Acetabular Coverage: Three-Dimensional Anatomy and Radiographic Evaluation

Summary: The three-dimensional relationship between acetabulum and femoral head, known as coverage, was evaluated radiographically using a modified inlet view of the pelvis. The relationship of the anterior edge, the center of the femoral head, and the posterior edge of the acetabulum is a straight line (180°) in normal coverage but less in dysplastic hips. This radiographic method provides anatomical information concerning anterior and posterior coverage. Evaluation of 26 hips delineated problems, including possible danger of anterolateral rotation of the acetabulum in the face of posterior deficiency and inadequacy of posterior coverage after Chiari osteotomy.