment of treatment results in developmental dysplasia of the hip. J Pediatr Orthop B. 2006;15(2):77–82.

    Article  PubMed  Google Scholar 

  69. Tönnis D. Nomenclature and classification of congenital hip dislocation. In: Tönnis D, editor. Congenital displasia and dislocation of the hip in children and adults. Berlin: Springer; 1987. p. 80–3.

    Chapter  Google Scholar 

  70. Bogunovic L, Gottlieb M, Pashos G, Baca G, Clohisy JC. Why do hip arthroscopy procedures fail? Clin Orthop Relat Res. 2013;471(8):2523–9. https://doi.org/10.1007/s11999-013-3015-6.

    Article  PubMed  PubMed Central  Google Scholar 

  71. Albers CE, Steppacher SD, Ganz R, Tannast M, Siebenrock KA. Impingement adversely affects 10-year survivorship after periacetabular osteotomy for DDH. Clin Orthop Relat Res. 2013;471(5):1602–14. https://doi.org/10.1007/s11999-013-2799-8.

    Article  PubMed  PubMed Central  Google Scholar 

  72. Steppacher SD, Huemmer C, Schwab JM, Tannast M, Siebenrock KA. Surgical hip dislocation for treatment of femoroacetabular impingement: factors predicting 5-year survivorship. Clin Orthop Relat Res. 2014;472(1):337–48. https://doi.org/10.1007/s11999-013-3268-0.

    Article  PubMed  Google Scholar 

  73. Siebenrock KA, Schaller C, Tannast M, Keel M, Buchler L. Anteverting periacetabular osteotomy for symptomatic acetabular retroversion: results at ten years. J Bone Joint Surg Am. 2014;96(21):1785–92. https://doi.org/10.2106/JBJS.M.00842.

    Article  PubMed  Google Scholar 

  74. Agricola R, Heijboer MP, Roze RH, Reijman M, Bierma-Zeinstra SM, Verhaar JA, Weinans H, Waarsing JH. Pincer deformity does not lead to osteoarthritis of the hip whereas acetabular dysplasia does: acetabular coverage and development of osteoarthritis in a nationwide prospective cohort study. Osteoarthr Cartil. 2013;21(10):1514–21. https://doi.org/10.1016/j.joca.2013.07.004.

    Article  CAS  Google Scholar 

  75. Tannast M, Hanke MS, Zheng G, Steppacher SD, Siebenrock KA. What are the radiographic reference values for acetabular under- and overcoverage? Clin Orthop Relat Res. 2015;473(4):1234–46. https://doi.org/10.1007/s11999-014-4038-3.

    Article  PubMed  Google Scholar 

  76. Mayer SW, Abdo JC, Hill MK, Kestel LA, Pan Z, Novais EN. Femoroacetabular impingement is associated with sports-related posterior hip instability in adolescents: a matched-cohort study. Am J Sports Med. 2016;44(9):2299–303. https://doi.org/10.1177/0363546516651119.

    Article  PubMed  Google Scholar 

  77. Anda S, Svenningsen S, Dale LG, Benum P. The acetabular sector angle of the adult hip determined by computed tomography. Acta Radiol Diagn (Stockh). 1986;27(4):443–7.

    Article  CAS  Google Scholar 

  78. Mast JW, Brunner RL, Zebrack J. Recognizing acetabular version in the radiographic presentation of hip dysplasia. Clin Orthop Relat Res. 2004;418:48–53.

    Article  Google Scholar 

  79. Dandachli W, Islam SU, Liu M, Richards R, Hall-Craggs M, Witt J. Three-dimensional CT analysis to determine acetabular retroversion and the implications for the management of femoro-acetabular impingement. J Bone Joint Surg Br. 2009;91(8):1031–6. https://doi.org/10.1302/0301-620X.91B8.22389.

    Article  CAS  PubMed  Google Scholar 

  80. Wyatt M, Weidner J, Pfluger D, Beck M. The Femoro-Epiphyseal Acetabular Roof (FEAR) index: a new measurement associated with instability in borderline hip dysplasia? Clin Orthop Relat Res. 2017;475(3):861–9. https://doi.org/10.1007/s11999-016-5137-0.

    Article  PubMed  Google Scholar 

  81. Wiberg G. The anatomy and roentgenographic appearance of a normal hip joint. Acta Chir Scand. 1939;83:7–38.

    Google Scholar 

  82. Wiberg G. Relation between congenital subluxation of the hip and arthritis deformans. Acta Chir Scand. 1939;10(1–4):351–71. https://doi.org/10.3109/17453673909149515.

    Article  Google Scholar 

  83. Thomas GE, Palmer AJ, Batra RN, Kiran A, Hart D, Spector T, et al. Subclinical deformities of the hip are significant predictors of radiographic osteoarthritis and joint replacement in women. A 20 year longitudinal cohort study. Osteoarthr Cartil. 2014 Oct;22(10):1504–10. https://doi.org/10.1016/j.joca.2014.06.038.

    Article  CAS  Google Scholar 

  84. Dwyer MK, Lee JA, McCarthy JC. Cartilage status at time of arthroscopy predicts failure in patients with hip dysplasia. J Arthroplast. 2015;30(9 Suppl):121–4. https://doi.org/10.1016/j.arth.2014.12.034.

    Article  Google Scholar 

  85. Byrd JW, Jones KS. Hip arthroscopy in the presence of dysplasia. Arthroscopy. 2003;19(10):1055–60.

    Article  PubMed  Google Scholar 

  86. Jacobs NA, Skorecki J, Charnley J. Analysis of the vertical component of force in normal and pathological gait. J Biomech. 1972;5(1):11–34.

    Article  CAS  PubMed  Google Scholar 

  87. Dorr LD, Wolf AW, Chandler R, Conaty JP. Classification and treatment of dislocations of total hip arthroplasty. Clin Orthop Relat Res. 1983;173:151–8.

    Google Scholar 

  88. Hirakawa K, Mitsugi N, Koshino T, Saito T, Hirasawa Y, Kubo T. Effect of acetabular cup position and orientation in cemented total hip arthroplasty. Clin Orthop Relat Res. 2001;388:135–42.

    Article  Google Scholar 

  89. Wilkin GP, Ibrahim MM, Smit KM, Beaulé PEA. Contemporary definition of hip dysplasia and structural instability: toward a comprehensive classification for acetabular dysplasia. J Arthroplast. 2017;32(9S):S20–7. https://doi.org/10.1016/j.arth.2017.02.067.

    Article  Google Scholar 

  90. Lazennec JY, Brusson A, Rousseau MA. Hip-spine relations and sagittal balance clinical consequences. Eur Spine J. 2011;20(Suppl 5):686–98. Published online 2011 Jul 28. https://doi.org/10.1007/s00586-011-1937-9.

    Article  PubMed  PubMed Central  Google Scholar 

  91. Sharp IK. Acetabular dysplasia. J Bone Joint Surg Br. 1961;43:268–72.

    Article  Google Scholar 

  92. Busse J, Gasteiger W, Tonnis D. A new method for roentgenologic evaluation of the hip joint–the hip factor. Arch Orthop Unfallchir. 1972;72(1):1–9.

    Article  CAS  PubMed  Google Scholar 

  93. Tonnis D, Heinecke A. Acetabular and femoral anteversion: relationship with osteoarthritis of the hip. J Bone Joint Surg Am. 1999;81(12):1747–70.

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Children’s Hospital of Eastern Ontario (CHEO), Division of Orthopedic Surgery, Ottawa, ON, Canada

    Mazen M. Ibrahim

  2. Faculty of Medicine, Helwan University, Cairo, Egypt

    Mazen M. Ibrahim

  3. Children’s Hospital of Eastern Ontario (CHEO), Division of Orthopedic Surgery, Ottawa, ON, Canada

    Kevin Smit

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  1. University of Ottawa Orthopedic Surgery, The Ottawa Hospital, Ottawa, ON, Canada

    Paul E. Beaulé

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Ibrahim, M.M., Smit, K. (2020). Anatomical Description and Classification of Hip Dysplasia. In: Beaulé, P. (eds) Hip Dysplasia. Springer, Cham. https://doi.org/10.1007/978-3-030-33358-4_3

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