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  • Repost: Ball & Socket Assumption

    Dear Biomech-l,

    I have received a few replies to my original posting and as promised I am
    posting them. First, however, I wanted to restate my question because it
    was not quite clear the exact question I wanted to ask. Then I will post
    my original question and the replies.

    New question:

    My research involves locating the hip joint center under the assumption
    that it acts as a ball and socket joint. However, do subluxated or
    dislocated hip joints continue to act as a ball and socket joint?

    Thank you once again, and I will post a summary of replies.

    Leonard D'Addesi
    Human Performance Lab
    Thomas Jefferson University Hospital
    Tel: 215-503-1646
    Fax: 215-923-2475
    Email: sg943dvw@dunx1.ocs.drexel.edu
    __________________________________________________ _______________________

    Original question:

    Hello to all,

    I am a masters student and my research involves locating the hip joint
    center. I have a few simple questions that I am confused about:

    1. I discovered in the biomech-l archives that the hip joint can be
    modelled as a ball and socket joint if the centers of the femoral head
    and acetabulum are the same and the contact surface is spherical. Is
    this a good definition of the center of rotation?

    2. Does the ball and socket model of the hip joint hold true for patients
    that have neuromuscular diseases such as CP? Has anyone done a study to
    show whether the model holds true?

    I would greatly appreciate any references. I will post a summary of
    replies.

    Thank you.

    __________________________________________________ ___________
    Responses include:

    >From Prof. Joe Mizrahi Aug 4, 96 09:05:04 am +0300

    Concepts of asphericity and incongruence of the human healthy hip have been
    suggested in the literature. It is believed that they help in achieving
    a progressive load distribution on the contacting surfaces, and improve
    lubrication within the joint. Asphericity, however renders a much less
    convenient geometry to model and deals with. Nevertheless, if it can be
    represented analytically this difficulty can be considerably alleviated.
    Based on previously published experimental data, we have attempted to
    analytically represent hip asphericity , by approximating the joint as a
    tilted solid of revolution. The following two references report our
    results:
    - Mizrahi, J The human femoral head as a tilted solid of revolution. S.
    Afr. J. Science, 73, 385-386, 1977.
    - Mizrahi, J An axi-symmetrical representation of the human femoral head.
    The S. Afr. Mech. Eng., 28, 206-209, 1978.

    =====================================
    Prof. Joseph Mizrahi , D.Sc.
    Dept. of Biomedical Eng. Technion, Israel Institute of Technology
    Haifa 32000, Israel
    Phone: +972-4-8294128 Fax: +972-4-8234131
    e-mail: jm@biomed.technion.ac.il

    ------------------------------------------------------------------------------------------------

    >From Anne Hollister, MD Jul 31, 96 04:29:33 pm -0500

    In my research on the subject, I have found only that the hip is considered
    a ball and socket joint, and therefore treated as three orthogonal axes of
    rotation because of its gross shape: A ball and socket. This inference was
    made in the last century, and is documented in the German literature from
    the early 1900's. I was unable to discover inverse kinematic studies to
    validate this, but would be interested to know of any.

    Anne

    Anne Hollister, MD
    LSUMC-S / Orthopaedic Surgery
    1501 Kings Hwy.
    Shreveport, LA 71130-3932
    email: anne@www.ortho.lsumc.edu

    ------------------------------------------------------------------------------------------------

    Leonard

    Check the masters and doctoral theses of Slobodan Tepic at MIT (about 1980,
    1982). He used ultrasound to measure cartilage geometry and thickness and
    found the unloaded joint to be spherical within +/- 50 micrometers. More
    recently (1993), Pat Lord developed a computer-aided surgical tool for
    hip osteotomy and checked the sphericity assumption on MRI/CT data.

    later

    Mike Murphy
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