Evidence map›Paper›PMID 42087682›Full record

ArticleThe American journal of sports medicine2026

The Modified Budin View: A Reliable and Accessible Screening Tool for Femoral Version Deformities in Joint-Preserving Hip Surgery.

Alexander F Heimann, Jason Carrel, Florian Schmaranzer, Vera M Stetzelberger, Joseph M Schwab, Matthieu Hanauer, Darius Marti, Jonathan Laurencon, Moritz Tannast

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Article in The American journal of sports medicine, 2026. 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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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Alexander F HeimannDepartment of Orthopaedic Surgery and Traumatology, HFR-Cantonal Hospital, University of Fribourg, Fribourg, Switzerland.ORCID 0000-0001-6578-5759
Jason CarrelDepartment of Orthopaedic Surgery and Traumatology, HFR-Cantonal Hospital, University of Fribourg, Fribourg, Switzerland.ORCID 0009-0001-3524-0448
Florian SchmaranzerDepartment of Radiology, Balgrist University Hospital, Zurich, Switzerland.ORCID 0000-0002-8729-7243
Vera M StetzelbergerDepartment of Orthopaedic Surgery and Traumatology, HFR-Cantonal Hospital, University of Fribourg, Fribourg, Switzerland.ORCID 0000-0001-8475-3613
Joseph M SchwabDepartment of Orthopaedic Surgery and Traumatology, HFR-Cantonal Hospital, University of Fribourg, Fribourg, Switzerland.ORCID 0000-0002-7068-5215
Matthieu HanauerDepartment of Orthopaedic Surgery and Traumatology, Valais Hospital, Martigny, Switzerland.ORCID 0000-0002-5183-3892
Darius MartiDepartment of Orthopaedic Surgery and Traumatology, HFR-Cantonal Hospital, University of Fribourg, Fribourg, Switzerland.ORCID 0000-0001-9051-9997
Jonathan LaurenconDepartment of Orthopaedic Surgery and Traumatology, HFR-Cantonal Hospital, University of Fribourg, Fribourg, Switzerland.ORCID 0000-0002-9284-3026
Moritz TannastDepartment of Orthopaedic Surgery, Inselspital Bern, University Hospital, University of Bern, Bern, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFemoral version deformities are key in the diagnostic evaluation of young patients with hip pain. While computed tomography (CT) and magnetic resonance imaging (MRI) are commonly used for femoral version assessment, their limitations include a lack of standardized reference values, high costs, and accessibility constraints. An accessible and reproducible alternative is needed, particularly in the context of joint-preserving hip surgery. PURPOSE: To evaluate the reliability and reproducibility of femoral version measurements on the modified Budin view, to compare these measurements with 4 established cross-sectional imaging methods (CT or MRI), and to determine the diagnostic accuracy of the modified Budin view in identifying abnormal femoral version. STUDY

designCase series; Level of evidence, 4.

methodsThe authors retrospectively analyzed the records of 93 patients (107 hips; mean age, 31 ± 9 years [range, 16-55 years]; 43 female hips [40%]) evaluated for joint-preserving hip surgery at a specialized tertiary center. Femoral version was measured using the modified Budin view and compared to 4 cross-sectional imaging methods (CT and MRI) using Bland-Altman analysis and diagnostic accuracy metrics.

resultsThe mean femoral version measured on the modified Budin view was 13°± 7° (95% CI, 12°-14°). The technique demonstrated excellent intra- and interobserver reliability (ICC, 0.99 and 0.98, respectively). Compared to the Reikerås method, the mean difference was 1°± 4° (95% CI, 0°-2°;

conclusionThe modified Budin view is a highly reliable and accessible radiographic method for femoral version measurement in young patients undergoing joint-preserving hip surgery. It closely reflects the femoral neck version as measured by the Reikerås method, and demonstrates high diagnostic accuracy for detecting abnormal femoral version, making it a valuable screening tool for femoral version deformities in clinical practice.

Indexed as

FemurHip JointAdolescentAdultFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedReproducibility of ResultsRetrospective StudiesTomography, X-Ray ComputedYoung Adultdiagnostic imagingfemoral versionjoint-preserving hip surgerymodified Budin view

Identifiers

PMID42087682
PMCPMC13443393

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