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2020, Number 2

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Revista Cubana de Ortopedia y Traumatología 2020; 34 (2)

Joint anatomy and radiographic parameters of the hip as risk factor for fracture: an updated look

Bahr US, Ponce de León NR, Guisado ZK, Melis SJA

Language: Spanish
References: 45
Page: 1-29
PDF size: 409.14 Kb.


ABSTRACT

Introduction: There is increasing evidence that the geometric structure of the hip anatomy plays an important role in the etiology of the fracture.
Objective: To systematize the most current knowledge regarding the anatomical characteristics of the radiographic parameters of the hip joint, and their relationship with the fracture.
Methods: A documentary research was carried out, with the scientific articles published, in the last 5 years, in medical computer databases such as PubMed, Ebsco and SciELo.
Results: Most of the publications analyze the cervicodiaphyseal angle and the axis of the hip. Other measurements analyzed are the femoral axis, the length and width of the femoral neck, as well as acetabular measurements. There is no consensus on the length of the femoral neck or the femoral shaft, despite being an important component of the structure. Knowledge of the particularities of the anatomy and biomechanical characteristics of the hip allows to establish basis for understanding the factors that affect this joint.
Conclusions: The studies that have been carried out on the characteristics of the structural components show that there is association between their dimensions and the occurrence of hip fracture, in some cases independent of bone mineral density.


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