A New Radiographic Measurement Method for Evaluation of Tibial Torsion: A Pilot Study in Adults

Abstract

Level II, diagnostic study.

Femoral Version and Tibial Torsion are Not Associated With Hip or Knee Arthritis in a Large Osteological Collection

“…1,2,21 Although there have been attempts to quantify both tibial torsion and femoral anteversion on computed tomography and other advanced imaging, these techniques are not a common part of most practitioner's workup because they offer lower interrelator reliability than physical examination and introduce unnecessary testing. 1,7,8,[11][12][13][14][22][23][24][25][26][27][28][29] Treatment practices vary widely regarding the surgical management of these conditions. At our institution patients may be considered for a derotational osteotomy if they are symptomatic and have notable deformity beyond age 6 years for tibial torsion and 8 years for femoral anteversion.…”

“…Although numerous bony landmarks have been used to quantify tibial rotation radiographically, the midpoint of the tibial plateau surfaces and the anterior tibial plafond were chosen given their high interrelator reliabilities in previous studies, and ease of use in an osteological setup. [7][8][9][10][11][12][13][14][15] Tibial torsion in the internal direction was defined as increased tibial torsion.…”

The measurement of tibial torsion by magnetic resonance imaging in children: the comparison of three different methods

“…The measurement of lower limb torsion with computed tomography (CT) is accepted as the reference method in daily practice [8,13]. Moreover, the plain films [14], ultrasound [15], low-dose stereoradiography with 3D reconstruction [6,16] and magnetic resonance imaging (MRI) [5,[17][18][19][20][21][22] are used for determination of the lower limb torsion.…”

Findings related to rotational malalignment in tibial fractures treated with reamed intramedullary nailing

“…The measurement of tibial rotation by radiological techniques can be obtained by direct radiographs [19], ultrasonography [20], fluoroscopically [21,22] and by CT [2,[10][11][12][13][14][15]. The use of CT in radiological measurements was first described by Jacob et al [10].…”