The Journal of Bone and Joint Surgery 81:1747-70 (1999)
© 1999 The Journal of Bone and Joint Surgery, Inc.
Current Concepts Review - Acetabular and Femoral Anteversion: Relationship with Osteoarthritis of the Hip*
D. TÖNNIS, M.D. , DORTMUND and
A. HEINECKE, PH.D. , MÜNSTER, GERMANY
*No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article. No funds were received in support of this study.
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Introduction
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Primary osteoarthritis of the hip, often referred to as idiopathic, may be secondary to mechanical causes. There have been numerous studies on the measurement of torsion of the bones of the lower extremity1,3,8,13,14,31,34,39,44,45,47,48,54,63,79,80,84. Some studies have supported the hypothesis that a persistent increase in femoral anteversion predisposes to osteoarthritis of the hip29,53,54,62, whereas others have not35,40,61. Menke et al.45 found an association between decreased acetabular anteversion and osteoarthritis of the hip, and Eckhoff23 found a similar association between femoral anteversion and osteoarthritis of the knee. Increased femoral torsion also has been documented in patients who have pain or osteoarthritis of the knee and patellar instability5,22.
There have been few reports on the potential problems that are associated with decreased femoral anteversion15,21,36,37,51,69. In 1959, Crane15 noted that decreased femoral anteversion or retroversion was associated with a toeing-out gait whereas increased femoral anteversion was associated with a . . . [Full Text of this Article]
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