Retroversion of the acetabulum. A cause of hip pain.

@article{Reynolds1999RetroversionOT,
  title={Retroversion of the acetabulum. A cause of hip pain.},
  author={David A. Reynolds and J. Lucas and Kaj Klaue},
  journal={The Journal of bone and joint surgery. British volume},
  year={1999},
  volume={81 2},
  pages={
          281-8
        }
}
We describe a little-known variety of hip dysplasia, termed 'acetabular retroversion', in which the alignment of the mouth of the acetabulum does not face the normal anterolateral direction, but inclines more posterolaterally. The condition may be part of a complex dysplasia or a single entity. Other than its retroversion, the acetabulum is sited normally on the side wall of the pelvis, and its articular surface is of normal extent and configuration. The retroverted orientation may give rise to… 
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It is found that one in six patients with acetabular dysplasia has retroversion in which the superior ⅓ of the acetabulum faces posterolaterally.

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Overall survivorship is superior to the natural course of hip dysplasia with a preserved hip joint in 61 % after 20 years and good results can be expected in the long-term follow-up if performed with correct indication at young age in hips with preserved joint cartilage and proper reorientation of the acetabular fragment.

Acetabular Retroversion: Dysplasia in Disguise that Leads to Early Arthritis of the Hip.

Retroversion of the contralateral adult acetabulum after previous Perthes' disease.

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Recognizing Acetabular Version in the Radiographic Presentation of Hip Dysplasia

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The radiographs of 153 patients with developmental hip dysplasia presenting with hip pain were reviewed and found retroversion of the hip socket was surprisingly common, one in three hip sockets, and generally was associated with smaller values of the lateral center edge measurement.

[Bilateral post-traumatic acetabular dysplasia].

A case of bilateral post-traumatic acetabular dysplasia, which to the authors' knowledge has not been reported, is presented and the morphology and the symptoms of impingement and periacetabular osteotomy of the hip joint are discussed.

Hip deformity in symptomatic adult Perthes' disease.

Since any of the above deformities favours anterior femoroacetabular impingement and thus hinged flexion, this could well be a contributor to the development of the classic sequelae of LCPD and to the later development of osteoarthritis.

Acetabular Osteotomy: Indications and Results

  • R. Trousdale
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The current indications and results of acetabular osteotomy in patients with symptomatic acetABular structural problems will be discussed.

The prevalence of acetabular retroversion among various disorders of the hip.

Acetabular retroversion occurs more commonly in association with a variety of hip diseases, in which the prevalence of subsequent degenerative arthritis is increased, than has been previously noted.

Acetabular retroversion

Computed tomography evaluation permits a three-dimensional characterization of the deformity, being more reliable in its recognition and the clinical outcomes of both techniques are dependent on the correct characterization of existing lesions and adequate selection of patients.
...

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