Skip to main content
SpringerLink
Log in

Three-dimensional virtual simulation and evaluation of the femoroacetabular impingement based on “black bone” MRA

  • Arthroscopy and Sports Medicine
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Introduction

Femoroacetabular impingement (FAI) is a recognised cause of secondary osteoarthritis of the hip. Several imaging methods have been used to analyse the pathologic signs. Because of the lack of precise pre- and intraoperative overview and the difficulty locating osseous pathologies, arthroscopic and minimal invasive treatment is still challenging, even for trained surgeons. This paper describes a procedure that is based on magnetic resonance arthrography (MRA) and is used to virtually verify the range of motion (ROM) of the hip. It enables the evaluation of FAI and the preoperative simulation of adequate surgical manoeuvres.

Methods

Each MRI was completed on a 3.0 T system using a flexible transmit/receive surface body coil with the patient in the supine position. An axial three-dimensional (3D) gradient-echo (VIBE, volume interpolated breathhold examination) sequence was performed. For the generation of 3D bone models, semiautomatic segmentation of the MRA data was accomplished using Amira® visualisation software version 5.2. The self-developed software “HipProject”, written in C++, computes the maximal ROM of the hip. The virtual colliding regions were visualised for verification and simulation of osseous trimming.

Results

In addition, for necessary information about damage to the cartilage and labrum, “black bone” MRA was used to generate extremely precise 3D reconstructions of the hip joint to automatically calculate the preoperative osseous ROM. Furthermore, the acetabular and femoral locations of the impingement zone were individually visualised and quantified.

Conclusions

The described procedure is a useful tool for the preoperative investigation of impinging hips. It enables appropriate planning of required surgical interventions.

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

References

  1. Anderson LA, Peters CL, Park BB, Stoddard GJ, Erickson JA, Crim JR (2009) Acetabular cartilage delamination in femoroacetabular impingement. Risk factors and magnetic resonance imaging diagnosis. J Bone Joint Surg Am 91(2):305–313

    Article  PubMed  Google Scholar 

  2. Byrd JW, Jones KS (2009) Arthroscopic femoroplasty in the management of cam-type femoroacetabular impingement. Clin Orthop Relat Res 467(3):739–746

    Article  PubMed Central  PubMed  Google Scholar 

  3. Charbonnier C, Chague S, Ponzoni M, Bernardoni M, Hoffmeyer P, Christofilopoulos P (2014) Sexual activity after total hip arthroplasty: a motion capture study. J Arthrop 29(3):640–647

    Article  Google Scholar 

  4. Groh MM, Herrera J (2009) A comprehensive review of hip labral tears. Curr Rev Musculoskelet Med 2(2):105–117

    Article  PubMed Central  PubMed  Google Scholar 

  5. Heyworth BE, Shindle MK, Voos JE, Rudzki JR, Kelly BT (2007) Radiologic and intraoperative findings in revision hip arthroscopy. Arthroscopy 23(12):1295–1302

    Article  PubMed  Google Scholar 

  6. Ilizaliturri VM Jr (2009) Complications of arthroscopic femoroacetabular impingement treatment: a review. Clin Orthop Relat Res 467:760–768

    Article  PubMed Central  PubMed  Google Scholar 

  7. Notzli HP, Wyss TF, Stoecklin CH, Schmid MR, Treiber K, Hodler J (2002) The contour of the femoral head–neck junction as a predictor for the risk of anterior impingement. J Bone Joint Surg Br 84(4):556–560

    Article  CAS  PubMed  Google Scholar 

  8. Nouh MR, Schweitzer ME, Rybak L, Cohen J (2008) Femoroacetabular impingement: can the alpha angle be estimated? AJR Am J Roentgenol 190(5):1260–1262

    Article  PubMed  Google Scholar 

  9. Radetzki F, Mendel T, Noser H, Stoevesandt D, Rollinghoff M, Gutteck N et al (2013) Potentialities and limitations of a database constructing three-dimensional virtual bone models. Surg Radiol Anat 35(10):963–968

    Article  CAS  PubMed  Google Scholar 

  10. Rathnayaka K, Momot KI, Noser H, Volp A, Schuetz MA, Sahama T et al (2012) Quantification of the accuracy of MRI generated 3D models of long bones compared to CT generated 3D models. Med Eng Phys 34(3):357–363

    Article  PubMed  Google Scholar 

  11. Richolt JA, Teschner M, Everett PC, Millis MB, Kikinis R (1999) Impingement simulation of the hip in SCFE using 3D models. Comput Aided Surg 4(3):144–151

    Article  CAS  PubMed  Google Scholar 

  12. Sugano N, Yamanashi W, Sasama T (2003) Ranges of motion in anatomically normal hips using computer collision detection. 49th Annual Meeting of the Orthopaedic Research Society, New Orleans

  13. Tannast M, Goricki D, Beck M, Murphy SB, Siebenrock KA (2008) Hip damage occurs at the zone of femoroacetabular impingement. Clin Orthop Relat Res 466(2):273–280

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  14. Tannast M, Kubiak-Langer M, Langlotz F, Puls M, Murphy SB, Siebenrock KA (2007) Noninvasive three-dimensional assessment of femoroacetabular impingement. J Orthop Res 25(1):122–131

    Article  PubMed  Google Scholar 

  15. Tannast M, Siebenrock KA, Anderson SE (2007) Femoroacetabular impingement: radiographic diagnosis—what the radiologist should know. AJR Am J Roentgenol 188(6):1540–1552

    Article  PubMed  Google Scholar 

Download references

Conflict of interest

The authors declare that no conflict of interest exists regarding this study.

Author information

Authors and Affiliations

  1. Department of Orthopedic Surgery, Martin Luther University Halle-Wittenberg, Ernst-Grube-Str. 40, 06120, Halle (Saale), Germany

    Florian Radetzki, A. Hagel, T. Döring, K. S. Delank & D. Wohlrab

  2. Institute of Computer Science, Martin Luther University Halle-Wittenberg, Von-Seckendorff-Platz 1, 06120, Halle (Saale), Germany

    B. Saul

  3. Clinic for Diagnostic Radiology, Martin Luther University Halle-Wittenberg, Ernst-Grube-Straße 40, Halle (Saale), Germany

    D. Stoevesandt

  4. Department of Trauma Surgery, Employers’ Liability Insurance Association Hospital Bergmannstrost, Merseburger Straße 165, 06112, Halle (Saale), Germany

    T. Mendel

Authors
  1. Florian Radetzki
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. B. Saul
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. A. Hagel
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. T. Mendel
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. T. Döring
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. K. S. Delank
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. D. Wohlrab
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. D. Stoevesandt
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Florian Radetzki.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Radetzki, F., Saul, B., Hagel, A. et al. Three-dimensional virtual simulation and evaluation of the femoroacetabular impingement based on “black bone” MRA. Arch Orthop Trauma Surg 135, 667–671 (2015). https://doi.org/10.1007/s00402-015-2185-y

Download citation

  • Received:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00402-015-2185-y

Keywords

Search

Navigation