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Assessing Femoral Trochlear Morphologic Features on Cross-Sectional Imaging Before Trochleoplasty: Dejour Classification Versus Quantitative Measurement

Nicholas C. Nacey, Michael G. Fox, Barrett N. Luce, Dustin M. Boatman, David R. Diduch

2020American Journal of Roentgenology34 citationsDOI

Abstract

Qualitative use of the Dejour classification accurately categorizes trochlear dysplasia as low grade or high grade in 92% of cases, with exact agreement reached in 77% of cases. Furthermore, the trochlear depth, lateral trochlear inclination, trochlear facet asymmetry, and sulcus angle can differentiate between low-grade and high-grade dysplasia, with trochlear depth, lateral trochlear inclination, and trochlear facet asymmetry useful for differentiating between Dejour types B and C and Dejour types B and D.

Topics & Concepts

MedicineAnatomyLower Extremity Biomechanics and PathologiesHip disorders and treatmentsOrthopaedic implants and arthroplasty