Using 15 parameters, we provide a systematic description of mammal proximal femoral morphology. We established two types of proximal femoral morphology, termed coxa recta and coxa rotunda, characterized by low versus high concavity of the head-neck junction. Concavity is a measure of the sphericity of the femoral head as it meets the femoral neck that can be quantified by angular measurements. We asked whether the parameter of concavity corresponds with the classification of mammal proximal femoral morphology based on coalesced versus separate ossification patterns and locomotor patterns. Statistical analysis demonstrated a distinction between coxa recta and coxa rotunda with significant differences between the two groups in all but 3 of the 15 parameters examined. We found the most discriminating measurement between mammal hips to be the concavity of the posterior head-neck junction (beta angle). Coxa recta (small concavity) and coxa rotunda (large concavity) relate to the ossification pattern seen in proximal femoral development, and species-specific patterns of locomotion. We interpret the two hip types to reflect optimization for strength (recta) versus mobility (rotunda). Conceptually, both hip types can be recognized in humans, where coxa recta can be related to the development of osteoarthritis.
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http://dx.doi.org/10.1002/ar.22634 | DOI Listing |
J Orthop Res
February 2018
Department of Orthopaedic Surgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Anatomy and biomechanics of the human hip joint are a consequence of the evolution of permanent bipedal gait. Habitat and behaviour have an impact on hip morphology and significant differences are present even within the same biological family. The forces acting upon the hip joint are mainly a function of gravitation and strength of the muscles.
View Article and Find Full Text PDFClin Orthop Relat Res
April 2015
Department of Orthopaedic Surgery, Haga Hospital, Sportlaan 600, 2566 MJ, The Hague, The Netherlands.
Background: Human hip morphology is variable, and some variations (or hip morphotypes) such as coxa profunda and coxa recta (cam-type hip) are associated with femoroacetabular impingement and the development of osteoarthrosis. Currently, however, this variability is unexplained. A broader perspective with background information on the morphology of the proximal femur of nonhuman apes is lacking.
View Article and Find Full Text PDFHip Int
February 2014
Department of Orthopaedics, Haga Hospital, Den Haag, Zuid-Holland 2566MJ, The Netherlands.
Morphology variants of the hip such as coxa recta (aspherical femoral head and/or reduced head-neck concavity) or coxa profunda (overcoverage, or "deep" socket) are associated with cam and pincer impingement respectively, and may ultimately lead to coxarthrosis. Several population studies have documented the prevalence of hip morphotypes, but few studies have examined this prevalence in total hip arthroplasty (THA) patients, or persons without hip symptoms or signs. We reviewed whether coxa recta and profunda morphotypes were more prevalent in THA patients compared to normal controls.
View Article and Find Full Text PDFAnat Rec (Hoboken)
February 2013
Department of Orthopedic Surgery, HAGA Hospital, The Hague, The Netherlands.
Using 15 parameters, we provide a systematic description of mammal proximal femoral morphology. We established two types of proximal femoral morphology, termed coxa recta and coxa rotunda, characterized by low versus high concavity of the head-neck junction. Concavity is a measure of the sphericity of the femoral head as it meets the femoral neck that can be quantified by angular measurements.
View Article and Find Full Text PDFHip Int
December 2015
Haga Hospital, The Hague - The Netherlands.
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