Evidence map›Paper›PMID 36836138›Full record

ArticleJournal of clinical medicine2023

The Female Pelvis Is Associated with a Lateralized Ischium and a Reduced Ischiofemoral Space.

Sufian S Ahmad, Christian Konrads, Marcel Niemann, Ulrich Stöckle, Henning Windhagen, Gregor M Giebel

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

What it found

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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

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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

1 citing paper in PubMed.

  1. Article
4 · The record

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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

6 authors.

Sufian S AhmadDepartment of Orthopaedic Surgery, Hannover Medical School, 30625 Hannover, Germany.
Christian KonradsDepartment of Orthopaedic Surgery, University of Tübingen, 72076 Tübingen, Germany.ORCID 0000-0002-1285-4615
Marcel NiemannCenter for Musculoskeletal Surgery, Charité-University Medical Center Berlin, 13353 Berlin, Germany.ORCID 0000-0001-7264-3089
Ulrich StöckleCenter for Musculoskeletal Surgery, Charité-University Medical Center Berlin, 13353 Berlin, Germany.
Henning WindhagenDepartment of Orthopaedic Surgery, Hannover Medical School, 30625 Hannover, Germany.
Gregor M GiebelCenter for Musculoskeletal Surgery, Charité-University Medical Center Berlin, 13353 Berlin, Germany.ORCID 0000-0002-6584-0671

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPelvi-femoral conflicts are increasingly recognized for their explanatory role in the pathology of extra-articular hip impingement. Ischiofemoral impingement (IFI) is a type of impingement between the femur and the ischium that causes high femoral antetorsion and valgus femoral neck orientation. It is unknown whether obstetric adaptation of the female pelvis renders the female hip at a higher risk of sustaining IFI. The aim of this study was to determine the influence of the pelvic morphology on the ischiofemoral space (IFS).

methodsPlain radiographs of healthy individuals with no symptomatic hip disease were obtained in a functional standing position in a standardized manner and utilized for measurement of the interischial and ischiofemoral widths, subpubic angle, and centrum collum diaphyseal (CCD) angle. Linear regression was performed to determine the influence of morphometric measures on the ischiofemoral space.

resultsSixty-five radiographs (34 females and 31 males) were included. The cohort was stratified according to gender. Significant gender-related differences were noted regarding the ischiofemoral distance (31% increase in males,

conclusionsObstetric adaptation is associated with an increased subpubic angle that shifts the ischia laterally and away from the symphysis. The resultant reduction in the ischiofemoral space renders the female pelvis at a higher risk for a pelvi-femoral conflict, or more precisely, an ischiofemoral conflict, due to the reduced ischiofemoral space of the hip. The CCD angle of the femur was shown not to be gender specific. However, the CCD angle demonstrates an influence on the ischiofemoral space, rendering the proximal femur a target for corresponding osteotomies.

Indexed as

extra-articular hip impingementhip impingementhip painhip preservationproximal femoral osteotomy

Identifiers

PMID36836138
PMCPMC9968236

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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.