Patient positioning during the radiographic procedure affects the radiological signs of acetabular retroversion - A systematic review
Midtgaard, Marie and Vils Pedersen, Malene R. and Christensen, Nicolaj Lyhne and McKnight, K. Louise and Jensen, Janni (2023) Patient positioning during the radiographic procedure affects the radiological signs of acetabular retroversion - A systematic review. Journal of Clinical Imaging Science, 13. p. 34. ISSN 2156-7514
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Text (Article)
Patient positioning during the radiographic procedure affects the radiological signs of acetabular retroversion – A systematic review.pdf - Published Version Available under License Creative Commons Attribution Non-commercial Share Alike. Download (712kB) |
Abstract
Young adults presenting with non-traumatic hip pain may suffer from acetabular retroversion (AR). The previous studies have suggested that patient positioning during the radiographic procedure, that is, pelvic tilt and/or rotation may alter the appearance of the acetabulum. The purpose of this systematic review was to explore and collate existing literature on the correlation between pelvic positioning in weight-bearing anterior-posterior radiographs and the radiographic signs of AR, namely, the ischial spine sign (ISS) the cross-over sign (COS) and posterior wall sign (PWS). The preferred reporting items for systematic reviews and meta-analysis guidelines were followed. MEDLINE, EMBASE, PubMed, The Cochrane Library, and CINAHL were searched. The search string included the following keywords: Pelvic, tilt, rotation, positioning, inclination, incidence, AR, ISS, COS, PWS, and acetabular version. Two authors independently screened the studies identified in the search, extracted data, and critically assessed included studies for quality using the Quality Assessment of Diagnostic Accuracy Studies 2 tool. In total, 2289 publications were screened. Fifteen articles were found eligible for full-text screening, and four articles met the inclusion criteria. Although the studies varied methodologically, all reported that pelvic positioning impacted radiographic signs of AR investigated. One study suggested that more than 9° of pelvic inclination would result in positive COS. No other benchmark values on the degree of pelvic tilt and rotation that would compromise the diagnosis of AR, that is, the detection of ISS, COS, and PWS were reported. At present, literature reporting on the correlation between patient positioning and AR is sparse. Four studies met the inclusion criteria, and they all reported a link between pelvic positioning and the radiographic appearance of AR.
| Item Type: | Article | ||||||
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| Identification Number: | https://doi.org/10.25259/JCIS_82_2023 | ||||||
| Dates: |
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| Uncontrolled Keywords: | Pelvic positioning, Acetabular retroversion, Radiography | ||||||
| Subjects: | CAH02 - subjects allied to medicine > CAH02-06 - allied health > CAH02-06-01 - health sciences (non-specific) | ||||||
| Divisions: | Faculty of Health, Education and Life Sciences > School of Health Sciences | ||||||
| Depositing User: | Louise Mcknight | ||||||
| Date Deposited: | 24 Oct 2023 11:47 | ||||||
| Last Modified: | 24 Oct 2023 11:47 | ||||||
| URI: | https://www.open-access.bcu.ac.uk/id/eprint/14858 |
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