Evidence map›Paper›PMID 29413797›Full record

ArticleGait & posture2018

Hip rotation during standing and dynamic activities and the compensatory effect of femoral anteversion: An in-vivo analysis of asymptomatic young adults using three-dimensional computed tomography models and dual fluoroscopy.

Keisuke Uemura, Penny R Atkins, Niccolo M Fiorentino, Andrew E Anderson

Abstract read
In one paragraph

Article in Gait & posture, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

  1. Idiopathic Adolescent Miserable Malalignment.Journal of the Pediatric Orthopaedic Society of North America · 2026
    Review
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  13. Effect of a modular neck hip prosthesis on anteversion and hip rotation in total hip arthroplasty for developmental dysplasia of the hip.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2020
    Article
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  16. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Keisuke UemuraDepartment of Orthopaedics, University of Utah, 590 Wakara Way, Salt Lake City, UT, 84108, USA. Electronic address: keisuke.uemura@utah.edu.
Penny R AtkinsDepartment of Orthopaedics, University of Utah, 590 Wakara Way, Salt Lake City, UT, 84108, USA; Department of Bioengineering, University of Utah, James LeVoy Sorenson Molecular Biotechnology Building, 36 S. Wasatch Drive, Rm. 3100, Salt Lake City, UT 84112 USA. Electronic address: penny.atkins@utah.edu.
Niccolo M FiorentinoDepartment of Orthopaedics, University of Utah, 590 Wakara Way, Salt Lake City, UT, 84108, USA; Mechanical Engineering Department, University of Vermont, 33 Colchester Ave, Votey Hall 201A, Burlington, VT 05405, USA. Electronic address: niccolo.fiorentino@uvm.edu.
Andrew E AndersonDepartment of Orthopaedics, University of Utah, 590 Wakara Way, Salt Lake City, UT, 84108, USA; Department of Bioengineering, University of Utah, James LeVoy Sorenson Molecular Biotechnology Building, 36 S. Wasatch Drive, Rm. 3100, Salt Lake City, UT 84112 USA; Department of Physical Therapy, University of Utah, 520 Wakara Way, Suite 240, Salt Lake City, UT 84108, USA; Scientific Computing and Imaging Institute, 72 S Central Campus Drive, Room 3750, Salt Lake City, UT 84112, USA. Electronic address: andrew.anderson@hsc.utah.edu.

Funding

In Vivo Arthrokinematics of Total Ankle Replacement and Ankle ArthrodesisR21AR069773 · NIAMS · UNIVERSITY OF UTAH · PI ANDERSON, ANDREW EDWARD · 2017 to 2018
$367k
Musculoskeletal and Finite Element Modeling of Femoroacetabular ImpingementR21AR063844 · NIAMS · UNIVERSITY OF UTAH · PI ANDERSON, ANDREW EDWARD · 2013 to 2014
$349k
Tandem Instrumented Treadmill for Accurate Assessment of in-vivo Joint KineticsS10RR026565 · NCRR · UNIVERSITY OF UTAH · PI ANDERSON, ANDREW EDWARD · 2010 to 2010
$222k
Hip Biomechanics and Tissue Damage Mechanisms in Femoroacetabular ImpingementF32AR067075 · NIAMS · UNIVERSITY OF UTAH · PI FIORENTINO, NICCOLO M · 2015 to 2017
$135k
NCRR NIH HHS S10 RR026565NIAMS NIH HHS F32 AR067075NIAMS NIH HHS R21 AR063844NIAMS NIH HHS R21 AR069773
6 · The paper itself

Abstract

backgroundIndividuals are thought to compensate for femoral anteversion by altering hip rotation. However, the relationship between hip rotation in a neutral position (i.e. static rotation) and dynamic hip rotation is poorly understood, as is the relationship between anteversion and hip rotation. RESEARCH

objectiveHerein, anteversion and in-vivo hip rotation during standing, walking, and pivoting were measured in eleven asymptomatic, morphologically normal, young adults using three-dimensional computed tomography models and dual fluoroscopy.

methodsUsing correlation analyses, we: 1) determined the relationship between hip rotation in the static position to that measured during dynamic activities, and 2) evaluated the association between femoral anteversion and hip rotation during dynamic activities. Hip rotation was calculated while standing (static-rotation), throughout gait, as a mean during gait (mean gait rotation), and as a mean (mid-pivot rotation), maximum (max-rotation) and minimum (min-rotation) during pivoting.

resultsStatic-rotation (mean ± standard deviation; 11.3° ± 7.3°) and mean gait rotation (7.8° ± 4.7°) were positively correlated (r = 0.679, p = 0.022). Likewise, static-rotation was strongly correlated with mid-pivot rotation (r = 0.837, p = 0.001), max-rotation (r = 0.754, p = 0.007), and min-rotation (r = 0.835, p = 0.001). Strong positive correlations were found between anteversion and hip internal rotation during all of the stance phase (0-60% gait) and during mid- and terminal-swing (86-100% gait) (all r > 0.607, p < 0.05).

conclusionsOur results suggest that the static position may be used cautiously to express the neutral rotational position of the femur for dynamic movements. Further, our results indicate that femoral anteversion is compensated for by altering hip rotation. As such, both anteversion and hip rotation may be important to consider when diagnosing hip pathology and planning for surgical procedures.

Indexed as

RotationAdultArthrographyFemaleFemurFluoroscopyGaitHip JointHumansImaging, Three-DimensionalMaleTomography, X-Ray ComputedWalkingYoung AdultDynamic imagingFunctional anteversionHip kinematicsHip motionProximal femoral rotation

Identifiers

PMID29413797
PMCPMC6599491

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.