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Vol. 23 Issue 4 (July-August 2013)

Evaluation of the alpha angle in asymptomatic adult hip joints: analysis of 994 hips

Evaluation of the alpha angle in asymptomatic adult hip joints: analysis of 994 hips

Hip Int 2013; 23(4): 395 - 399

Article Type: ORIGINAL ARTICLE

Article Subject: Biomechanics

DOI:10.5301/hipint.5000036

Authors

Jong Hwan Joo, Su Chan Lee, Hye Sun Ahn, Jun Soo Park, Won Jun Lee, Kwang Am Jung

Corresponding author

  • Kwang Am Jung
  • Joint and Arthritis Research, Himchan Hospital Seoul
  • 20-8, Songpa-dong, Songpa-gu Seoul 138-170, Korea

Abstract

Introduction: Numerous studies on cam femoroacetabular impingement (FAI) causing osteoarthritis have been conducted in Western populations, but not in Asian populations. The alpha angle in cam type FAI can be measured by routine hip AP and axial radiographs. The purpose of this study was to determine the range of alpha angles in an asymptomatic Asian cohort.

Materials and Methods: We performed a retrospective examination on 500 asymptomatic Asian adults (1000 hips) who underwent simultaneous spine MRI and hip coronal survey MRI for evaluation of back pain from December 2009 to March 2010. The alpha angle was measured on anteroposterior (AP) pelvic survey images. According to inclusion criteria, 372 hips of 186 men and 622 hips of 311 women were analysed.

Results: The mean alpha angles for men and women were 50.61° ± 7.61° and 49.82° ± 4.14°, respectively with no statistically significant differences (p = 0.063). Alpha angles of the two age groups (≥50 years old and <50 years old) were similar in both genders: 49.90° ± 6.88° versus 51.40° ± 8.30° in men (p = 0.060), and 50.61° ± 7.61° versus 49.82° ± 4.14° in women (p = 0.71). The frequency of pathologic alpha angle of men and women was 0.5% and 3.1%, respectively.

Conclusions: After review of 994 asymptomatic adult hips, we found neither gender-specific nor age-specific differences in the alpha angle. The frequency of the pathological range of the alpha angle was notably rare, as compared to those of Western countries. We assume that these findings could be related to a low prevalence of FAI and idiopathic osteoarthritis of the hip in the Asian population.

Article History

Disclosures

Finanical Support: There was no external source of funding for this study.
Conflict of Interest: Each author certifies that he has no commercial associations (e.g., consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article.

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Authors

  • Address for correspondence:
  • Joint and Arthritis Research, Himchan Hospital Seoul
  • 20-8, Songpa-dong, Songpa-gu Seoul 138-170, Korea
  • kwangamj@gmail.com

Affiliations

  • Joint and Arthritis Research, Department of Orthopaedic Surgery, Himchan Hospital, Seoul - Korea

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