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Acetabular Retroversion

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Hip Arthroscopy and Hip Joint Preservation Surgery

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Abstract

Acetabular retroversion is a complex deformity that can present in a variety of clinical settings. While it may be associated with posterior wall undercoverage, a detailed examination must be performed to elucidate the underlying pathomechanics of hip. Common findings on diagnostic imaging include an increased anterior center edge angle, positive posterior wall sign, positive crossover sign, a positive ischial spine sign, and herniation pits in the femoral neck. Acetabular retroversion can be associated with anterosuperior pincer-type impingement, posterolateral instability, labral tears, chondral damage, and posterior undercoverage. Treatment options include nonoperative therapy, open surgical dislocation, reverse periacetabular osteotomy (PAO), and hip arthroscopy. Early treatment and correct diagnosis are essential in treating this increasingly recognized phenomenon. The goals of treatment are to correct or address over/undercoverage and labral treatment and to address pathology of the bone and soft tissues.

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Author information

Authors and Affiliations

  1. Hinsdale Orthopaedics Associates, Hinsdale, IL, USA

    Dr. Benjamin G. Domb M.D. & Dr. Asheesh Gupta M.D., MPH

  2. The American Hip Institute, Hinsdale, IL, USA

    Dr. Benjamin G. Domb M.D. & Dr. Asheesh Gupta M.D., MPH

  3. Loyola University, Stritch School of Medicine, Maywood, IL, USA

    Dr. Benjamin G. Domb M.D.

  4. Department of Orthopaedic Surgery, University of Illinois, Chicago, IL, USA

    Dr. Jonathan N. Watson M.D.

Authors
  1. Dr. Benjamin G. Domb M.D.
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  2. Dr. Jonathan N. Watson M.D.
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  3. Dr. Asheesh Gupta M.D., MPH
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Corresponding author

Correspondence to Benjamin G. Domb M.D. .

Editor information

Editors and Affiliations

  1. Dept. of Orthopedic Surgery, Rush University Medical Center, Chicago, Illinois, USA

    Shane Nho

  2. Dept. Orthopaedics, Hip Service, Schulthess Clinic, Zurich, Switzerland

    Michael Leunig

  3. Caspary Building, Ground Floor, Center for Hip Pain and Preservation, New York, New York, USA

    Bryan Kelly

  4. Department of Orthopaedics, University of Michigan Domino's Farms Lobby A, Ann Arbor, Michigan, USA

    Asheesh Bedi

  5. Twin Cities Orthopedics - Edina, Edina, Minnesota, USA

    Christopher Larson

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Domb, B.G., Watson, J.N., Gupta, A. (2014). Acetabular Retroversion. In: Nho, S., Leunig, M., Kelly, B., Bedi, A., Larson, C. (eds) Hip Arthroscopy and Hip Joint Preservation Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7321-3_50-1

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  • DOI: https://doi.org/10.1007/978-1-4614-7321-3_50-1

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  • Publisher Name: Springer, New York, NY

  • Online ISBN: 978-1-4614-7321-3

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