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Hip contact force in presence of aberrant bone geometry during normal and pathological gait
Author(s) -
Bosmans Lode,
Wesseling Mariska,
Desloovere Kaat,
Molenaers Guy,
Scheys Lennart,
Jonkers Ilse
Publication year - 2014
Publication title -
journal of orthopaedic research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.041
H-Index - 155
eISSN - 1554-527X
pISSN - 0736-0266
DOI - 10.1002/jor.22698
Subject(s) - gait , femoral neck , medicine , gait analysis , orientation (vector space) , cerebral palsy , geometry , biomechanics , kinematics , anatomy , orthodontics , physical medicine and rehabilitation , mathematics , physics , osteoporosis , classical mechanics
Children with cerebral palsy (CP) often present aberrant hip geometry, specifically increased femoral anteversion and neck‐shaft angle. Furthermore, altered gait patterns are present within this population. We analyzed the effect of aberrant femoral geometry, as present in CP subjects, on hip contact force (HCF) during pathological and normal gait. We ran dynamic simulations of CP‐specific and normal gait using two musculoskeletal models (MSMs), one reflecting normal femoral geometry and one reflecting proximal femoral deformities. The combination of aberrant bone geometry and CP‐specific gait characteristics reduced HCF compared to normal gait on a CP subject‐specific MSM, but drastically changed the orientation of the HCF vector. The HCF was orientated more vertically and anteriorly than compared to HCF orientation during normal gait. Furthermore, subjects with more pronounced bony deformities encountered larger differences in resultant HCF and HCF orientation. When bone deformities were not accounted for in MSMs of pathologic gait, the HCF orientation was more similar to normal children. Thus, our results support a relation between aberrant femoral geometry and joint loading during pathological/normal gait and confirm a compensatory effect of altered gait kinematics on joint loading. © 2014 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 32:1406–1415, 2014.