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Related Concept Videos

Bones of the Lower Limb: Femur and Patella01:16

Bones of the Lower Limb: Femur and Patella

The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the neck...

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In Vivo Quantification of Hip Arthrokinematics during Dynamic Weight-bearing Activities using Dual Fluoroscopy
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The cam impinging femur has multiple morphologic abnormalities.

Andrew R Ellis1, Philip C Noble, Steven J Schroder

  • 1Baylor College of Medicine, Houston, Texas, USA.

The Journal of Arthroplasty
|August 16, 2011
PubMed
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Cam-impinging femora exhibit multiple abnormalities, not just a single deformity. Wider necks, larger heads, and posterior head displacement are common, indicating complex issues beyond localized head-neck junction recontouring.

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Area of Science:

  • Orthopedic surgery
  • Biomechanical analysis of hip joint abnormalities

Background:

  • Femoroacetabular impingement (FAI) is a condition characterized by abnormal contact between the femur and acetabulum.
  • Cam impingement, a type of FAI, involves a bony deformity at the head-neck junction of the femur.

Purpose of the Study:

  • To determine if cam-impinging femora present with a single deformity or multiple abnormalities at the head-neck junction.
  • To compare dimensional parameters between normal and cam-impinging femora.

Main Methods:

  • Comparative analysis of average dimensions including anteversion angle, alpha angle, beta angle, and normalized anterior head offset.
  • Measurement of posterior head displacement in both normal and cam-impinging groups.

Main Results:

  • Cam-impinging femora showed significantly wider necks, larger heads, and reduced head-neck ratios compared to normal femora.
  • No significant differences were observed in neck-shaft angle or anteversion angle between the groups.
  • Forty-six percent of cam-impinging femora exhibited posterior head displacement exceeding 2mm.

Conclusions:

  • Cam-impinging femora possess multiple abnormalities, including dimensional changes and posterior head displacement.
  • Surgical correction focusing solely on localized head-neck recontouring may be insufficient to address the full spectrum of abnormalities in cam impingement.