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The management of acetabular retroversion with reverse periacetabular osteotomy
1Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA.
Instructional Course Lectures
|February 12, 2013
Summary
Acetabular retroversion, a hip disorder, can cause femoroacetabular impingement and early arthritis. Treatment may alleviate pain and slow hip disease progression in symptomatic patients.
Area of Science:
- Orthopedic Surgery
- Radiology
- Hip Preservation
Background:
- Acetabular retroversion is a structural hip anomaly where the acetabulum faces posterolaterally.
- This malorientation can lead to restricted hip range of motion, specifically in flexion and internal rotation.
- Such limitations may predispose individuals to femoroacetabular impingement (FAI).
Purpose of the Study:
- To review the clinical diagnosis of acetabular retroversion.
- To discuss radiographic interpretation for identifying acetabular retroversion.
- To outline management strategies for acetabular retroversion, including surgical options.
Main Methods:
- Literature review of clinical diagnosis and radiographic findings.
- Discussion of treatment options for symptomatic acetabular retroversion.
- Focus on reverse periacetabular osteotomy as a surgical intervention.
Main Results:
- Acetabular retroversion can cause femoroacetabular impingement (FAI).
- Untreated FAI in symptomatic patients may lead to premature hip osteoarthritis.
- Surgical correction, such as reverse periacetabular osteotomy, can address the structural defect.
Conclusions:
- Acetabular retroversion is a significant risk factor for FAI and subsequent hip arthritis.
- Early diagnosis and intervention are crucial for symptomatic patients with preserved cartilage.
- Reverse periacetabular osteotomy offers a potential treatment for acetabular retroversion to improve hip function and limit disease progression.
