BACKGROUND AND PURPOSE Total necrosis of the femoral head after infection in children during their first months of life gives a dislocated hip with severe leg shortening. A new femoral head can be achieved with subtrochanteric osteotomy and transposition of the apophysis of the greater trochanter into the acetabulum. Previous reports have dealt with short-term results (up to 12 years). Here I p...

The hip joint is a ball-and-socket joint, formed by the femoral head and the acetabulum (Fig. 1, see Standring, Fig. 80.15). The articular surfaces are spherical with a marked congruity; this limits the range of movement but contributes to the considerable stability of the joint. In the anatomical position, the anterior/superior part of the femoral head is not covered by the acetabulum. This is...

OBJECTIVES An experimental piglet model induces avascular necrosis (AVN) and deformation of the femoral head but its secondary effects on the developing acetabulum have not been studied. The aim of this study was to assess the development of secondary acetabular deformation following femoral head ischemia. METHODS Intracapsular circumferential ligation at the base of the femoral neck and sect...

Legg-Calvé-Perthes disease (LCPD) is an idiopathic osteonecrosis of the femoral head with variable complications and resultant deformity of the femoral head and osteoarthritis. Suggested risk factors are acetabular retroversion, obesity, latitude, hyperactivity, and coagulopathy. The most commonly applied classification is based on radiolucency in the lateral pillar of the femoral head, which i...

conclusions in 88% of primary osteoarthritis cases we found fai morphology on the ap pelvic radiograph, similarly to those found in the bibliography, and we considered naming primary osteoarthritis, secondary osteoarthritis caused by fai. in the majority of cases, early diagnosis with simple, cheap and easily accessible ap pelvic radiograph with low dose of radiation may also be warranted backg...

legg-calvé-perthes disease (lcpd) is an idiopathic osteonecrosis of the femoral head with variable complications and resultant deformity of the femoral head and osteoarthritis. suggested risk factors are acetabular retroversion, obesity, latitude, hyperactivity, and coagulopathy. the most commonly applied classification is based on radiolucency in the lateral pillar of the femoral head, which i...

We have previously reported on 57 patients (60 hips) with a past history of Legg-Calvé-Perthes' disease at a mean of 34 years after the onset of symptoms. From this original group, 48 patients (51 hips) were also available for review after a mean of 50.2 years. We consider that the best prognostic indicator for the hip is the shape of the femoral head at skeletal maturity. Normal or flattened s...

subchondral insufficiency fracture of the femoral head (siffh) is characterized by acute onset hip pain without overt trauma. it appears as a low intensity band with bone marrow edema on t1-weighted mri. the most common course of treatment is protected weight bearing for a period of several weeks. total hip arthroplasty (tha) has been commonly used if the patient does not respond to the initial...

conclusion the prevalence of radiological parameters associated with fai is high, even in an asymptomatic young population. this high frequency of features may suggest that the threshold values have been set too low in the current literature, or that these findings may reflect anatomical variation rather than true pathological abnormalities. background femoroacetabular impingement (fai) is one ...

background: some studies have previously shown that geometry of proximal femur can affect the probability of fracture and type of fracture. it happens since the geometry of the proximal femur determines how a force is applied to its different parts. in this study, we have compared proximal femur’s geometric characteristics in femoral neck (fnf), intertrochanteric (itf) and subtrochanteric (stf)...