MUSCULOSKELETAL MODELING OF ACETABULAR DYSPLASIA-KINEMATICS, MUSCLE AND JOINT REACTION FORCES

摘要

Anatomical pathologies of the hip, such as developmental dysplasia are a common cause of hip pain in the young adult. While it is generally accepted that cartilaginous lesions and tears to the acetabular labrum initiate pain, muscle compensation/weakness may also contribute, especially for patients who do not have evidence of soft-tissue damage. Musculoskeletal models provide estimates of muscle forces as well as the equivalent force that acts upon the joint. Force data can then be compared to any observed differences in joint kinematics, thereby improving the interpretability of data from traditional gait studies. While a few studies have reported alterations in hip joint kinematics due to acetabular dysplasia, to our knowledge, muscle force differences have not been estimated [1, 2]. The purpose of this study was to couple traditional gait analysis with musculoskeletal modeling to compare hip joint kinematics, muscle forces, and joint reaction forces between subjects with acetabular dysplasia and normal controls.