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Charles Rivière, Stefan Lazic, Louis Dagneaux, Catherine Van Der Straeten, Justin Cobb, and Sarah Muirhead-Allwood

Introduction The concept of spine-hip relation (SHR) defines the interaction between the lumbopelvic complex (LPC) and the hip joint. As the pelvis is a common anatomical structure for these two joints, changes in one joint can potentially

Charles Rivière, Stefan Lazic, Loïc Villet, Yann Wiart, Sarah Muirhead Allwood, and Justin Cobb

Note: SHR, spine-hip relation; SHS, spine-hip syndrome; TAL, transverse acetabular ligament. Table 2. THA considerations for ‘spine’ users compared with ‘hip’ users Stiff LPC/‘hip’ user (e.g. low PI or abnormal LPC kinematics

Javier Pizones and Eduardo García-Rey

. The pelvic ring also acts as the hinge between the spine and the lower limbs, coupling lumbar lordosis (LL) with hip extension in the standing position with a minimal energy expenditure. 1 Recent investigations have renewed interest in the pelvis

Luigi Zagra, Francesco Benazzo, Dante Dallari, Francesco Falez, Giuseppe Solarino, Rocco D’Apolito, and Claudio Carlo Castelli

impingement or dislocation according to a patient’s spine–hip relation (SHR) type ( 15 ). A lateral full spine radiograph in the standing and the sitting position is needed for classification. This can also be done with the EOS® imaging system (EOS Imaging

Alessandro Colombi, Daniele Schena, and Claudio Carlo Castelli

osteoarthritis or with previous lumbar fusion often have an abnormal spine–hip relation. A preoperative screening of this kind of patient is mandatory to refine THA planning. Definition of the individual’s spine–hip relationship can be carried out using the EOS

Riccardo D’Ambrosi, Nicola Ursino, Carmelo Messina, Federico Della Rocca, and Michael Tobias Hirschmann

impingement, edge loading or subluxation. 4 The iliofemoral ligament (ILFL) is the strongest and most important hip capsular ligament, located anteriorly and originating from just below the anterior inferior iliac spine (AIIS). It consists of two limbs

Juan I. Cirillo Totera, José G. Fleiderman Valenzuela, Jorge A. Garrido Arancibia, Samuel T. Pantoja Contreras, Lyonel Beaulieu Lalanne, and Facundo L. Alvarez-Lemos

the entire VC (from the external auricle to the femoral heads), 3 with the patient in a relaxed position, without support from the upper extremities, without extension of the knees or hips and with the hands placed on the clavicles (‘clavicle position

Geert Meermans, George Grammatopoulos, Moritz Innmann, and David Beverland

studies have demonstrated a significantly higher risk for dislocation in patients with abnormal spinopelvic characteristics ( 25 , 38 , 39 ). Spinopelvic mobility describes the interaction of the lumbar spine, the pelvis and hip joint, whereas these

Bruno Direito-Santos, Guilherme França, Jóni Nunes, André Costa, Eurico Bandeira Rodrigues, A. Pedro Silva, and Pedro Varanda

maximal flexion and adduction in relation to the anatomical phenomenon of anterior hyper-coverage (positive impingement sign). 39 – 41 The Drehmann sign could also be present, suggesting anterior FAI. 29 , 42 Limitations in the hip range of

Markus S. Hanke, Till D. Lerch, Florian Schmaranzer, Malin K. Meier, Simon D. Steppacher, and Klaus A. Siebenrock

Over the past two decades, substantial increase in the knowledge of pre-arthritic conditions of the hip joint including femoroacetabular impingement, development dysplasia of the hip, slipped capital femoral epiphysis, residual deformities after