Pre- and post-operative evaluation of pincer-type femoroacetabular impingement during squat using image-matching techniques: A case report
•Hip kinematics with pincer-type femoroacetabular impingement were evaluated.•Rim-neck clearance was visualized based on patient’s kinematics and morphology.•Image-matching techniques were used for pre-and post-operative evaluation.•We could detect the precise location of the impingement during squa...
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| Published in | International journal of surgery case reports Vol. 42; pp. 121 - 127 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Netherlands
Elsevier Ltd
01.01.2018
Elsevier |
| Subjects | |
| Online Access | Get full text |
| ISSN | 2210-2612 2210-2612 |
| DOI | 10.1016/j.ijscr.2017.12.007 |
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| Abstract | •Hip kinematics with pincer-type femoroacetabular impingement were evaluated.•Rim-neck clearance was visualized based on patient’s kinematics and morphology.•Image-matching techniques were used for pre-and post-operative evaluation.•We could detect the precise location of the impingement during squat.•Image-matching techniques were useful to assess femoroacetabular impingement.
Although combined evaluation of hip joint kinematics and bone morphology is necessary for accurate assessment of femoroacetabular impingement (FAI), there are no report which evaluated hip kinematics of pincer-type FAI.
The pre- and postoperative hip kinematics of a 46-year-old man, with a pincer-type FAI during squat were evaluated using image-matching techniques and the rim-neck distance was measured. Preoperative simulation of squatting was also performed using patient’s bone models and healthy subject’s kinematics data to detect the overlapping lesion between the acetabulum and the femur. Post-acetabuloplasty, right coxalgia during squat disappeared, and the Harris Hip Score improved from 79 to 92 at one year after surgery. Posterior pelvic tilt, femoral and hip flexion angle changed from 24.0°, 101.1°, and 70.8° to 23.3°, 92.6°, and 63.3°, respectively. The minimum rim-neck distance at maximum hip flexion improved from 1.8mm to 7.3mm.
We could evaluate both of hip kinematics and morphology with image-matching techniques, and could visualize the clearance between the femoral head-neck junction and the acetabular rim.
Image-matching techniques were clinically useful to assist surgeons in detecting the location of the impingement and confirming resection of the pincer lesion post-operatively. |
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| AbstractList | Although combined evaluation of hip joint kinematics and bone morphology is necessary for accurate assessment of femoroacetabular impingement (FAI), there are no report which evaluated hip kinematics of pincer-type FAI.INTRODUCTIONAlthough combined evaluation of hip joint kinematics and bone morphology is necessary for accurate assessment of femoroacetabular impingement (FAI), there are no report which evaluated hip kinematics of pincer-type FAI.The pre- and postoperative hip kinematics of a 46-year-old man, with a pincer-type FAI during squat were evaluated using image-matching techniques and the rim-neck distance was measured. Preoperative simulation of squatting was also performed using patient's bone models and healthy subject's kinematics data to detect the overlapping lesion between the acetabulum and the femur. Post-acetabuloplasty, right coxalgia during squat disappeared, and the Harris Hip Score improved from 79 to 92 at one year after surgery. Posterior pelvic tilt, femoral and hip flexion angle changed from 24.0°, 101.1°, and 70.8° to 23.3°, 92.6°, and 63.3°, respectively. The minimum rim-neck distance at maximum hip flexion improved from 1.8mm to 7.3mm.PRESENTATION OF CASEThe pre- and postoperative hip kinematics of a 46-year-old man, with a pincer-type FAI during squat were evaluated using image-matching techniques and the rim-neck distance was measured. Preoperative simulation of squatting was also performed using patient's bone models and healthy subject's kinematics data to detect the overlapping lesion between the acetabulum and the femur. Post-acetabuloplasty, right coxalgia during squat disappeared, and the Harris Hip Score improved from 79 to 92 at one year after surgery. Posterior pelvic tilt, femoral and hip flexion angle changed from 24.0°, 101.1°, and 70.8° to 23.3°, 92.6°, and 63.3°, respectively. The minimum rim-neck distance at maximum hip flexion improved from 1.8mm to 7.3mm.We could evaluate both of hip kinematics and morphology with image-matching techniques, and could visualize the clearance between the femoral head-neck junction and the acetabular rim.DISCUSSIONWe could evaluate both of hip kinematics and morphology with image-matching techniques, and could visualize the clearance between the femoral head-neck junction and the acetabular rim.Image-matching techniques were clinically useful to assist surgeons in detecting the location of the impingement and confirming resection of the pincer lesion post-operatively.CONCLUSIONImage-matching techniques were clinically useful to assist surgeons in detecting the location of the impingement and confirming resection of the pincer lesion post-operatively. Although combined evaluation of hip joint kinematics and bone morphology is necessary for accurate assessment of femoroacetabular impingement (FAI), there are no report which evaluated hip kinematics of pincer-type FAI. The pre- and postoperative hip kinematics of a 46-year-old man, with a pincer-type FAI during squat were evaluated using image-matching techniques and the rim-neck distance was measured. Preoperative simulation of squatting was also performed using patient's bone models and healthy subject's kinematics data to detect the overlapping lesion between the acetabulum and the femur. Post-acetabuloplasty, right coxalgia during squat disappeared, and the Harris Hip Score improved from 79 to 92 at one year after surgery. Posterior pelvic tilt, femoral and hip flexion angle changed from 24.0°, 101.1°, and 70.8° to 23.3°, 92.6°, and 63.3°, respectively. The minimum rim-neck distance at maximum hip flexion improved from 1.8mm to 7.3mm. We could evaluate both of hip kinematics and morphology with image-matching techniques, and could visualize the clearance between the femoral head-neck junction and the acetabular rim. Image-matching techniques were clinically useful to assist surgeons in detecting the location of the impingement and confirming resection of the pincer lesion post-operatively. • Hip kinematics with pincer-type femoroacetabular impingement were evaluated. • Rim-neck clearance was visualized based on patient’s kinematics and morphology. • Image-matching techniques were used for pre-and post-operative evaluation. • We could detect the precise location of the impingement during squat. • Image-matching techniques were useful to assess femoroacetabular impingement. •Hip kinematics with pincer-type femoroacetabular impingement were evaluated.•Rim-neck clearance was visualized based on patient’s kinematics and morphology.•Image-matching techniques were used for pre-and post-operative evaluation.•We could detect the precise location of the impingement during squat.•Image-matching techniques were useful to assess femoroacetabular impingement. Although combined evaluation of hip joint kinematics and bone morphology is necessary for accurate assessment of femoroacetabular impingement (FAI), there are no report which evaluated hip kinematics of pincer-type FAI. The pre- and postoperative hip kinematics of a 46-year-old man, with a pincer-type FAI during squat were evaluated using image-matching techniques and the rim-neck distance was measured. Preoperative simulation of squatting was also performed using patient’s bone models and healthy subject’s kinematics data to detect the overlapping lesion between the acetabulum and the femur. Post-acetabuloplasty, right coxalgia during squat disappeared, and the Harris Hip Score improved from 79 to 92 at one year after surgery. Posterior pelvic tilt, femoral and hip flexion angle changed from 24.0°, 101.1°, and 70.8° to 23.3°, 92.6°, and 63.3°, respectively. The minimum rim-neck distance at maximum hip flexion improved from 1.8mm to 7.3mm. We could evaluate both of hip kinematics and morphology with image-matching techniques, and could visualize the clearance between the femoral head-neck junction and the acetabular rim. Image-matching techniques were clinically useful to assist surgeons in detecting the location of the impingement and confirming resection of the pincer lesion post-operatively. |
| Author | Hamai, Satoshi Nakashima, Yasuharu Ikebe, Satoru Gondo, Hirotaka Yoshimoto, Kensei Higaki, Hidehiko |
| AuthorAffiliation | b Department of Life Science, Faculty of Life Science, Kyushu Sangyo University, 2-3-1 Matsugadai, Higashi-ku, Fukuoka, 813-0004, Japan a Department of Orthopedic Surgery, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan c Department of Biorobotics, Faculty of Engineering, Kyushu Sangyo University, 2-3-1 Matsugadai, Higashi-ku, Fukuoka, 813-0004, Japan d Department of Creative Engineering, National Institute of Technology, Kitakyushu College, 5-20-1 Shii, Kokuraminamiku, Kitakyushu, Fukuoka, 802-0985, Japan |
| AuthorAffiliation_xml | – name: c Department of Biorobotics, Faculty of Engineering, Kyushu Sangyo University, 2-3-1 Matsugadai, Higashi-ku, Fukuoka, 813-0004, Japan – name: d Department of Creative Engineering, National Institute of Technology, Kitakyushu College, 5-20-1 Shii, Kokuraminamiku, Kitakyushu, Fukuoka, 802-0985, Japan – name: a Department of Orthopedic Surgery, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan – name: b Department of Life Science, Faculty of Life Science, Kyushu Sangyo University, 2-3-1 Matsugadai, Higashi-ku, Fukuoka, 813-0004, Japan |
| Author_xml | – sequence: 1 givenname: Kensei surname: Yoshimoto fullname: Yoshimoto, Kensei organization: Department of Orthopedic Surgery, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan – sequence: 2 givenname: Satoshi orcidid: 0000-0001-6302-2539 surname: Hamai fullname: Hamai, Satoshi email: hamachan@ortho.med.kyushu-u.ac.jp organization: Department of Orthopedic Surgery, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan – sequence: 3 givenname: Hidehiko surname: Higaki fullname: Higaki, Hidehiko organization: Department of Life Science, Faculty of Life Science, Kyushu Sangyo University, 2-3-1 Matsugadai, Higashi-ku, Fukuoka, 813-0004, Japan – sequence: 4 givenname: Hirotaka surname: Gondo fullname: Gondo, Hirotaka organization: Department of Biorobotics, Faculty of Engineering, Kyushu Sangyo University, 2-3-1 Matsugadai, Higashi-ku, Fukuoka, 813-0004, Japan – sequence: 5 givenname: Satoru surname: Ikebe fullname: Ikebe, Satoru organization: Department of Creative Engineering, National Institute of Technology, Kitakyushu College, 5-20-1 Shii, Kokuraminamiku, Kitakyushu, Fukuoka, 802-0985, Japan – sequence: 6 givenname: Yasuharu surname: Nakashima fullname: Nakashima, Yasuharu organization: Department of Orthopedic Surgery, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan |
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| Cites_doi | 10.1007/s00167-007-0348-2 10.1177/0363546514548019 10.1016/j.arthro.2011.11.005 10.1302/0301-620X.83B2.0830171 10.2106/00004623-199912000-00014 10.1007/s007760070031 10.1007/s11999-008-0620-x 10.1016/j.clinbiomech.2015.11.019 10.1302/0301-620X.87B7.15203 10.1177/0363546517719460 10.1007/s00256-017-2677-7 10.1016/j.arthro.2016.08.018 10.2106/00004623-200302000-00015 10.1097/01.blo.0000096804.78689.c2 10.1016/j.ijsu.2016.08.014 10.1016/j.clinbiomech.2015.09.016 |
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| Keywords | Image-matching techniques Case report Pincer Hip Femoroacetabular impingement Kinematics |
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| Snippet | •Hip kinematics with pincer-type femoroacetabular impingement were evaluated.•Rim-neck clearance was visualized based on patient’s kinematics and... Although combined evaluation of hip joint kinematics and bone morphology is necessary for accurate assessment of femoroacetabular impingement (FAI), there are... • Hip kinematics with pincer-type femoroacetabular impingement were evaluated. • Rim-neck clearance was visualized based on patient’s kinematics and... |
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| SubjectTerms | Case report Femoroacetabular impingement Hip Image-matching techniques Kinematics Pincer |
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| Title | Pre- and post-operative evaluation of pincer-type femoroacetabular impingement during squat using image-matching techniques: A case report |
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