Prevalence of Acetabular Dysplasia and its Associated Factors: Major Determinants of Hip Function
Acetabular dysplasia effect on hip joint function
DOI:
https://doi.org/10.54548/njps.v39i1.3Keywords:
Center edge angle, Acetabular angle, Acetabular dysplasia, Hip joint function, RadiographAbstract
SUMMARY
The hip joint bears a considerable proportion of the human weight and the ability to efficiently perform its plethora of functions depends on the status of the acetabulum. Morphological alteration of the acetabulum results in acetabular dysplasia which adversely affects the hip joint. The objectives of this study were to determine acetabular morphology, factors that are associated with acetabular dysplasia which compromise hip joint functions and the prevalence of acetabular dysplasia in apparently healthy adults in Calabar. This prospective cross-sectional study was carried out in the Radiology department of the University of Calabar teaching hospital, Calabar, Nigeria over a 5-months period and involved 100 apparently healthy subjects. Pelvic radiographs were conducted for all the subjects and afterwards center edge angle of Wiberg and acetabular angle of Sharp evaluations were done on all the images on a direct digital radiography viewer. Chi square, T-test and Pearson’s correlation were used to analyze the data. Mean center edge angle of Wiberg and acetabular angle of Sharp were 27.41 ± 0.730 (SEM) and 39.00±0.860 (SEM) respectively. Center edge angle of Wiberg and acetabular angle of Sharp were significantly associated with age (P=0.000 & P=0.000), marital status (P=0.002 & P=0.000) and employment status (P=0.001 & P=0.002). BMI was only significantly associated with center edge angle of Wiberg (P=0.004). Abnormal center edge angle of Wiberg and acetabular angle of Sharp were mostly seen in individuals below 40 years (64% & 88%, respectively), married (65% & 63%, respectively) and employed (75% & 53%, respectively). Most of the individuals with BMI above 25 had abnormal center edge angle of Wiberg (62%). Mean BMI in males was significantly greater than that of females (P=0.000). Acetabular dysplasia was noted in 4 males (4%). It is concluded that the center edge angle of Wiberg and the acetabular angle of Sharp in our population are similar to the values in some European and Asian populations, and the prevalence of acetabular dysplasia is 4% in this locality. Being a male that is married, employed, overweight and below 40 years are significantly associated with acetabular dysplasia and by implication are determinants of hip joint function.
References
REFERENCES
Adanir, O., and Zorer, G. (2018). Comparison of four parameters to assess acetabular dysplasia and acetabular dysplasia rates in primary hip osteoarthritis patients: A study in Turkish population. Journal of orthopaedic surgery (Hong Kong). 26(2), 2309499018768032. https://doi.org/10.1177/2309499018768032
Ali, A. A., Bhutto, N., Chandio, S., Waqas, S., Khoso, A. R., et al. (2021) Association of different Demographic characteristics with Hip Osteoarthritis patients attending the different Hospitals across the Karachi and Quetta. Open J Orthop Rheumatol. 6(1), 062-066. DOI: 10.17352/ojor.000040
Baharuddin, M. Y., Zulkifly, A. H., Kadir, M. R. A., et al. (2011). Morphometric study of the acetabular in Malay population normal hips and its clinical applications. J Med Sci. 11(5), 213-219. DOI:10.3923/jms.2011.213.219.
Böker, S. M., Adams, L. C., Fahlenkamp, U. L., et al. (2020). Value of susceptibility-weighted imaging for the assessment of angle measurements reflecting hip morphology. Scientific reports. 10(1), 20899. https://doi.org/10.1038/s41598-020-77671-1
Busato, T. S., Milan, T. V., Matioski Filho, G. R., et al. (2021). Anthropometric Tomographic Study of the Hip in a Brazilian Regional Population. Revista brasileira de ortopedia. 57(2), 230–240. https://doi.org/10.1055/s-0041-1731658
Cevik, H., and Cicek, E. D. (2020). Measurement Changes Used for femoroacetabular impingement diagnosis in hip pain. EJMI. 4(2), 228-234.
Coggon, D., Kellingray, S., Inskip, H., et al. (1998). Osteoarthritis of the hip and occupational lifting. American journal of epidemiology. 147(6), 523–528. https://doi.org/10.1093/oxfordjournals.aje.a009483
Croft, P., Cooper, C., Wickham, C., et al. (1992). Osteoarthritis of the hip and occupational activity. Scandinavian journal of work, environment & health. 18(1), 59–63. https://doi.org/10.5271/sjweh.1608
Ege, T., Köse, Ö., Demiralp, B., et al. (2016). Eriskin kalça displazisinin değerlendirilmesinde normal radyolojik ölçüm değerleri; Anadolu toplumunda 1732 sağlikli kalçanin değerlendirilmesi. Gulhane Medical Journal. 58(3), 245-249. https://dx.doi.org/10.5455/Gülhane.172969
El-Heis, M., Gharaibeh, M., Al-Omari, M., et al. (2018). The centre edge angle of Wiberg of acetabulum in adult Jordanian population. MOJ Orthop Rheumatol. 10(2), 168-170. DOI: 10.15406/mojor.2018.10.00407
Han, C., Yoo, J., Lee, W., et al. (1998). Radiographic parameters of acetabulum for dysplasia in Korean adults. Yonsei Med J. 39(5), 404-408.
Hassa, E., Kosehan, D., Ulu Ozturk, F., et al. (2023). The determination of acetabular parameters in a Turkish population sample: CT-based retrospective analysis of side and gender differences. Medicine. 102(43), e35706. https://doi.org/10.1097/MD.0000000000035706
Hofmann, U. K., Ipach, I., Rondak, I. C., et al. (2017). Influence of age on parameters for femoroacetabular impingement and hip dysplasia in x-rays. Acta ortopedica brasileira. 25(5), 197–201. https://doi.org/10.1590/1413-785220172505173951
Hong, K. B., Lee, W. S., Kang, K., et al. (2023). Evaluation of lateral and anterior center-edge angles according to sex and anterior pelvic plane tilt angle: a three-dimensional quantitative analysis. Journal of orthopaedic surgery and research. 18(1), 280. https://doi.org/10.1186/s13018-023-03763-z
Hutabarat, A., Saleh, R., Sakti, M., et al. (2018). Morphology study of the acetabulum values of Indonesian Deutero Malay Sub-race population in south Sulawesi. Journal of Medical Sciences. 18: 69-75.
Jacobsen, S., and Sonne-Holm, S. (2005). Hip dysplasia: a significant risk factor for the development of hip osteoarthritis. A cross-sectional survey. Rheumatology. (Oxford, England) 44(2), 211–218. https://doi.org/10.1093/rheumtology/keh436
Jeremic, D., Jovanovic, B., Zivanovic-Macuzic, I., et al. (2011). Sex dimorphism of postural parameters of the human acetabulum. Arch. Biol. Sci. Belgrade. 63(1), 137-143. DOI:10.2298/ABS1101137J
Jørgensen, K. T., Pedersen, B. V., Nielsen, N. M., et al. (2011). Socio-demographic factors, reproductive history and risk of osteoarthritis in a cohort of 4.6 million Danish women and men. Osteoarthritis and cartilage. 19(10), 1176–1182. https://doi.org/10.1016/j.joca.2011.07.009
Khaliq, S., Qamar, A., Khokhar, S. K., et al. (2022). Morphometric study of acetabular depth and coverage and their clinical importance. Pakistan journal of medical sciences. 38(8), 2227–2233. https://doi.org/10.12669/pjms.38.8.5915
Lavy, C. B., Msamati, B. C., and Igbigbi, P. S. (2003). Racial and gender variations in adult hip morphology. International orthopaedics. 27(6), 331–333. https://doi.org/10.1007/s00264-003-0507-0
Mannava, S., Geeslin, A. G., Frangiamore, S. J., et al. (2017). Comprehensive clinical evaluation of femoroacetabular impingement: Part 2, plain radiography. Arthroscopy techniques. 6(5), e2003–e2009. https://doi.org/10.1016/j.eats.2017.06.011
Nishimura, T., Watanabe, H., Taki, N. et al. (2023). Standard radiographic values for the acetabulum in Japanese adolescents: a cross-sectional study. BMC Musculoskelet Disord. 24, 257. https://doi.org/10.1186/s12891-023-06368-z
Polenick, C. A., Martire, L. M., Hemphill, R. C., et al. (2015). Effects of change in arthritis severity on spouse well-being: The moderating role of relationship closeness. Journal of family psychology: JFP: journal of the Division of Family Psychology of the American Psychological Association (Division 43). 29(3), 331–338. https://doi.org/10.1037/fam0000093
Pratama, R. Y., Indreswari, L., and Sutejo, I. R. (2023). The occupational risk factors associated with hip osteoarthritis in agricultural communities in Jember. Jurnal Ilmiah Kedokteran Wijaya Kusuma. 12(2), 151-157.
Pun S. (2016). Hip dysplasia in the young adult caused by residual childhood and adolescent-onset dysplasia. Current reviews in musculoskeletal medicine. 9(4), 427–434. https://doi.org/10.1007/s12178-016-9369-0
Soydan, Z., Ceylan, H. H., Kasabaligil, A., et al. (2021). Correlation between borderline acetabular dysplasia and hip osteoarthritis: A retrospective cross-sectional radiographic study. J Orthop trauma surg rel res. 16(5), 1-5.
Teichtahl, A. J., Smith, S., Wang, Y., et al. (2015). Occupational risk factors for hip osteoarthritis are associated with early hip structural abnormalities: a 3.0 T magnetic resonance imaging study of community-based adults. Arthritis research & therapy. 17(1), 19. https://doi.org/10.1186/s13075-015-0535-3
Tuğrul, A. İ., Yılmaz, G., Aydın, B. K., et al. (2020). Center-edge angle values in healthy children between 5 and 14 years old in Turkey. Acta orthopaedica et traumatologica turcica. 54(1), 15–19. https://doi.org/10.5152/j.aott.2020.01.451
Umer, M., Sepah, Y. J., Asif, S., et al. (2009). Acetabular morphometry and prevalence of hip dysplasia in the South Asian population. Orthopedic reviews. 1(1), e10. https://doi.org/10.4081/or.2009.e10
Vuralli, D., Polat, S., Oksuzler, M., et al. (2022). The importance of acetabular morphometry in determining hip dysplasia. Int. J. Morphol. 40(6), 1641-1647.
Welton, K. L., Kraeutler, M. J., Garabekyan, T., et al. (2023). Radiographic parameters of adult hip dysplasia. Orthopaedic journal of sports medicine. 11(2), 23259671231152868. https://doi.org/10.1177/23259671231152868
Werner, C. M., Ramseier, L. E., Ruckstuhl, T., et al. (2012). Normal values of Wiberg's lateral center-edge angle and Lequesne's acetabular index-a coxometric update. Skeletal radiology. 41(10), 1273–1278. https://doi.org/10.1007/s00256-012-1420-7
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Nigerian Journal of Physiological Sciences
This work is licensed under a Creative Commons Attribution 4.0 International License.
