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Relationship between acetabular labrum evaluation by using radial magnetic resonance imaging and progressive joint space narrowing in mild hip dysplasia

✍ Scribed by Keiichiro Ueshima; Kenji A. Takahashi; Mikihiro Fujioka; Yuji Arai; Motoyuki Horii; Takeshi Asano; Tetsurou Hirata; Hiroshi Suehara; Takashi Tanaka; Toshikazu Kubo


Publisher
Elsevier Science
Year
2006
Tongue
English
Weight
230 KB
Volume
24
Category
Article
ISSN
0730-725X

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✦ Synopsis


Objective:

The aim of this study was to investigate the relationship between abnormal acetabular labrum depicted by radial magnetic resonance and progressive joint space narrowing (jsn) of hip dysplasia.

Methods:

Subjects were 23 joints [21 patients; mean age: 35.1 years (16-53 years)] that had acetabular dysplasia with lateral center-edge angle of wiberg (ce angle) greater than 5 degrees and smaller than 25 degrees (mean, 16.4 degrees ), which did not show any arthrotic changes on plain radiograms and were followed up for 3 years or longer. radial images of acetabular labrum were classified into three stages.

Results:

Progression of jsn was not significantly related to ce angle but to progression of mri stage (p=.006). in multivariate analysis, one rank progression of mri stage was significantly associated with progression of jsn (adjusted or=11.41, 95% ci: 1.51-86.24, p=.018).

Conclusion:

Our findings showed that in patients whose acetabular dysplasia has 5-25 degrees ce angle, mri staging based on radial mri is a better factor for prediction of progression of jsn than ce angle.