Tibial torsion calculated by computerised tomography and compared to other methods of measurement

Jakob, R. P.; Haertel, M; Stüssi, Edgar

doi:10.1302/0301-620x.62b2.7364840

Cited by 190 publications

(161 citation statements)

References 4 publications

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“…CT is widely used to measure tibial torsion. The validity of CT measurements of tibial torsion was determined in cadaveric studies [3,11]. Its use has been advocated in numerous studies [2,3,7,11,12,25].…”

Section: Discussionmentioning

confidence: 99%

“…The validity of CT measurements of tibial torsion was determined in cadaveric studies [3,11]. Its use has been advocated in numerous studies [2,3,7,11,12,25]. Other methods such as MRI [17,18,24] and ultrasound [2,10] also are valid tools for measuring the level of tibial torsion and can be used as reference standards.…”

Section: Discussionmentioning

confidence: 99%

“…4). For the distal reference line, some studies advocated the bimalleolar axis [7,11] as the reference line. Some advocated other axes such as the center of the tibia [12] or dorsal border of the tibia [2].…”

Section: Discussionmentioning

confidence: 99%

“…Some advocated other axes such as the center of the tibia [12] or dorsal border of the tibia [2]. For the proximal reference line, the transtibial [11] and posterior condylar axes [2,7,12] are widely used. However, these two reference lines are similar in the juxtaarticular area [7].…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Tibial Torsion in Cerebral Palsy: Validity and Reliability of Measurement

Lee¹,

Chung²,

Park

et al. 2009

Clinical Orthopaedics &Amp; Related Research

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Physical examinations of tibial torsion are used for preoperative planning and to assess outcomes of tibial osteomy in patients with cerebral palsy (CP). The thigh-foot angle (TFA) and transmalleolar axis (TMA) are commonly used, and the second toe test recently was introduced. However, the validity and reliability of the three methods have not been clarified. This study was performed to evaluate the validity and reliability of these physical measures. We recruited 18 patients (36 limbs) with CP. During reliability sessions, three raters with various levels of orthopaedic experience independently measured tibial torsion using the three different methods during one day before surgery. Validity was assessed by performing a correlation study between physical examination and two-dimensional computed tomographic (CT) findings. Interobserver reliability was greatest for the TMA followed by TFA and then by the second toe test with intraclass correlation coefficients of 0.92, 0.74, and 0.57, respectively. In terms of the concurrent validity, the correlation coefficients (r) for the CT measurements were 0.62, 0.52, and 0.55. When depicting tibial torsion by physical examination, all three methods had substantial validity, but test reliability and validity were highest for TMA measurements.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Tibial Torsion in Cerebral Palsy: Validity and Reliability of Measurement

Lee¹,

Chung²,

Park

et al. 2009

Clinical Orthopaedics &Amp; Related Research

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show abstract

“…10A-B) [18,31,49]. Tibial torsion is sometimes measured at the same time by obtaining cuts through the proximal (posterior tangential line at the tibial plateau) and distal tibia (transmalleolar axis) [20,41]. Normal femoral and acetabular version measures 15°to 20°and this value may be normal or increased in DDH.…”

Section: Computed Tomography (Ct)mentioning

confidence: 99%

Imaging in the Surgical Management of Developmental Dislocation of the Hip

Grissom

Harcke

Thacker

2008

Clinical Orthopaedics &Amp; Related Research

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Although the use of ultrasound in the diagnosis and early treatment of developmental dysplasia of the hip (DDH) has reduced the number of patients diagnosed late and decreased the number of operative procedures, surgical treatment is still needed in some patients. Late cases continue to occur as a result of missing the screening examination, being normal at initial screening and missing followup. Dysplasia may persist despite appropriate nonoperative or operative treatment. Many of these patients subsequently undergo closed or open reduction and femoral or acetabular reconstruction. Ultrasound of the hips is generally used up to 6 or 8 months of age, during which time the hips are largely cartilaginous, and radiographs after that time when bony development is more complete. Options to supplement ultrasound and radiography include arthrography, computed tomography, and magnetic resonance imaging. Several advances have been made in the imaging of DDH and its complications including acetabular labral pathology and of femoroacetabular impingement (FAI). We review imaging techniques other than ultrasound used in the management of DDH.

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Exploring the morphology of adult tibia and fibula from Sima de los Huesos site in sierra de Atapuerca, Burgos, Spain

Rodríguez,

García‐González,

Arsuaga

et al. 2023

The Anatomical Record

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The analysis of the locomotor anatomy of Late Pleistocene Homo has largely focused on changes in proximal femur and pelvic morphologies, with much attention centered on the emergence of modern humans. Although much of the focus has been on changes in the proximal femur, some research has also been conducted on tibiae and, to a lesser extent, fibulae. With this in mind, we present one of the largest samples of the same population of human tibiae and fibulae from the Middle Pleistocene to determine their main characteristic traits and establish similarities and differences, primarily with those of Neanderthals and modern humans, but also with other Middle Pleistocene specimens in the fossil record. Through this study, we established that the Middle Pleistocene population from the Sima de los Huesos (Atapuerca, Burgos, Spain) had lower leg long bones similar to those of Neanderthals, although there were some important differences, such as bone length, which this fossil individuals resembled those of modern humans and not to Neanderthals. This fact is related to the crural index and leg length, even though we do not have any true association between femora and tibiae yet, it has implications for establishing locomotor efficiency and climate adaptation.

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Tibial torsion calculated by computerised tomography and compared to other methods of measurement

Cited by 190 publications

References 4 publications

Tibial Torsion in Cerebral Palsy: Validity and Reliability of Measurement

Tibial Torsion in Cerebral Palsy: Validity and Reliability of Measurement

Imaging in the Surgical Management of Developmental Dislocation of the Hip

Exploring the morphology of adult tibia and fibula from Sima de los Huesos site in sierra de Atapuerca, Burgos, Spain

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