[The significance of the center-edge angle in the prognosis of the dislocated hip 50 years after its initial description by Wiberg].
In a small child, the prognosis of hip dysplasia is determined most of all by the quality of the covering over the femoral head. A simple radiometric expression of the extent repositioning has been achieved is Wiberg's CE angle (1939). It is suggested that a new classification be established for the critical area: between 10 degrees and 20 degrees. Other criteria for evaluating dysplasia of the hip are suitable for establishing the prognosis--assuming they include the socket; however, their application is often more complicated. Deformation of the femoral head, the CCD angle, and antetorsion of the femoral head are less suitable predictors. In the 100 patients with uni- or bilateral CDH, the long-term follow-up (mean of 47 years), indicates that there is an extraordinarily high incidence of arthrosis.
Engelhardt
P
P
Klinik für Orthopädische Chirurgie, Kantonsspital St. Gallen.
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D005500:Follow-Up Studies; D006618:Hip Dislocation, Congenital / Q000000981:diagnostic imaging* / Q000628:therapy; D006621:Hip Joint / Q000000981:diagnostic imaging*; D006801:Humans; D007223:Infant; D008875:Middle Aged; D010003:Osteoarthritis / Q000000981:diagnostic imaging*; D011859:Radiography; D012189:Retrospective Studies
Die Bedeutung des Zentrumeckenwinkels zur Prognose der Dysplasiehüfte 50 Jahre nach Erstbeschreibung durch G. Wiberg.