Relationship Between Femoral Anteversion and Osteoarthritis of the Hip

Kitaoka, Harold B.; Weiner, Dennis S.; Cook, Albert J.; Hoyt, Walter A.; Askew, Michael J.

doi:10.1097/01241398-198907000-00004

Cited by 47 publications

(11 citation statements)

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“…It can be compensatory to persistent femoral anteversion and idiopathic or secondary to a tight iliotibial band [ 3 13 14 ]. Physical examination, X-ray, ultrasound, CT scan, and magnetic resonance imaging (MRI) have been used in the clinical setting to identify the causes of tibial torsion in children [ 15 16 17 18 19 ]. CT scans and MRI techniques are good imaging strategies for visually assessing the torsional profile of the tibia; however, both techniques are expensive and, in the case of CT scans, serial measurements carry with it a risk of exposing the pediatric patient to excessive radiation.…”

Section: Discussionmentioning

confidence: 99%

A New Instrument for Measuring Tibial Torsion in Pediatric Patients

et al. 2017

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ObjectiveTo develop and test the validity and reliability of a new instrument for measuring the thigh-foot angle (TFA) for the patients with in-toeing and out-toeing gait.MethodsThe new instrument (Thigh-Foot Supporter [TFS]) was developed by measuring the TFA during regular examination of the tibial torsional status. The study included 40 children who presented with in-toeing and out-toeing gaits. We took a picture of each case to measure photographic-TFA (P-TFA) in the proper position and to establish a criterion. Study participants were examined by three independent physicians (A, B, and C) who had one, three and ten years of experience in the field, respectively. Each examiner conducted a separate classical physical examination (CPE) of every participant using a gait goniometer followed by a TFA assessment of each pediatric patient with or without the TFS. Thirty minutes later, repeated in the same way was measured.ResultsLess experienced examiner A showed significant differences between the TFA values depending on whether TFS used (left p=0.003 and right p=0.008). However, experienced examiners B and C did not show significant differences. Using TFS, less experienced examiner A showed a high validity and all examiner's inter-test and the inter-personal reliabilities increased.ConclusionTFS may increase validity and reliability in measuring tibial torsion in patients who has a rotational problem in lower extremities. It would be more useful in less experienced examiners.

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Section: Discussionmentioning

confidence: 99%

A New Instrument for Measuring Tibial Torsion in Pediatric Patients

et al. 2017

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“…Increased femoral anteversion additionally can cause gait disturbance with tripping and difficulties with running and increased stress on the anterior labrum in patients with concomitant developmental dysplasia of the hip. Complaints can range from buttock pain due to ischiofemoral impingement to anterior hip pain and labral tears as the forward-facing femoral head places excessive stress on the iliopsoas and labrum [12][13][14].…”

Section: Introductionmentioning

confidence: 99%

Femoral Derotational Osteotomies

Nelitz

2018

Curr Rev Musculoskelet Med

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Good early clinical outcomes have been reported. However, long-term studies and data on return to play are lacking. Surgery often is performed according to the surgeon's experience. There is no evidence to support decisions regarding surgical technique or level of osteotomy. Femoral derotational osteotomy is the treatment of choice in patients with symptomatic excessive anteversion and torsional malalignment of the femur. Multiple techniques have shown good clinical results with high patient satisfaction. Future studies however must focus on radiographic and clinical assessment to understand different subtypes of torsional deformity and its implication on operative therapy.

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“…New data have been published on femoral anteversion in healthy children (Upadhyay et al, , 1991; the siblings of children with Perthes' disease (Upadhyay et al, 1991); children with adolescent idiopathic scoliosis (Burwell et al, 1990); and normal adults (Briten et al, 1990). In osteoarthritis of the hip some workers have found femoral anteversion to be increased (Terjesen et al, 1982;Reikeris et al, 1983), but others found it normal (Kitaoka et al, 1989). In connection with patellofemoral pain and recurrent dislocation of the patella, increased anteversion has been observed in some patients (Aichroth, 1984;Takai et al, 1985;Tria et al, 1992).…”

Section: Introductionmentioning

confidence: 99%

Comparison of four methods for measuring femoral anteversion

et al. 1993

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This study evaluates the most valid and reproducible method for directly measuring anteversion (torsion) in dried femora using a commercially available measuring machine. Each femur was placed horizontally on the surface of the machine and readings were obtained from the head, the shaft distal to the lesser trochanter, and the distal end. Using computer software, four different anteversion angles were calculated: the center head-neck line to the retrocondylar line (Method 1); the center head-neck line to the transcondylar line (Method 2); the anterior head-trochanter line to the retrocondylar line (Method 3); and the anterior head-trochanter line to the transcondylar line (Method 4). The methods were applied to 20 femora, which were measured twice by one observer. The most reproducible method of measuring femoral anteversion uses the bone surfaces on the anterior aspect of the head and greater trochanter and on the posterior aspect of the condyles (Method 3,95% confidence limits of t 0.4"). The other methods are shown to be reproducible to t 2.4", t 3.3" and t 1.7" (Methods 1,2, and 4, respectively, 95% confidence limits). Conversion factors between the different methods are: 12.5" + 0.8 x (anteversion angle) to change each of Method 2 to Method 1 and Method 4 to Method 3; and 8" + 0.7 x (anteversion angle) to change each of Method 1 to Method 3 and Method 2 to Method 4 (correct to within t 3"). o 1993 Wiley-Liss, Inc.

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Relationship Between Femoral Anteversion and Osteoarthritis of the Hip

Cited by 47 publications

References 0 publications

A New Instrument for Measuring Tibial Torsion in Pediatric Patients

A New Instrument for Measuring Tibial Torsion in Pediatric Patients

Femoral Derotational Osteotomies

Comparison of four methods for measuring femoral anteversion

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