{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T20:18:16Z","timestamp":1772569096083,"version":"3.50.1"},"reference-count":15,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2017,4,3]],"date-time":"2017-04-03T00:00:00Z","timestamp":1491177600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Anatomy"],"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:p>There has recently been an increase in popularity of the direct anterior approach (DAA) hip arthroplasty, due to the muscle sparing nature of its interneural intervals, with the innominate tubercle being used as a lateral reference point for the femoral neck osteotomy. However, there is very little information in the literature on this rather enigmatic structure, with no evidence as to whether it is a consistent and reliable marker, or if it varies significantly in the population. In this study, data were gathered from 79 pairs of adult, post\u2010medieval skeletal femora to investigate the effects of sex, age, femoral side, femoral length, femoral neck length, and femoral neck\u2010shaft angle on the width, length, and height of the innominate tubercle. The sex, age, and date of death of the individuals had been recorded. Statistical analysis included canonical correlation and multivariate multiple regression. We found that there was no statistical significance or correlation between the width, length, or height of the tubercle with respect to any of the variables investigated. These results suggest that the innominate tubercle does not differ markedly between individuals in the Caucasian population, and, is therefore, a reliable landmark for femoral neck osteotomy during DAA hip arthroplasty. We present what we believe to be a definitive survey of the variability of the innominate tubercle in a Caucasian population. Clin. Anat. 30:578\u2013584, 2017. \u00a9 2017 Wiley Periodicals, Inc.<\/jats:p>","DOI":"10.1002\/ca.22870","type":"journal-article","created":{"date-parts":[[2017,3,10]],"date-time":"2017-03-10T02:13:30Z","timestamp":1489112010000},"page":"578-584","source":"Crossref","is-referenced-by-count":9,"title":["The innominate tubercle of the femur: Application to anterior surgical approaches to the hip"],"prefix":"10.1002","volume":"30","author":[{"given":"O.","family":"Kielbasinski Podlaszewska","sequence":"first","affiliation":[{"name":"Institute of Medical and Biomedical Education (Anatomy), St George's, University of London London United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Bekvalac","sequence":"additional","affiliation":[{"name":"The Centre for Human Bioarchaeology, Musuem of London London United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.L.","family":"Williams","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedics Hywel Dda University Health Board United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8913-0669","authenticated-orcid":false,"given":"P.J.","family":"Adds","sequence":"additional","affiliation":[{"name":"Institute of Medical and Biomedical Education (Anatomy), St George's, University of London London United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,4,3]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.1997.tb08202.x"},{"key":"e_1_2_7_3_1","unstructured":"BekvalacJ.2012. Implementation of preliminary digital radiographic examination in the confines of the crypt of St Bride's Church Fleet Street London. In: Proceedings of the Twelfth Annual Conference of the British Association for Biological Anthropology and Osteoarchaeology. Oxford: Archaeopress. p 111\u2013113."},{"key":"e_1_2_7_4_1","unstructured":"FrazerJ.1920. The Anatomy of the Human Skeleton. 2nd Ed. London: J and A Churchill. p 138\u2013140. 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[Image] URL:http:\/\/www.dartmouth.edu\/~humananatomy\/figures\/chapter_12\/12-10.HTM[Accessed Feb. 12 2017]."},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.4067\/S0717-95022012000100046"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.9790\/0853-13213439"},{"key":"e_1_2_7_12_1","volume-title":"Musculoskeletal Imaging","author":"Pope T","year":"2015"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1098-2353(1996)9:2<109::AID-CA3>3.0.CO;2-C"},{"key":"e_1_2_7_14_1","first-page":"252","volume-title":"Human Osteology","author":"White T","year":"2012"},{"key":"e_1_2_7_15_1","unstructured":"WilliamsR GoodsonM MahesonM.2014. The innominate tubercle and superimposition of the rasp\u2014An accurate technique for the femoral neck osteotomy during the direct anterior approach to the hip. [Poster Presentation] European Hip Society Stockholm."},{"key":"e_1_2_7_16_1","first-page":"419","article-title":"The innominate tubercle\u2014A lighthouse for the femoral neck cut","volume":"28","author":"Williams R","year":"2015","journal-title":"Clin Anat"}],"container-title":["Clinical Anatomy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fca.22870","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ca.22870","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T15:28:15Z","timestamp":1750087695000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ca.22870"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,4,3]]},"references-count":15,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2017,7]]}},"alternative-id":["10.1002\/ca.22870"],"URL":"https:\/\/doi.org\/10.1002\/ca.22870","archive":["Portico"],"relation":{},"ISSN":["0897-3806","1098-2353"],"issn-type":[{"value":"0897-3806","type":"print"},{"value":"1098-2353","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,4,3]]}}}