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Although cost\u2010efficient, their limitations to display 3\u2010dimensional structures may compromise our ability to correctly diagnose\u2014and treat correspondingly\u2014conditions of the hip that cause microinstability and ultimately lead to cartilage wear. Several radiographic measurements\u2014such as the lateral center\u2010edge angle, anterior center\u2010edge angle, T\u00f6nnis angle, crossover sign, etc.\u2014have historically been used to determine instability. More recently, the femoro\u2010epiphyseal acetabular roof index has been proposed as a method to diagnose an unstable hip through radiographs. Although having scientific validity, a recent study showed that small changes of only 5\u00b0 of adduction\/abduction may significantly change the measurement of femoro\u2010epiphyseal acetabular roof index. This is another example of one of the radiograph's biggest limitations\u2014faulty technique. Technology development and cost\u2010efficiency have allowed for computed tomography scans to be largely available, which bring the commodity of 3\u2010dimensional imaging of the hip. After more than a century of using radiographs to diagnose the hip, with its known limitations, it seems ever more necessary to modernize standard practice, recognize the limitations that come with radiographic measurements, and exploit the benefits of 3\u2010dimensional imaging of the hip.<\/jats:p>","DOI":"10.1016\/j.arthro.2024.02.013","type":"journal-article","created":{"date-parts":[[2024,2,21]],"date-time":"2024-02-21T23:32:53Z","timestamp":1708558373000},"page":"4563-4565","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"title":["<i>Editorial Commentary:<\/i>\n                    The Gold Standard for Assessment of Hip Instability Is 3\u2010Dimensional Imaging"],"prefix":"10.1002","volume":"41","author":[{"given":"Payam W.","family":"Sabetian","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,2,21]]},"reference":[{"key":"e_1_2_3_2_1","unstructured":"MainD..The Remarkable Story of the First Accurate Measure of the Earth\u2014Andes Mountains Expedition. 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