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Traditional Imaging: Plain X-Rays, Three-Dimensional CT, and MR Imaging in Development Dysplasia of the Hip

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Hip Dysplasia

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Abstract

Hip dysplasia is a long known cause for hip pain and the development of osteoarthritis in mostly young and female patients. Radiographic evaluation is crucial and should be performed using standardized pelvic radiographs.

Pelvic AP radiographs provide an overview and are the primary method for diagnosis of hip dysplasia. Several radiographic factors (pre- and postoperatively) that can predict the outcome after periacetabular osteotomy (PAO) have been identified and validated on conventional radiographs.

For evaluation of the cartilage and labral status, MR imaging is crucial. Early signs of osteoarthritis and further signs of instability can be evaluated.

3D CT scans can help to assess anterior or posterior coverage of the femoral head, exact morphology of the acetabulum and simulation of PAO. In addition, 3D CT scan can help to virtually plan the amount of correction during PAO and potential concomitant correction of a cam-deformity avoiding postoperative FAI.

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Authors and Affiliations

  1. Inselspital, University of Bern, Department of Orthopaedic and Trauma Surgery, Bern, Switzerland

    Markus Simon Hanke, Florian Schmaranzer, Till Dominic Lerch, Simon Damian Steppacher, Klaus Arno Siebenrock & Moritz Tannast

  2. HFR, University of Fribourg, Department of Orthopaedic Surgery, Fribourg, Switzerland

    Moritz Tannast

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  1. Markus Simon Hanke
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  2. Florian Schmaranzer
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  3. Till Dominic Lerch
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  1. University of Ottawa Orthopedic Surgery, The Ottawa Hospital, Ottawa, ON, Canada

    Paul E. Beaulé

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Hanke, M.S., Schmaranzer, F., Lerch, T.D., Steppacher, S.D., Siebenrock, K.A., Tannast, M. (2020). Traditional Imaging: Plain X-Rays, Three-Dimensional CT, and MR Imaging in Development Dysplasia of the Hip. In: Beaulé, P. (eds) Hip Dysplasia. Springer, Cham. https://doi.org/10.1007/978-3-030-33358-4_6

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