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The acetabular labrum is a fibrous structure, which surrounds the femoral head. It forms a seal to the hip joint, [ 15 ] although its true function is poorly understood. Recent evidence has demonstrated that this hydraulic seal is vital for maintaining stability of the ball and socket joint [ 16 ] and reducing contact pressures of the femur to ...
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 ...
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.
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]
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.
The applicability of these methods to severe or widespread labral damage is less than ideal. Since then, surgeons have reported on a variety of graft choices and surgical techniques, and an arthroscopic approach has usurped open dislocation, due to fewer complications, a lower need for revision surgery and quicker recovery time. [9] [10]
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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 ...