Reproducibility of radiographic hip measurements in adults.

Service de radiologie, CHU la Cavale-Blanche, 29609 Brest, France.
Joint, bone, spine: revue du rhumatisme (Impact Factor: 2.25). 03/2012; DOI: 10.1016/j.jbspin.2012.02.002
Source: PubMed

ABSTRACT INTRODUCTION: Hip dysplasia may cause pain and premature hip osteoarthritis. Here, our objective was to assess the inter- and intraobserver reproducibility of radiographic hip parameter measurement in adults. METHODS: We used anteroposterior pelvic radiographs and false-profile lateral hip radiographs from 30 individuals (60 hips) enrolled in a prevalence study of hip osteoarthritis. For each hip, two independent observers recorded five parameters twice, at an interval of 1month. The five parameters were the vertical-center-edge angle (VCE), the anterior center-edge angle (vertical-center-anterior angle, VCA), the acetabular roof angle (HTE), the neck-shaft angle (CC'D), and acetabulum depth (AD). Reproducibility was assessed using Bland-Altman plots, intraclass correlation coefficients (ICCs), and kappa coefficients for the radiographic diagnosis of hip dysplasia using widely accepted cutoffs. RESULTS: Of the 60 hips, 51 were assessable. Intraobserver ICC values ranged from 0.72 to 0.94 and interobserver ICC values from 0.68 to 0.84. Kappa coefficients were between 0.60 and 1.00, except for the VCA angle (κ=0.41). CONCLUSION: In this study, reproducibility of the main radiographic hip parameters was good according to all evaluation methods used. However, CC'D and, to an even greater extent, the VCA angle seemed challenging to measure.

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    ABSTRACT: BACKGROUND: Lateral center-edge angle (LCEA), originally described and validated on AP radiographs, has been used increasingly in CT-based studies, but it is unclear whether the measure is reliable and whether it correlates with that on AP radiographs. QUESTION/PURPOSES: We therefore determined: (1) the interobserver and intraobserver reliabilities of the LCEA measured on AP radiographs; (2) the interobserver and intraobserver reliabilities of the LCEA measured on CT scans; and (3) the intermodality correlation of the LCEA between CT and AP radiography. METHODS: We reviewed the AP radiographs and CT scans of 22 patients treated for slipped capital femoral epiphyses. CT scans were reoriented to a neutral pelvic tilt and inclination. Three evaluators measured the LCEA on the unaffected hip on the AP and CT coronal images that corresponded to the center of the acetabulum on the axial slice. RESULTS: We found an interobserver intraclass correlation (ICC) analysis of 0.84 for the AP radiographs and 0.88 for the CT scans. The intraobserver ICC for the AP radiographs was 0.96, and for the CT scans 0.98. The intermodality ICC for the CT scans and AP radiographs was 0.79, with a lower bound of 0.61 and an upper bound of 0.87. CONCLUSIONS: Our data suggest the LCEA measured on a CT scan is reliable and correlates with the LCEA on AP radiographs.
    Clinical Orthopaedics and Related Research 10/2012; · 2.79 Impact Factor