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Research Article

Femoroacetabular impingement and classification of the cam deformity: the reference interval in normal hips

, , , , , , & show all
Pages 134-141 | Received 10 Jun 2009, Accepted 15 Sep 2009, Published online: 22 Feb 2010

Figures & data

Figure 1.  Method of measurement of the alpha angle (A) and anterior offset ratio (B).

Figure 1.  Method of measurement of the alpha angle (A) and anterior offset ratio (B).

Table 1.  Participants who were excluded

Table 2.  Demographics, alpha angles, and anterior offset ratios for the participants who were included

Figure 2.  Frequency distribution of the anterior offset ratios and alpha angles in the participants included.

Figure 2.  Frequency distribution of the anterior offset ratios and alpha angles in the participants included.

Table 3.  Proposed 95% confidence and 95% reference intervals (mean ± 1.96 SD) of the alpha angle and anterior offset ratios, applicable to males and females

Table 4.  Numbers of participants with at least one hip beyond the limits of the reference intervals (upper limit for alpha angle, lower limit for AOR) defined in Table 3. Percentages are given in parentheses

Figure 3.  Graphs showing the relationship between rotation and alpha angle in the ten cadaver femora. The data are presented in 2 graphs to facilitate visual interpretation. There are four normal femora and one pistol-grip (cam) femur in each graph. The horizontal dotted lines represent 1 and 1.96 standard deviations above the mean.

Figure 3.  Graphs showing the relationship between rotation and alpha angle in the ten cadaver femora. The data are presented in 2 graphs to facilitate visual interpretation. There are four normal femora and one pistol-grip (cam) femur in each graph. The horizontal dotted lines represent 1 and 1.96 standard deviations above the mean.

Figure 4.  Graphs showing the relationship between rotation and anterior offset ratio in the ten cadaver femora. The data are presented in 2 graphs to facilitate visual interpretation. There are four normal femora and one pistol-grip (cam) femur in each graph. The horizontal dotted lines represent 1 and 1.96 standard deviations below the mean.

Figure 4.  Graphs showing the relationship between rotation and anterior offset ratio in the ten cadaver femora. The data are presented in 2 graphs to facilitate visual interpretation. There are four normal femora and one pistol-grip (cam) femur in each graph. The horizontal dotted lines represent 1 and 1.96 standard deviations below the mean.

Table 5.  Suggested mean and upper limit of the reference interval values for the alpha angle in the current literature, from studies of asymptomatic individuals, with a lateral (or equivalent) radiological projection