Skeletal Radiol (2010) 39:727
DOI 10.1007/s00256-010-0933-1
BROWSER'S NOTES
Genetic influences in the aetiology of femoroacetabular
impingement
Pollard TCB, et al.
JBJS (Br) 2010: 92-B; 209–216
Genetic factors are considered important in the etiology of
osteoarthritis. To determine a genetic influence in femoroace-
tabular impingement 96 siblings of 64 patients treated for
primary impingement with a spouse control group of 77
individuals were studied. The patients were screened clinically
and radiologically for cam and pincer deformities and OA.
Siblings of patients with a cam deformity had a relative risk of
2.8 of having the same deformity (66 of 160 versus 23 of 154
controls.). Those with a pincer deformity had a relative risk of
2.0 of having the same deformity (43 of 116 siblings’ hips
versus 29 of 154 control hips). Bilateral deformities occurred
more often in siblings. The prevalence of clinical findings in
hips with abnormal morphology was also greater in the sibling
group compared with controls.
Correlation of Magnetic Resonance Imaging findings
with the chronicity of an anterior cruciate ligament tear
Yoon JP, et al.
JBJS (Am) 2010;92:353–360
Following an ACL injury, these authors state, ACL
morphology, joint effusion, PCL buckling and bone
bruising are imaging signs with known chronological
importance. Their relative importance has been previously
addressed. Because these appearances change sequentially
with time the authors of this study set out to quantitatively
correlate MRI findings with the chronicity of ACL injury
over time in a large population. 145 patients with a
complete ACL tear were divided into four groups: acute
(within 6 weeks) subacute (more than 6 weeks to 3 months),
intermediate (3 months to 1 year) and chronic (more than
1 year). Joint effusion significantly decreased at 6 weeks,
bone bruising showed a significant decrease at 3 months,
PCL angle decrease was more gradual. At 6 weeks to
3 months the ACL was edematous and the most significant
change was a decrease in joint effusion. PCL angle change
was slow and showed no change between the subacute and
intermediate groups. The authors suggest that integrating
the four MRI findings could help estimate the chronicity of
an ACL injury.
Evidence based indications for ankle arthroscopy
Glazebrook M, et al.
Arthroscopy (2009) 25: 1478–1490
A literature review was performed to determine the level of
evidence available to support the use of ankle arthroscopy.
There is fair evidence (grade B) to support a recommendation
for ankle arthroscopy in treating ankle impingement, osteo-
chondral lesions and ankle arthrodesis. There is poor evidence
supporting its use for ankle instability, septic arthritis,
arthrofibrosis and removal of loose bodies. There is insuffi-
cient evidence to support its use for management of synovitis
and it is ineffective for the treatment of ankle arthritis.
Detection of hematogenous bone metastasis in cervical
cancer.
Liu F Y, et al.
Cancer (2009) 115:5470–80
Cervical cancer is the second most common malignancy
among women and a leading cause of cancer related death
world-wide. Bone metastases occur occasionally in this
disease and is associated with a poor prognosis. Close to
200 patients who had CT, MRI and PET performed within
30 days constituted the study group. Patients whose tumors
directly invaded bone from the cervix or from distant soft
tissue metastases were excluded. PET was found to be more
sensitive than MR imaging. PET was more specific than
MR imaging but less specific than CT. PET had a higher
positive predictive value than MRI and a higher negative
predictive value than MRI and CT. The diagnostic
performance of PET was superior to CT and MRI.
Abstracted by: M. Sundaram, M.D., July 2010
E-mail: sundaram@ccf.org