• Medientyp: E-Artikel
  • Titel: Anthropometry of the proximal femur and femoral head in children/adolescents using three-dimensional computed tomography-based measurements
  • Beteiligte: Darwich, Ali; Geiselhardt, Christiane; Bdeir, Mohamad; Janssen, Sonja; Schoenberg, Stefan O.; Gravius, Sascha; Jawhar, Ahmed
  • Erschienen: Springer Science and Business Media LLC, 2021
  • Erschienen in: Surgical and Radiologic Anatomy, 43 (2021) 12, Seite 2009-2023
  • Sprache: Englisch
  • DOI: 10.1007/s00276-021-02841-3
  • ISSN: 0930-1038; 1279-8517
  • Schlagwörter: Radiology, Nuclear Medicine and imaging ; Pathology and Forensic Medicine ; Surgery ; Anatomy
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  • Beschreibung: <jats:title>Abstract</jats:title><jats:sec><jats:title>Purpose</jats:title><jats:p>Defining normal anthropometric ranges of proximal femur and femoral head for each age group in children/adolescents is a necessity when differentiating normal anatomical variants from pathological deformities. Aim of this study is to define a set of normal anthropometric parameters based on 3D-CT measurements in normal asymptomatic children/adolescents and analyse the variations arising depending on age, side, and/or gender.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>Morphology of the proximal femur was retrospectively assessed in 170 hips (85 children, &lt; 15 years). Measurements included covered femoral head volume (CFHV), femoral head diameter (FHD), femoral head extrusion index (FHEI), coronal alpha angle (CAA), lateral centre-edge angle (LCEA), anterior (AOS) and posterior head-neck offset (POS) and femoral neck-shaft angle (FNSA). Correlation analyses as well as inter- and intra-rater reliability were performed.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>CFHV, LCEA, FHD and AOS/POS increased with age and FHEI, CAA, and FNSA decreased with age. None of the measurements correlated with the side. AOS showed a poor correlation with gender. Rapid growth phases were observed at the age of 1, 7 and 11. The inter- and intra-rater reliability was high (range ICC 0.8–0.99 Cronbach alpha 0.86–0.99).</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>This data delivers a description of growth phases as well as gender and age-correlated reference values of the proximal femoral morphology that could be used by paediatricians and orthopaedic/paediatric surgeons to early diagnose proximal femur deformities and provide guidance in the planning of possible operations.</jats:p></jats:sec>