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Adult Hip Dysplasia
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The AASA (anterior acetabular sector angle) is the
most reliable measure of acetabular insufficiency in the adult, since the
coverage deficit tends to affect the anterior acetabulum. Measurements vary
slightly from males to females; however, the cut-off point of 60 degrees is
valid for both genders.
The AASA is measured by tracing a line uniting the
centers of the femoral heads. From that line, the AASA is calculated by
measuring the angle formed with a second line that intersects the anterior
rim of the acetabulum.
The PASA (posterior acetabular sector angle) may be
important to determine pre-operatively. Normally, it measures above 105
degrees.
The sum of AASA + PASA detemines the HASA
(horizontal acetabular sector angle).
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The FAV or femoral anteversion angle shows a good
inverse relationship with the AASA: the greater the degree of femoral
anteversion, the less acetabular coverage there is.
FAV is calculated as the angle between the posterior intecondylar
line in the knee and a line along the femoral neck. |
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References:
Delaunay S, Dussault RG, Kaplan PA, Alford BA. Radiographic
measurements of dysplastic adult hips.
Skeletal Radiol. 1997 Feb;26(2):75-81.
Review.
Jacobsen S, Romer L, Soballe K. Degeneration in dysplastic hips A
Computer tomography study.
Skeletal Radiol. 2005 Oct 7;:1-7
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