2.3): first the center of the femoral head is located with a circle template or computer-assisted technique at a workstation. The femoral neck axis can be determined as follows ( Fig. 1 = Iliopectineal line 2 = Ilioischial line 3 = Acetabular roof line 4 = Acetabular teardrop 5 = Posterior rim of acetabulum 6 = Anterior rim of acetabulum a Schematic drawing. Anatomic landmarks for evaluating the hip in the anteroposterior pelvic radiograph. It is the angle formed by the longitudinal axes of the neck and shaft of the femur. 2.2) is determined on the anteroposterior (AP) pelvic radiograph or the AP radiograph of the hip and femur. The projected femoral neck–shaft angle (NSA, called also the caput–collum–diaphyseal (CCD) angle Fig. The quadrilateral plate is the posterior wall of the acetabulum, which faces inward on the pelvic inlet and presents an approximately square, flat surface.Īrmbuster TG, Guerra J Jr, Resnick D, et al. The ilioischial line is the landmark for the posterior column.Īcetabular teardrop: This is a teardrop-shaped figure formed laterally by the medial portion of the acetabulum and medially by the antero-inferior portion of the quadrilateral plate. Ilioischial line: The upper portion of this line is formed by the posterior part of the quadrilateral plate, its lower portion by the ischium (medial boundary).
Iliopectineal line (arcuate line, linea terminalis): The iliopectineal line is the radiographic reference line for the anterior column. Total hip replacement. Your doctor will remove both the damaged acetabulum and femoral head, and then position new metal, plastic or ceramic joint surfaces to restore the function of your hip.The following radiographic landmarks and their interrelationships are helpful in diagnosing congenital and acquired abnormalities of the acetabulum ( Fig. Your doctor may recommend surgery if your pain from arthritis causes disability and is not relieved with nonsurgical treatment. Corticosteroids (also known as cortisone) are powerful anti-inflammatory agents that can be taken by mouth or injected into the painful joint.Other NSAIDs are available by prescription. Over-the-counter NSAIDs include naproxen and ibuprofen. Nonsteroidal anti-inflammatory drugs (NSAIDs) may relieve pain and reduce inflammation.Be sure to discuss potential side effects with your doctor. Like all medications, however, over-the-counter pain relievers can cause side effects and interact with other medications you are taking. Acetaminophen (e.g., Tylenol) is an over-the-counter pain reliever that can be effective in reducing mild arthritis pain.If your pain affects your daily routine, or is not relieved by other nonsurgical methods, your doctor may add medication to your treatment plan. Using assistive aids like a long-handled reacher to pick up low-lying things will help you avoid movements that may cause pain. Using walking supports like a cane, crutches, or a walker can improve mobility and independence. Your doctor or physical therapist can help develop an individualized exercise program that meets your needs and lifestyle.Īssistive devices. Specific exercises can help increase range of motion and flexibility, as well as strengthen the muscles in your hip and leg. Losing weight can reduce stress on the hip joint, resulting in less pain and increased function.Switching from high-impact activities (like jogging or tennis) to lower impact activities (like swimming or cycling) will put less stress on your hip.Minimizing activities that aggravate the condition, such as climbing stairs.Some changes in your daily life can protect your hip joint and slow the progress of osteoarthritis. Your doctor may recommend a range of nonsurgical treatment options. Nonsurgical TreatmentĪs with other arthritic conditions, early treatment of osteoarthritis of the hip is nonsurgical. Although there is no cure for osteoarthritis, there are a number of treatment options that will help relieve pain and improve mobility.