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Acetabular retroversion: Diagnosis and treatment

dc.contributor.authorDireito-Santos, B
dc.contributor.authorFrança, G
dc.contributor.authorNunes, J
dc.contributor.authorCosta, A
dc.contributor.authorRodrigues, EB
dc.contributor.authorSilva, AP
dc.contributor.authorVaranda, P
dc.date.accessioned2019-01-18T12:29:40Z
dc.date.available2019-01-18T12:29:40Z
dc.date.issued2018-11
dc.description.abstractAcetabular retroversion (AR) consists of a malorientation of the acetabulum in the sagittal plane. AR is associated with changes in load transmission across the hip, being a risk factor for early osteoarthrosis. The pathophysiological basis of AR is an anterior acetabular hyper-coverage and an overall pelvic rotation.The delay or the non-diagnosis of AR could have an impact in the overall management of femoroacetabular impingement (FAI). AR is a subtype of (focal) pincer deformity.The objective of this review was to clarify the pathophysiological, diagnosis and treatment fundaments inherent to AR, using a current literature review.Radiographic evaluation is paramount in AR: the cross-over, the posterior wall and ischial spine signs are classic radiographic signs of AR. However, computed tomography (CT) evaluation permits a three-dimensional characterization of the deformity, being more reliable in its recognition.Acetabular rim trimming (ART) and periacetabular osteotomy (PAO) are the best described surgical options for the treatment of AR.The clinical outcomes of both techniques are dependent on the correct characterization of existing lesions and adequate selection of patients. Cite this article: EFORT Open Rev 2018;3:595-603. DOI: 10.1302/2058-5241.3.180015.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationEFORT Open Rev. 2018 Nov 12;3(11):595-603.pt_PT
dc.identifier.doi10.1302/2058-5241.3.180015pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.23/1299
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.subjectAcetábulopt_PT
dc.subjectRetroversão Ósseapt_PT
dc.titleAcetabular retroversion: Diagnosis and treatmentpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage603pt_PT
oaire.citation.issue11pt_PT
oaire.citation.startPage595-603pt_PT
oaire.citation.volume3pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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