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Acetabular Retroversion Treatment

Acetabular Retroversion

Treatment

The treatment for acetabular retroversion depends upon the symptoms it is causing.  There are a variety of surgical and non surgical treatments that are available.

Non Operative Treatment

The signs of acetabular dysplasia may be present on X-rays and scans, and may be completely unrelated to the symptoms you are having.  Therefore it is wise to be checked by a hip specialist to determine what the cause of your pain is.

In many cases your symptoms may respond to non-operative treatment such as activity modification, medications, injections and hip physiotherapy programs.

Surgical Treatment

As the underlying problemAs the underlying problem with acetabular retroversion is one of the hip joint being malpositioned, it may require correction with surgery. Having an acetabular retroversion treatment may involve either arthroscopic trimming of the bone, or osteotomy (cutting the pelvis and realigning it). In many cases the best option is to reorient the pelvis via an osteotomy (bone realignment procedure) to change the direction the hip joint (socket) is facing and use the existing hip joint to more appropriately cover the femoral head (ball).  Both these procedures are technically complex and require careful patient selection.  There are many advantages and disadvantages to each option, including the recovery time, correction obtained, ability to deal with other associated hip pathology, and the need to removal metal fixation.

If significant hip arthritis is present, or if you are older, then treatment may require a total hip replacement.

If you are suffering from hip pain, and consider that you may have acetabular retroversion, please contact Dr Slattery’s Melbourne rooms to schedule an appointment to talk about femoral retroversion on 03 5752 5020. 

Retroversion

 

Top: The normal appearance of the Acetabulum (Cup), showing the front (Red/anterior) and back (Yellow/posterior) walls.  Bottom: Acetabular Retroversion where the front wall is more exposed than the back wall. Steppacher et al 2017.
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