Alternative reliable techniques in femoral torsion measurement

Delialioglu M., Tasbas B., Bayrakci K., Daglar B., Kurt M., Agar M., ...More

JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B, vol.15, no.1, pp.28-33, 2006 (SCI-Expanded, Scopus) identifier identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 15 Issue: 1
  • Publication Date: 2006
  • Doi Number: 10.1097/01202412-200601000-00006
  • Journal Name: JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.28-33
  • Keywords: femoral torsion, radiography, femoral fracture, 3-D REFORMATTED IMAGES, NECK-SHAFT ANGLE, CEREBRAL-PALSY, MEASURING ANTEVERSION, COMPUTED-TOMOGRAPHY, CHILDREN, HIP, RADIOGRAPHS, SCANS
  • Acibadem Mehmet Ali Aydinlar University Affiliated: No

Abstract

The clinical and conventional bi-planar determinations of femoral torsion were compared with the tomographic technique, the reliability of which was confirmed. Femoral torsions were measured with the trochanteric prominence angle test, the sinus-wave bi-planar conventional radiographic technique, the modified Hermann bi-planar conventional radiographic technique and the limited three-dimensional volumetric tomography technique in 34 femora of 17 patients. There was a strong correlation between the modified Hermann and the limited tomography techniques for 14 intact and 20 fractured femora. If limited three-dimensional volumetric tomography cannot be obtained, the modified Hermann bi-planar conventional radiographic technique must be used in patients who have scarring about the proximal femur and obesity. Otherwise use of the trochanteric prominence angle test is much more cost-effective and is as accurate as the limited three-dimensional volumetric tomography technique.