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Development of the Acetabulum in Patients With Slipped Capital Femoral Epiphysis: A Three-Dimensional Analysis Based on Computed Tomography

Kordelle, J. M.D.; Richolt, J. A. M.D.*; Millis, M. M.D.; Jolesz, F. A. M.D.; Kikinis, R. M.D.

Journal of Pediatric Orthopaedics: March-April 2001 - Volume 21 - Issue 2 - p 174-178
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Orientation and shape of the acetabulum were determined by the use of three-dimensional reconstruction of computed tomography (CT) data sets in 22 patients with a total of 30 slipped capital femoral epiphyses. We developed an interactive three-dimensional software program to measure the anteversion and inclination of the acetabulum without projectional and pelvis-tilting errors. Furthermore, we determined the height, width, depth, volume, and surface of the acetabulum as parameters describing the acetabular shape. Comparison of the affected side with the contralateral unaffected hip showed no significant differences for acetabular orientation and shape. The relationship between the degree of the slip and the acetabular orientation was calculated. No correlation was found. Based on the results of this study, we conclude that the slipping of the capital femoral epiphysis has no influence on acetabular development.

Study conducted at the Brigham & Women's Hospital, Surgical Planning Laboratory, Harvard Medical School, Boston, Massachusetts, U.S.A.

From Surgical Planning Laboratory, Department of Radiology, Brigham & Women's Hospital, Harvard Medical School, Boston, Massachusetts, U.S.A.; *Department of Orthopedic Surgery, University Hospital of Frankfurt, Frankfurt/Main, Germany; and †Department of Orthopedic Surgery, Children's Hospital, Harvard Medical School, Boston, Massachusetts, U.S.A.

Address correspondence and reprint requests to Dr. med. J. Kordelle, Heinrich-Tessenow-Weg 11060488, Frankfurt, Germany. E-mail: jeko@bwh.harvard.edu

© 2001 Lippincott Williams & Wilkins, Inc.