Evidence map›Paper›PMID 40296966›Full record

ArticleCureus2025

Bony Morphological Features of the Proximal Femur in Patients With Developmental Dysplasia of the Hip.

Hideki Shozen, Takeshi Shoji, Shinichi Ueki, Hiroki Kaneta, Nobuo Adachi

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Evaluation of bony features associated with hip instability in hip dysplasia.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
    Article
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

5 authors.

Hideki ShozenOrthopedic Surgery, Hiroshima University Hospital, Hiroshima, JPN.
Takeshi ShojiOrthopedic Surgery, Hiroshima University Hospital, Hiroshima, JPN.
Shinichi UekiOrthopedic Surgery, Hiroshima University Hospital, Hiroshima, JPN.
Hiroki KanetaOrthopedic Surgery, Hiroshima University Hospital, Hiroshima, JPN.
Nobuo AdachiOrthopedic Surgery, Hiroshima University Hospital, Hiroshima, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose Developmental dysplasia of the hip (DDH) is a precursor of secondary osteoarthritis, with borderline DDH (BDDH) often overlooked. This study explores three-dimensional (3D) proximal femoral morphology in DDH and BDDH and examines their distinctions from normal hips (NH), emphasizing new correlations between femoral parameters and hip instability. Methods We retrospectively analyzed 130 hips from 120 patients categorized as DDH (lateral center-edge angle (LCEA) < 20°), BDDH (20°-25°), or NH (>25°). Detailed 3D analyses using advanced CT imaging measured unique femoral parameters such as femoral neck anteversion (FAV), lesser trochanter version (LTV), and femoral head morphology. Statistical methods assessed differences among groups and identified novel correlations. Results The study confirmed that DDH is associated with increased FAV and decreased LTV, alongside reduced femoral head-lesser trochanter distance (FH-LT) and an elliptical femoral head. BDDH displayed intermediate morphological changes, highlighting its biomechanical significance. Correlations revealed new insights into the relationship between hip morphology and clinical symptoms. Discussion External rotational abnormalities, such as increased FAV and decreased LTV, may predispose DDH patients to ischiofemoral impingement, psoas bursitis, and joint degeneration. The shortened FH-LT and elliptical femoral head further contribute to instability and early osteoarthritis. These findings underscore the role of 3D proximal femoral morphology in DDH biomechanics and clinical symptoms. Conclusion This study extends previous research by identifying previously unreported associations between proximal femoral abnormalities and hip biomechanics in DDH and BDDH. These findings inform diagnostic and therapeutic strategies for early intervention.

Indexed as

bone morphologyct based image analysisdevelopmental dysplasia of the hip ( ddh )lesser trochanterproximal femur morphology

Identifiers

PMID40296966
PMCPMC12036315

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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.