-
Something wrong with this record ?
Anatomy of the iliopsoas notch and its relationship with morphology of the proximal femur
M. Benes, V. Kunc, O. Nanka, D. Kachlik, V. Bartak
Language English Country Germany
Document type Journal Article
Grant support
174523
Grantová Agentura, Univerzita Karlova
NLK
ProQuest Central
from 1997-01-01 to 1 year ago
Medline Complete (EBSCOhost)
from 2003-04-01 to 1 year ago
Nursing & Allied Health Database (ProQuest)
from 1997-01-01 to 1 year ago
Health & Medicine (ProQuest)
from 1997-01-01 to 1 year ago
- MeSH
- Acetabulum * anatomy & histology MeSH
- Lower Extremity MeSH
- Femur surgery MeSH
- Muscle, Skeletal surgery MeSH
- Humans MeSH
- Arthroplasty, Replacement, Hip * adverse effects MeSH
- Check Tag
- Humans MeSH
- Male MeSH
- Publication type
- Journal Article MeSH
PURPOSE: Discrepancy between the morphology of the acetabular margin and the design of hemispheric acetabular cups used in total hip arthroplasty may produce postoperative hip pain due to an iliopsoas impingement at the iliopsoas notch. This study aimed to determine the anatomical features of the iliopsoas notch in the Central European sample, and to test whether the morphology of the proximal femur affects the size of the iliopsoas notch. METHODS: The sample was composed of 40 matched pairs of dry hip bones and corresponding femora. The depth and length of the iliopsoas notch were measured and correlated with the available demographic data. The anthropometric parameters of the proximal femur were calculated using image-analysis software, and their association with the measurements of the iliopsoas notch was tested. RESULTS: The iliopsoas notch was present in all specimens and featured four morphological configurations: curved (61.3%), angular (16.2%), irregular (16.2%), and straight (6.3%). Its size was found to be larger in males (P = 0.014 for depth, P < 0.001 for length). No significant difference existed between the sides. The height and age of the specimens did not correlate with the size of the iliopsoas notch. Furthermore, neither the femoral neck version, the lesser trochanteric version, nor the angle between the neck of the femur and the lesser trochanter influenced the dimensions of the iliopsoas notch. CONCLUSION: The iliopsoas notch is a consistent landmark of the acetabulum, although its anatomical appearance is widely variable. The iliopsoas notch arrangement cannot be predicted perioperatively based on the morphology of the proximal femur. The various shapes and sex-related differences detected in this study could be used for designing new hip implants or could be utilized during cup positioning in total hip arthroplasty.
Clinic of Trauma Surgery Masaryk Hospital Usti Nad Labem Czech Republic
Institute of Anatomy 1st Faculty of Medicine Charles University Prague Czech Republic
References provided by Crossref.org
- 000
- 00000naa a2200000 a 4500
- 001
- bmc24007793
- 003
- CZ-PrNML
- 005
- 20240814104426.0
- 007
- ta
- 008
- 240412s2024 gw f 000 0|eng||
- 009
- AR
- 024 7_
- $a 10.1007/s00276-023-03263-z $2 doi
- 035 __
- $a (PubMed)37982997
- 040 __
- $a ABA008 $b cze $d ABA008 $e AACR2
- 041 0_
- $a eng
- 044 __
- $a gw
- 100 1_
- $a Benes, Michal $u Department of Anatomy, Second Faculty of Medicine, Charles University, Plzenska 130/221, 150 06, Prague 5, Czech Republic. benesmichal24@gmail.com $u Center for Endoscopic, Surgical and Clinical Anatomy (CESKA), Second Faculty of Medicine, Charles University, Prague, Czech Republic. benesmichal24@gmail.com $1 https://orcid.org/0000000333262325
- 245 10
- $a Anatomy of the iliopsoas notch and its relationship with morphology of the proximal femur / $c M. Benes, V. Kunc, O. Nanka, D. Kachlik, V. Bartak
- 520 9_
- $a PURPOSE: Discrepancy between the morphology of the acetabular margin and the design of hemispheric acetabular cups used in total hip arthroplasty may produce postoperative hip pain due to an iliopsoas impingement at the iliopsoas notch. This study aimed to determine the anatomical features of the iliopsoas notch in the Central European sample, and to test whether the morphology of the proximal femur affects the size of the iliopsoas notch. METHODS: The sample was composed of 40 matched pairs of dry hip bones and corresponding femora. The depth and length of the iliopsoas notch were measured and correlated with the available demographic data. The anthropometric parameters of the proximal femur were calculated using image-analysis software, and their association with the measurements of the iliopsoas notch was tested. RESULTS: The iliopsoas notch was present in all specimens and featured four morphological configurations: curved (61.3%), angular (16.2%), irregular (16.2%), and straight (6.3%). Its size was found to be larger in males (P = 0.014 for depth, P < 0.001 for length). No significant difference existed between the sides. The height and age of the specimens did not correlate with the size of the iliopsoas notch. Furthermore, neither the femoral neck version, the lesser trochanteric version, nor the angle between the neck of the femur and the lesser trochanter influenced the dimensions of the iliopsoas notch. CONCLUSION: The iliopsoas notch is a consistent landmark of the acetabulum, although its anatomical appearance is widely variable. The iliopsoas notch arrangement cannot be predicted perioperatively based on the morphology of the proximal femur. The various shapes and sex-related differences detected in this study could be used for designing new hip implants or could be utilized during cup positioning in total hip arthroplasty.
- 650 _2
- $a mužské pohlaví $7 D008297
- 650 _2
- $a lidé $7 D006801
- 650 12
- $a acetabulum $x anatomie a histologie $7 D000077
- 650 _2
- $a kosterní svaly $x chirurgie $7 D018482
- 650 12
- $a náhrada kyčelního kloubu $x škodlivé účinky $7 D019644
- 650 _2
- $a dolní končetina $7 D035002
- 650 _2
- $a femur $x chirurgie $7 D005269
- 655 _2
- $a časopisecké články $7 D016428
- 700 1_
- $a Kunc, Vojtěch $u Department of Anatomy, Second Faculty of Medicine, Charles University, Plzenska 130/221, 150 06, Prague 5, Czech Republic $u Center for Endoscopic, Surgical and Clinical Anatomy (CESKA), Second Faculty of Medicine, Charles University, Prague, Czech Republic $u Clinic of Trauma Surgery, Masaryk Hospital, Usti Nad Labem, Czech Republic $1 https://orcid.org/0000000231654977 $7 xx0320755
- 700 1_
- $a Nanka, Ondrej $u Department of Anatomy, Second Faculty of Medicine, Charles University, Plzenska 130/221, 150 06, Prague 5, Czech Republic $u Institute of Anatomy, First Faculty of Medicine, Charles University, Prague, Czech Republic $1 https://orcid.org/000000026300395X $7 mzk2006348905
- 700 1_
- $a Kachlik, David $u Department of Anatomy, Second Faculty of Medicine, Charles University, Plzenska 130/221, 150 06, Prague 5, Czech Republic $u Center for Endoscopic, Surgical and Clinical Anatomy (CESKA), Second Faculty of Medicine, Charles University, Prague, Czech Republic $1 https://orcid.org/0000000281509663 $7 pna2008482481
- 700 1_
- $a Bartak, Vladislav $u 1st Department of Orthopaedics, First Faculty of Medicine, Charles University and University Hospital Motol, Prague, Czech Republic $1 https://orcid.org/0000000290711943 $7 xx0093686
- 773 0_
- $w MED00004462 $t Surgical and radiologic anatomy $x 1279-8517 $g Roč. 46, č. 1 (2024), s. 51-57
- 856 41
- $u https://pubmed.ncbi.nlm.nih.gov/37982997 $y Pubmed
- 910 __
- $a ABA008 $b sig $c sign $y - $z 0
- 990 __
- $a 20240412 $b ABA008
- 991 __
- $a 20240814104421 $b ABA008
- 999 __
- $a ok $b bmc $g 2081656 $s 1217560
- BAS __
- $a 3
- BAS __
- $a PreBMC-MEDLINE
- BMC __
- $a 2024 $b 46 $c 1 $d 51-57 $e 20231120 $i 1279-8517 $m Surgical and radiologic anatomy $n Surg Radiol Anat $x MED00004462
- GRA __
- $a 174523 $p Grantová Agentura, Univerzita Karlova
- LZP __
- $a Pubmed-20240412
