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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.
In radiography the presence of a "crossover sign" is produced when the posterior wall of the acetabulum crosses the anterior wall before reaching the acetabular roof. It is a sign of acetabular retroversion and it has been linked with overcoverage and pincer impingement. Nevertheless, this sign has been described in 6% of the normal population.
Hip resurfacing is 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 similarly to the cap of 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 ...
The acetabular labrum is a fibrocartilagenous structure similar in composition to the meniscus. It is a ring of tissue that surrounds the acetabulum of the pelvis, and allows the head of the femur to articulate smoothly and efficiently with the acetabulum. The labrum plays an important role in maintaining the biomechanical stability of the hip ...
X-ray of Femoral Osteotomy hardware to correct femoral rotation caused by hip dysplasia. X-ray of the right hip in female patient in early thirties. Two main types of osteotomies are used in the correction of hip dysplasias and deformities to improve alignment/interaction of acetabulum – (socket) – and femoral head – (ball), innominate osteotomies and femoral osteotomies.
Total hip replacement is most commonly used to treat joint failure caused by osteoarthritis.Other indications include rheumatoid arthritis, avascular necrosis, traumatic arthritis, protrusio acetabuli, [5] certain hip fractures, benign and malignant bone tumors, [6] arthritis associated with Paget's disease, [7] ankylosing spondylitis [8] and juvenile rheumatoid arthritis. [9]
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Peri-acetabular osteotomy (PAO) surgery can be used to realign the hip joint in some adolescents and adults. Subsequent treatment with total hip arthroplasty ( hip replacement ) is complicated by a need for revision surgery (replacing the artificial joint) owing to skeletal changes as the body matures, loosening/wear or bone resorption.