Prevalence and morphological features of acetabular dysplasia with coexisting femoroacetabular impingement-related findings in a Japanese population: a computed tomography-based cross-sectional study.

Abstract

The coexistence of acetabular dysplasia (AD) and femoroacetabular impingement (FAI) has not been well discussed. This study was performed to elucidate the prevalence and morphological features of AD with coexisting FAI-related findings in a Japanese population. Computed tomography images were retrospectively evaluated. AD was classified as definite or borderline. The morphological findings that defined cam deformity were an α angle of ≥55°, head–neck offset ratio (HNOR) of <0.13, pistol grip deformity positivity and herniation pit positivity. The morphological findings that defined pincer deformity were acetabular index of ≤0° and a retroverted acetabulum. In total, 128 hips (male, 64; female, 64) were analyzed. The prevalence of coexistence of AD and FAI-related findings was detected in 23.4% of hips (definite AD and FAI, 7.8%; borderline AD and FAI, 15.6%). The percentages of hips with AD containing cam or pincer deformities among all were 54.3% and 4.3%, respectively. The percentage of AD with coexisting cam and that of AD with coexisting combined deformities was significantly higher in men, respectively. On the other hand, the most major morphological feature of FAI detected in hips with AD was a HNOR of <0.13. The coexistence of AD and FAI-related findings was common in a Japanese population, and 65.2% of hips with AD had some FAI-related findings. In discussing and managing AD, we recommend paying attention to the coexistence with FAI-related findings, especially in men and in borderline AD. In such hips, the most notable parameter as a morphological feature of FAI is a reduced HNOR.