Utilize este identificador para referenciar este registo:
https://hdl.handle.net/1822/65946
Título: | Acetabular retroversion: Diagnosis and treatment |
Autor(es): | Direito-Santos, Bruno França, Guilherme Nunes, Jóni Costa, André Rodrigues, Eurico Bandeira Silva, A Pedro Varanda, Pedro |
Palavras-chave: | acetabular retroversion acetabular rim trimming femoroacetabular impingement periacetabular osteotomy |
Data: | Nov-2018 |
Editora: | British Editorial Society of Bone & Joint Surgery |
Revista: | EFORT Open Reviews |
Resumo(s): | Acetabular retroversion (AR) consists of a malorientation of the acetabulum in the sagittal plane. AR is associated with changes in load transmission across the hip, being a risk factor for early osteoarthrosis. The pathophysiological basis of AR is an anterior acetabular hyper-coverage and an overall pelvic rotation.The delay or the non-diagnosis of AR could have an impact in the overall management of femoroacetabular impingement (FAI). AR is a subtype of (focal) pincer deformity.The objective of this review was to clarify the pathophysiological, diagnosis and treatment fundaments inherent to AR, using a current literature review.Radiographic evaluation is paramount in AR: the cross-over, the posterior wall and ischial spine signs are classic radiographic signs of AR. However, computed tomography (CT) evaluation permits a three-dimensional characterization of the deformity, being more reliable in its recognition.Acetabular rim trimming (ART) and periacetabular osteotomy (PAO) are the best described surgical options for the treatment of AR.The clinical outcomes of both techniques are dependent on the correct characterization of existing lesions and adequate selection of patients. Cite this article: EFORT Open Rev 2018;3:595-603. DOI: 10.1302/2058-5241.3.180015. |
Tipo: | Artigo |
URI: | https://hdl.handle.net/1822/65946 |
DOI: | 10.1302/2058-5241.3.180015 |
ISSN: | 2058-5241 |
Versão da editora: | https://online.boneandjoint.org.uk/doi/epdf/10.1302/2058-5241.3.180015 |
Arbitragem científica: | yes |
Acesso: | Acesso aberto |
Aparece nas coleções: | ICVS - Artigos em revistas internacionais / Papers in international journals |
Ficheiros deste registo:
Ficheiro | Descrição | Tamanho | Formato | |
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2058-5241.3.180015.pdf | 878,33 kB | Adobe PDF | Ver/Abrir |
Este trabalho está licenciado sob uma Licença Creative Commons