Differences of Anteroposterior Pelvic Radiographs Between Supine Position and Standing Position in Patients with Developmental Dysplasia of the Hip

Objective To explore the difference in pelvic tilt and hip joint parameters with developmental dysplasia of the hip (DDH) comparing the anteroposterior (AP) pelvic radiographs taken in supine and standing positions. Methods A prospective study of DDH patients undergoing Bernese periacetabular osteot...

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Published in:Orthopaedic surgery 2019-12, Vol.11 (6), p.1142-1148
Main Authors: Yang, Guo‐yue, Li, Ya‐yue, Luo, Dian‐zhong, Hui, Cheng, Xiao, Kai, Zhang, Hong
Format: Article
Language:English
Subjects:
Arthritis
Care and treatment
Clinical
Comparative analysis
Developmental dysplasia of the hip
Dysplasia
Hip joint
Medical research
Medicine, Experimental
Musculoskeletal diseases
Osteotomy
Patients
Pelvic tilt
Pelvis
Radiography
Shooting position
Software
Statistical analysis
Studies
Surgery
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creator Yang, Guo‐yue
Li, Ya‐yue
Luo, Dian‐zhong
Hui, Cheng
Xiao, Kai
Zhang, Hong
description Objective To explore the difference in pelvic tilt and hip joint parameters with developmental dysplasia of the hip (DDH) comparing the anteroposterior (AP) pelvic radiographs taken in supine and standing positions. Methods A prospective study of DDH patients undergoing Bernese periacetabular osteotomy (PAO) was conducted. AP pelvic radiographs were taken in supine and standing positions before surgery The pelvic tilt and hip joint parameters from the two radiographs were compared. Contrast parameters included the distance between the pubic symphysis to sacrococcygeal distance (PSSC), lateral center‐edge angle (LCEA), Tönnis angle (TA), and angle of sharp (SA). Results A total of 110 young DDH patients were enrolled, including 32 men and 78 women, aged 18–49 years. The male PSSC was 45.63 ± 13.69 mm in supine position and 36.91 ± 12.33 mm in standing position (P
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Methods A prospective study of DDH patients undergoing Bernese periacetabular osteotomy (PAO) was conducted. AP pelvic radiographs were taken in supine and standing positions before surgery The pelvic tilt and hip joint parameters from the two radiographs were compared. Contrast parameters included the distance between the pubic symphysis to sacrococcygeal distance (PSSC), lateral center‐edge angle (LCEA), Tönnis angle (TA), and angle of sharp (SA). Results A total of 110 young DDH patients were enrolled, including 32 men and 78 women, aged 18–49 years. The male PSSC was 45.63 ± 13.69 mm in supine position and 36.91 ± 12.33 mm in standing position (P < 0.05). The female PSSC was 56.76 ± 13.54 mm in supine position and 48.62 ± 15.44 mm in standing position (P < 0.05). In this study, LCEA <20° in AP pelvic radiographs in the supine position was found in 52 men and 135 women. For male patients, in supine position and standing position, LCEA were 5.51° ± 11.88° and 4.45° ± 12.22°, respectively (P < 0.05); TA were 20.20° ± 9.63° and 21.30° ± 9.97°, respectively (P < 0.05), and SA comparison showed no significant differences. For female patients, in supine position and standing position, LCEA were 3.07° ± 12.07° and 1.69° ± 12.11°, respectively (P < 0.05), TA were 22.62° ± 9.31° and 23.82° ± 9.45°, respectively (P < 0.05), and SA were 48.01° ± 4.68° and 48.49° ± 4.74°, respectively (P < 0.05). Conclusion Compared with the supine position, the young DDH patients have pelvic tilt backward and a decrease in hip coverage in the standing position.]]></description><identifier>ISSN: 1757-7853</identifier><identifier>EISSN: 1757-7861</identifier><identifier>DOI: 10.1111/os.12574</identifier><identifier>PMID: 31724289</identifier><language>eng</language><publisher>Melbourne: John Wiley &amp; Sons Australia, Ltd</publisher><subject>Arthritis ; Care and treatment ; Clinical ; Comparative analysis ; Developmental dysplasia of the hip ; Dysplasia ; Hip joint ; Medical research ; Medicine, Experimental ; Musculoskeletal diseases ; Osteotomy ; Patients ; Pelvic tilt ; Pelvis ; Radiography ; Shooting position ; Software ; Statistical analysis ; Studies ; Surgery</subject><ispartof>Orthopaedic surgery, 2019-12, Vol.11 (6), p.1142-1148</ispartof><rights>2019 The Authors. Orthopaedic Surgery published by Chinese Orthopaedic Association and John Wiley &amp; Sons Australia, Ltd.</rights><rights>COPYRIGHT 2019 John Wiley &amp; Sons, Inc.</rights><rights>2019. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5714-460b86514a64cde41c24613cc6fb94b4ce6d6f387366eddaafadc9339e8b9f843</citedby><cites>FETCH-LOGICAL-c5714-460b86514a64cde41c24613cc6fb94b4ce6d6f387366eddaafadc9339e8b9f843</cites><orcidid>0000-0001-7877-6747</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2346470636/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2346470636?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,11562,25753,27924,27925,37012,44590,46052,46476,53791,53793,75126</link.rule.ids></links><search><creatorcontrib>Yang, Guo‐yue</creatorcontrib><creatorcontrib>Li, Ya‐yue</creatorcontrib><creatorcontrib>Luo, Dian‐zhong</creatorcontrib><creatorcontrib>Hui, Cheng</creatorcontrib><creatorcontrib>Xiao, Kai</creatorcontrib><creatorcontrib>Zhang, Hong</creatorcontrib><title>Differences of Anteroposterior Pelvic Radiographs Between Supine Position and Standing Position in Patients with Developmental Dysplasia of the Hip</title><title>Orthopaedic surgery</title><description><![CDATA[Objective To explore the difference in pelvic tilt and hip joint parameters with developmental dysplasia of the hip (DDH) comparing the anteroposterior (AP) pelvic radiographs taken in supine and standing positions. Methods A prospective study of DDH patients undergoing Bernese periacetabular osteotomy (PAO) was conducted. AP pelvic radiographs were taken in supine and standing positions before surgery The pelvic tilt and hip joint parameters from the two radiographs were compared. Contrast parameters included the distance between the pubic symphysis to sacrococcygeal distance (PSSC), lateral center‐edge angle (LCEA), Tönnis angle (TA), and angle of sharp (SA). Results A total of 110 young DDH patients were enrolled, including 32 men and 78 women, aged 18–49 years. The male PSSC was 45.63 ± 13.69 mm in supine position and 36.91 ± 12.33 mm in standing position (P < 0.05). The female PSSC was 56.76 ± 13.54 mm in supine position and 48.62 ± 15.44 mm in standing position (P < 0.05). In this study, LCEA <20° in AP pelvic radiographs in the supine position was found in 52 men and 135 women. For male patients, in supine position and standing position, LCEA were 5.51° ± 11.88° and 4.45° ± 12.22°, respectively (P < 0.05); TA were 20.20° ± 9.63° and 21.30° ± 9.97°, respectively (P < 0.05), and SA comparison showed no significant differences. For female patients, in supine position and standing position, LCEA were 3.07° ± 12.07° and 1.69° ± 12.11°, respectively (P < 0.05), TA were 22.62° ± 9.31° and 23.82° ± 9.45°, respectively (P < 0.05), and SA were 48.01° ± 4.68° and 48.49° ± 4.74°, respectively (P < 0.05). Conclusion Compared with the supine position, the young DDH patients have pelvic tilt backward and a decrease in hip coverage in the standing position.]]></description><subject>Arthritis</subject><subject>Care and treatment</subject><subject>Clinical</subject><subject>Comparative analysis</subject><subject>Developmental dysplasia of the hip</subject><subject>Dysplasia</subject><subject>Hip joint</subject><subject>Medical research</subject><subject>Medicine, Experimental</subject><subject>Musculoskeletal diseases</subject><subject>Osteotomy</subject><subject>Patients</subject><subject>Pelvic tilt</subject><subject>Pelvis</subject><subject>Radiography</subject><subject>Shooting position</subject><subject>Software</subject><subject>Statistical analysis</subject><subject>Studies</subject><subject>Surgery</subject><issn>1757-7853</issn><issn>1757-7861</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNp1kt9q2zAUxs3YWLtusEcQ7GY3zqw_luybQdZsa6HQsGzXQpaPHAVH8iQnIc-xF55Sl5bAJoGO-PSdn84RyrL3uJjhND75OMOkFOxFdolFKXJRcfzyaV_Si-xNjJui4DUV4nV2QbEgjFT1ZfZnYY2BAE5DRN6guRsh-MHHFKwPaAn93mr0Q7XWd0EN64i-wHgAcGi1G6wDtPTRjtY7pFyLVmNareueVevQUo0W3BjRwY5rtIA99H7YJkX1aHGMQ6-iVafLxzWgGzu8zV4Z1Ud49xivsl_fvv68vsnv7r_fXs_vcl0KzHLGi6biJWaKM90Cw5owjqnW3DQ1a5gG3nJDK0E5h7ZVyqhW15TWUDW1qRi9ym4nbuvVRg7BblU4Sq-sfBB86KQKo9U9SNFgzkV5esCSEYVVUbNEKQkUmOmmTqzPE2vYNVtodeouqP4Men7i7Fp2fi95XTBOigT48AgI_vcO4ig3fhdc6l8SyjgTBaf82dWpVJV1xieY3tqo5VxQUpOKk1Mxs3-40mxha7V3YGzSzxI-Tgk6-BgDmKfCcSFPP0z6KB9-WLLmk_WQGMf_-uT9avL_BS9K0Rc</recordid><startdate>201912</startdate><enddate>201912</enddate><creator>Yang, Guo‐yue</creator><creator>Li, Ya‐yue</creator><creator>Luo, Dian‐zhong</creator><creator>Hui, Cheng</creator><creator>Xiao, Kai</creator><creator>Zhang, Hong</creator><general>John Wiley &amp; 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Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>ProQuest - Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Orthopaedic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yang, Guo‐yue</au><au>Li, Ya‐yue</au><au>Luo, Dian‐zhong</au><au>Hui, Cheng</au><au>Xiao, Kai</au><au>Zhang, Hong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Differences of Anteroposterior Pelvic Radiographs Between Supine Position and Standing Position in Patients with Developmental Dysplasia of the Hip</atitle><jtitle>Orthopaedic surgery</jtitle><date>2019-12</date><risdate>2019</risdate><volume>11</volume><issue>6</issue><spage>1142</spage><epage>1148</epage><pages>1142-1148</pages><issn>1757-7853</issn><eissn>1757-7861</eissn><abstract><![CDATA[Objective To explore the difference in pelvic tilt and hip joint parameters with developmental dysplasia of the hip (DDH) comparing the anteroposterior (AP) pelvic radiographs taken in supine and standing positions. Methods A prospective study of DDH patients undergoing Bernese periacetabular osteotomy (PAO) was conducted. AP pelvic radiographs were taken in supine and standing positions before surgery The pelvic tilt and hip joint parameters from the two radiographs were compared. Contrast parameters included the distance between the pubic symphysis to sacrococcygeal distance (PSSC), lateral center‐edge angle (LCEA), Tönnis angle (TA), and angle of sharp (SA). Results A total of 110 young DDH patients were enrolled, including 32 men and 78 women, aged 18–49 years. The male PSSC was 45.63 ± 13.69 mm in supine position and 36.91 ± 12.33 mm in standing position (P < 0.05). The female PSSC was 56.76 ± 13.54 mm in supine position and 48.62 ± 15.44 mm in standing position (P < 0.05). In this study, LCEA <20° in AP pelvic radiographs in the supine position was found in 52 men and 135 women. For male patients, in supine position and standing position, LCEA were 5.51° ± 11.88° and 4.45° ± 12.22°, respectively (P < 0.05); TA were 20.20° ± 9.63° and 21.30° ± 9.97°, respectively (P < 0.05), and SA comparison showed no significant differences. For female patients, in supine position and standing position, LCEA were 3.07° ± 12.07° and 1.69° ± 12.11°, respectively (P < 0.05), TA were 22.62° ± 9.31° and 23.82° ± 9.45°, respectively (P < 0.05), and SA were 48.01° ± 4.68° and 48.49° ± 4.74°, respectively (P < 0.05). Conclusion Compared with the supine position, the young DDH patients have pelvic tilt backward and a decrease in hip coverage in the standing position.]]></abstract><cop>Melbourne</cop><pub>John Wiley &amp; Sons Australia, Ltd</pub><pmid>31724289</pmid><doi>10.1111/os.12574</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-7877-6747</orcidid><oa>free_for_read</oa></addata></record>
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source Wiley_OA刊; ProQuest - Publicly Available Content Database; PubMed Central
subjects Arthritis
Care and treatment
Clinical
Comparative analysis
Developmental dysplasia of the hip
Dysplasia
Hip joint
Medical research
Medicine, Experimental
Musculoskeletal diseases
Osteotomy
Patients
Pelvic tilt
Pelvis
Radiography
Shooting position
Software
Statistical analysis
Studies
Surgery
title Differences of Anteroposterior Pelvic Radiographs Between Supine Position and Standing Position in Patients with Developmental Dysplasia of the Hip
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