Evidence map›Paper›PMID 41409450›Full record

ArticleOrthopaedic journal of sports medicine2025

Anatomic Analysis of Site-Specific Femoral Version and Cam Deformity in 1058 Cadaveric Hips.

Margaret A Sinkler, Steven J Magister, Luc M Fortier, Mark M Kodsy, Ryan J Furdock, Raymond W Liu, Michael J Salata

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Article in Orthopaedic journal of sports medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Margaret A SinklerDrusinsky Sports Medicine Institute, University Hospitals, Cleveland, Ohio, USA.
Steven J MagisterDrusinsky Sports Medicine Institute, University Hospitals, Cleveland, Ohio, USA.
Luc M FortierDrusinsky Sports Medicine Institute, University Hospitals, Cleveland, Ohio, USA.
Mark M KodsyDrusinsky Sports Medicine Institute, University Hospitals, Cleveland, Ohio, USA.
Ryan J FurdockDrusinsky Sports Medicine Institute, University Hospitals, Cleveland, Ohio, USA.
Raymond W LiuRainbow Babies and Children, University Hospitals, Cleveland, Ohio, USA.
Michael J SalataDrusinsky Sports Medicine Institute, University Hospitals, Cleveland, Ohio, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Femoral version (FV) is an anatomic parameter that has recently received increased attention in its role in multiple hip pathologies, including femoroacetabular impingement (FAI) and cam lesion development. Purpose: To evaluate site-specific femoral version and assess the relationship with the size and location of cam deformity in cadaveric specimens. Study Design: Descriptive laboratory study. Methods: A total of 1058 cadaveric femurs were selected from a historical osteologic collection. Each femur was assessed to determine the α angle, total FV, neck-based FV, and shaft-based FV. Cam morphology was defined as an α angle >60°. Pearson correlation and multiple regression analysis were performed to determine the relationship between site-specific FV location and α angle. Results: Of the cadaveric femurs, the mean ± SD α angle was 54°± 11°. There were 354 (33%) cam deformities. The mean ± SD was 11°± 12° for total FV among all specimens, 24°± 10° for the femoral shaft version, and -13°± 19° for the femoral neck version. On multivariate analysis, sex, race, femoral neck version, and femoral shaft version were independent predictors for α angle ( Conclusion: Our study reveals an anatomic relationship between site-specific FV and cam deformity; an increase in shaft FV and neck FV predicted an increased α angle. While the observed absolute value of this relationship is small, site-specific FV remains a previously unrecognized area of interest that could help explain differences previously reported in the literature regarding the multifactorial symptomology in FAI. Clinical Relevance: FV is classically reported as one value combining the femoral neck version and torsion of the femoral shaft. In addition to the identified relationship between site-specific FV and cam deformity, this study encourages clinicians to consider both contributing anatomic components of femoral version, especially when identifying the level of deformity before corrective femoral osteotomy in patients with FAI.

Indexed as

cam deformityfemoral versionfemoroacetabular impingementhip arthroscopyα angle

Identifiers

PMID41409450
PMCPMC12705974

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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.