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Hip resurfacing has been developed as a surgical alternative to total hip replacement (THR). The procedure consists of placing a cap (usually made of cobalt-chrome metal), which is hollow and shaped like a mushroom, over the head of the femur while a matching metal cup (similar to what is used with a THR) is placed in the acetabulum (pelvis socket), replacing the articulating surfaces of the ...
Percentage of acetabular walls crossing. Normal acetabulum is oriented in anteversion. Its value ranges from 15 to 20° in the equatorial plane of the acetabulum and decreases gradually towards the acetabular roof, where normal values range from 0 to 5°. Retroversion of the upper part of the acetabulum has been related with pincer type ...
In this case the tangent line touches the anterior rim of the acetabulum. Values under 20° indicate undercoverage of the femoral head. [3] The sciatic spine and posterior wall signs are other signs associated with acetabular retroversion. The first one is considered positive when the sciatic spine is projected medial to the iliopectineal line ...
In contrast, pincer impingement is a result of an abnormality on the acetabular side of the hip joint. [2] The acetabulum may either have a more posterior orientation than normal, otherwise known as acetabular retroversion (seen as the crossover sign on AP radiographs), or there may be extra bone around the rim.
Abnormal movement along the growth plate results in the slip. The term slipped capital femoral epiphysis is actually a misnomer, because the epiphysis (end part of a bone) remains in its normal anatomical position in the acetabulum (hip socket) due to the ligamentum teres femoris.
Posterior dislocations is when the femoral head lies posteriorly after dislocation. [5] It is the most common pattern of dislocation accounting for 90% of hip dislocations, [5] and those with an associated fracture are categorized by the Thompson and Epstein classification system, the Stewart and Milford classification system, and the Pipkin system (when associated with femoral head fractures).
Zones of a hip prosthesis, by the DeLee and Charnley system, [1] and the Gruen system. [2]After hip replacement, hip prosthesis zones are regions in the interface between prosthesis material and the surrounding bone.
The perforate acetabulum is a cup-shaped opening on each side of the pelvic girdle formed where the ischium, ilium, and pubis all meet, and into which the head of the femur inserts. [ 8 ] [ 9 ] The orientation and position of the acetabulum is one of the main morphological traits that caused dinosaurs to walk in an upright posture with their ...