Journals / Journal of Health Sciences and Medicine / 2026 / Volume: 9 Issue: 5

Analyzing the relationship between the iliopsoas muscle and the femoral neck anteversion angle: a 3D Slicer study

Burhan Yarar(ATATÜRK ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0003-2569-3352
Melike Taşcı(ATATÜRK ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0001-9428-1189
Bahar Yılmaz Çankaya(ATATÜRK ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0001-5395-3276
Samet Kapakin(ATATÜRK ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0002-2482-2813
Yusuf Ziya Doğru(ATATÜRK ÜNİVERSİTESİ)0000-0002-5666-8400
Pages
—
Publication Date
2026-09-19
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The findings of this study may guide future research and help orthopedic and physical therapy clinicians with diagnosis and treatment.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aims: A short iliopsoas muscle, which is the primary flexor of the hip joint, has been associated with a smaller femoral neck anteversion (FNA) angle.
📊
Key Findings & Data:Methods: This study used 3D Slicer software to import abdominopelvic (including the knee joint) computed tomography (CT) images of 90 individuals and to automatically calculate the iliopsoas muscle’s volume and surface area.
💡
Conclusion & Impact:The findings of this study may guide future research and help orthopedic and physical therapy clinicians with diagnosis and treatment.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Iliopsoas muscle · femur · hip joint

Abstract

Aims: A short iliopsoas muscle, which is the primary flexor of the hip joint, has been associated with a smaller femoral neck anteversion (FNA) angle. However, no studies examining the relationship between iliopsoas muscle volume/surface area and FNA were found in the literature. Therefore, the aim of this study was to investigate this relationship. Methods: This study used 3D Slicer software to import abdominopelvic (including the knee joint) computed tomography (CT) images of 90 individuals and to automatically calculate the iliopsoas muscle’s volume and surface area. The FNA was measured manually on the CT scans using Radiant software. Results: While iliopsoas muscle volume and surface area were found to be larger in males than in females, no significant difference was found between genders in FNA values. A positive correlation was found between bilateral iliopsoas muscle parameters and both FNAs in males, and between bilateral iliopsoas muscle volume and the right FNA in females. Conclusion: This study has presented new data on the relationship between the volume and surface area of the iliopsoas muscle and the FNA. The findings of this study may guide future research and help orthopedic and physical therapy clinicians with diagnosis and treatment.

🔖

Cite This Article

Yarar, B., Taşcı, M., Çankaya, B. Y., Kapakin, S., Doğru, Y. Z. (2026). Analyzing the relationship between the iliopsoas muscle and the femoral neck anteversion angle: a 3D Slicer study. Journal of Health Sciences and Medicine, Volume: 9 Issue: 5. https://doi.org/10.32322/jhsm.1979447

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (28)

  1. Anderson CN. Iliopsoas: pathology, diagnosis, and treatment. Clin Sports Med. 2016;35(3):419-433. doi:10.1016/j.csm.2016.02.009
  2. Tramer JS, Holmich P, Safran MR. The iliopsoas: anatomy, clinical evaluation, and its role in hip pain in the athlete: a scoping review. J Am Acad Orthop Surg. 2024;32(13):e620-e630. doi:10.5435/JAAOS-D-23- 01166
  3. Hirase T, Mallett J, Barter LE, Dong D, McCulloch PC, Harris JD. Is the iliopsoas a femoral head stabilizer? A systematic review. Arthrosc Sports Med Rehabil. 2020;2(6):e847-e853. doi:10.1016/j.asmr.2020.06.006
  4. Zhao P, Jin ZW, Kim JH, Abe H, Murakami G, Rodríguez-Vázquez JF. Differences in foetal topographical anatomy between insertion sites of the iliopsoas and gluteus medius muscles into the proximal femur: a consideration of femoral torsion. Folia Morphol. 2019;78(2):408-418. doi:10.5603/FM.a2018.0083
  5. Scorcelletti M, Reeves ND, Rittweger J, Ireland A. Femoral anteversion: significance and measurement. J Anat. 2020;237(5):811-826. doi:10.1111/joa.13249
  6. Fabricant PD, Bedi A, De La Torre K, Kelly BT. Clinical outcomes after arthroscopic psoas lengthening: the effect of femoral version. Arthrosc J Arthrosc Relat Surg. 2012;28(7):965-971. doi:10.1016/j.arthro.2011.11.028
  7. Buly RL, Sosa BR, Poultsides LA, Caldwell E, Rozbruch SR. Femoral derotation osteotomy in adults for version abnormalities. J Am Acad Orthop Surg. 2018;26(19):e416-e425. doi:10.5435/JAAOS-D-17-00623
  8. Sarfraz A, Guftar F, Zahid M, et al. Association of iliopsoas muscle tightness and strength with iliopsoas pain in young adults: a cross-sectional study. HJPRS. 2026;6(3):70-75. doi:10.55735/vp6msg29
  9. Yamane M, Aoki M, Sasaki Y, Kawaji H. Understanding the muscle activity pattern of the hip flexors during straight leg raising in healthy subjects. Prog Rehabil Med. 2019;4:20190007. doi:10.2490/prm.20190007
  10. Urfali FE, Tok S, Kuyubaşi SN, İnal S, Korkmaz M. Is there a correlation between the femoral anteversion angle and the elasticity of the hip muscles in cases of intoeing gait due to increased femoral anteversion angle? J Ultrason. 2022;22(88):e28. doi:10.15557/JoU.2022.0005
  11. Schutte LM, Hayden SW, Gage JR. Lengths of hamstrings and psoas muscles during crouch gait: effects of femoral anteversion. J Orthop Res. 1997;15(4):615-621.
  12. Nişanci OS, Yildiz R, Aslan Kolukisa S. Investigation of the effect of palmaris longus presence on the upper extremity and hand functions in individuals of different ethnic origins. Diagnostics. 2025;15:1763. doi:10.3390/diagnostics15141763
  13. Kikinis R, Pieper SD, Vosburgh KG. 3D Slicer: a platform for subject-specific image analysis, visualization, and clinical support. Imag Guid Ther. 2013:277-289.
  14. Davis E, LeBrun DG, McCarthy T, Westrich GH. Femoral neck anteversion: which distal femur landmark matters? Arthroplast Today. 2024;26:101318. doi:10.1016/j.artd.2024.101318
  15. Haizlip KM, Harrison BC, Leinwand LA. Sex-based differences in skeletal muscle kinetics and fiber-type composition. Physiol. 2015;30(1): 30-39. doi:10.1152/physiol.00024.2014
  16. Kainz H, Mindler GT, Kranzl A. Influence of femoral anteversion angle and neck-shaft angle on muscle forces and joint loading during walking. PLoS One. 2023;18(10):e0291458. doi:10.1371/journal.pone.0291458
  17. Xiao H, Yibulayimu S, Zhao C, et al. Rethinking femoral neck anteversion assessment: a novel automated 3D CT method compared to traditional manual techniques. BMC Musculoskelet Disord. 2025;26(1): 466. doi:10.1186/s12891-025-08697-7
  18. Yuncu M, Kartal EM, Urger SE, Sarıkcıoglu L, Gurcan S, Kose O. Accuracy of modified budin views for the femoral neck anteversion at different hip abduction angles: an experimental study on dry bones. Diagnostics. 2026;16(8):1238. doi:10.3390/diagnostics16081238
  19. Lerch TD, Leimbacher T, Meier MK, et al. Normal range of femoral version for different measurement methods on CT or MRI-scoping review of normal femoral version. J Hip Preserv Surg. 2025;12(3):157-163. doi:10.1093/jhps/hnaf003
  20. Koerner JD, Patel NM, Yoon RS et al. Femoral version of the general population: does “normal” vary by gender or ethnicity? J Orthop Trauma. 2013;27(6):308-311.
  21. Liu L, Lei K, Chen X, et al. Proximal external femoral torsion increases lateral femoral shaft bowing: a study based on 3D CT reconstruction models. Knee Surg Sports Traumatol Arthrosc. 2023;31(4):1524-1532. doi:10.1007/s00167-021-06753-y
  22. Ejnisman L, Philippon MJ, Lertwanich P, et al. Relationship between femoral anteversion and findings in hips with femoroacetabular impingement. Orthopedics. 2013;36(3):e293-e300. doi:10.3928/01477447-20130222-17
  23. Perets I, Chaharbakhshi EO, Mansor Y. Midterm outcomes of iliopsoas fractional lengthening for internal snapping as a part of hip arthroscopy for femoroacetabular impingement and labral tear: a matched control study. Arthrosc J Arthrosc Relat Surg. 2019;35(5):1432-1440. doi:10.1016/j.arthro.2018.11.050
  24. Nişancı OS, Yıldız R. MRI-based clinical anatomical evaluation of vertebral morphometric changes associated with disc herniation stages at the L4-L5 level. Srp Arh Celok Lek. 2026;(00):30-30. doi:10.2298/SARH260125030N
  25. Scheys L, Van Campenhout A, Spaepen A, Suetens P, Jonkers I. Personalized MR-based musculoskeletal models compared to rescaled generic models in the presence of increased femoral anteversion: effect on hip moment arm lengths. Gait posture. 2008;28(3):358-365. doi:10. 1016/j.gaitpost.2008.05.002
  26. Heshmati S, Ghahraman Tabrizi K, Daneshjoo A, et al. Effects of asymmetric and symmetric sport load on upper and lower extremity strength and balance: a comparison between the dominant and non-dominant side in adolescent female athletes. Sports. 2025;13(3):89. doi: 10.3390/sports13030089
  27. Anders A, Vitale K. Rare case of hip pain due to iliopsoas tendon rupture; a case report and review of the literature. JRM-CC. 2022;5:2541. doi:10.2340/jrmcc.v5.2541
  28. De Pieri E, Friesenbichler B, List R, et al. Subject-specific modeling of femoral torsion influences the prediction of hip loading during gait in asymptomatic adults. Front Bioeng Biotechnol. 2021;9: 679360. doi:10. 3389/fbioe.2021.679360