Normal values of Wiberg's lateral center-edge angle and Lequesne's acetabular index-a coxometric update

Clément M.L. Werner, Leonhard E. Ramseier, Thomas Ruckstuhl, Jeff Stromberg, Carol E. Copeland, Clifford H. Turen, Kaspar Rufibach, Samy Bouaicha

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58 Scopus citations


Background The historical pathological cut-off values for Wiberg's lateral center-edge (LCE) angle and Lequesne's acetabular index (AI) are below 20° and above 12° for the LCE and AI, respectively. The aim of this study was to reassess these two angles more than 50 years after their introduction using a standardized conventional radiological measurement method, considering changing social habits and their associated physiological changes. Methods A total of 1,226 anteroposterior radiographs of the pelvis (2,452 hips) were obtained according to a strict standardized radiographic technique allowing reliable measurements of the LCE angle and the AI. Results Distributions of the LCE and AI were pronouncedly Gaussian, with mean values of 33.6° for the LCE and 4.4° for the AI. The 2.5th and 97.5th empirical percentiles were 18.1 and 48.0° for the LCE and -6.9 and 14.9° for the AI. These intervals contained 95%of the data in our large sample. Small but statistically significant differences between the sexes and right and left hips have been demonstrated. Correlation between age and coxometric indices was low. Conclusion The above findings do not conflict with the historical benchmarks. Statistical differences between sexes and between right and left hips were not clinically relevant. No conclusion can be drawn about coxometric indices and clinical manifestations of hip dysplasia.

Original languageEnglish (US)
Pages (from-to)1273-1278
Number of pages6
JournalSkeletal Radiology
Issue number10
StatePublished - Oct 2012

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging


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