A new method, which describes the femoral anatomy in terms of angles and distances is presented. Primary data are obtained from CT and reduced to cylindrical coordinates by a computer program. The approach yields rotational angles for the entire shaft and demonstrates the limitation of conventional measurements of the anteversion angle. The method is proposed as a generalized technique for measurement of rotation in orthopedic radiology.
Get full access to this article
View all access options for this article.
References
1.
AlvikI.: Increased anteversion of the femoral neck as a sole sign of dysplasia coxae. Acta orthop. scand.29 (1960), 301.
2.
BillingL.: Roentgen examination of the proximal femur in children and adolescents. Acta radiol. (1954) Suppl. No. 110.
3.
CollertS.: Results after intertrochanteric osteotomy in osteoarthritis of the hip. Thesis, Stockholm 1974.
4.
CoventryM.: Upper tibial osteotomy for gonarthrosis. Orthop. Clin. N. Amer.10 (1979), 191.
5.
DunlopK.ShandsA. R.JrHollisterL. C.JrGaulJ. S.StreitH. A.: A new method for determination of torsion of the femur. J. Bone Jt Surg.35 A (1953), 289.
6.
EdholmP.: Nomogram for measuring the anteversion angle and angulation from roentgenograms. Acta radiol. Diagnosis12 (1972), 856.
FrankelV. H.NordinM.: Basic biomechanics of the skeletal systems. Lea & Febiger, Philadelphia1980.
9.
GroteR.ElgetiH.SaureD.: Bestimmung des Antetorsionswinkels am Femur mit der axialen Computertomographie. Röntgenblätter33 (1980), 31.
10.
HagstedtB.NormanoOlssonT. H.TjörnstrandB.: Technical accuracy in high tibial osteotomy for gonarthrosis. Acta orthop. scand.51 (1980), 963.
11.
HenrikssonL.: Measurement of femoral neck anteversion and inclination. Acta orthop. scand. (1980) Suppl. No. 186.
12.
HernandezR. J.TachdjianM. O.PozanskiA. K.LucianoS. D.: CT determination of femoral torsion. Amer. J. Roentgenol.137 (1981), 97.
13.
LegerW.: Zur Torsionsbestimmung des Schenkelhalses. Z. Orthop.81 (1952), 583.
14.
MaquetP. G. J.: Biomechanics of the knee. Springer Verlag, New York1976.
15.
MorscherE.: Development and clinical significance of the anterversion of the femoral neck. Reconstr. Surg. Traumat.9 (1976), 107.
16.
MüllerM. E.: Die hüftnahen Femurosteotomien. 2. Auflage. George Thieme Verlag, Stuttgart1971.
17.
NormanO.: Beskrivande geometri som hjälpmedel vid bestämning av collum-anteversionsvinkeln, collum-diafysvinkeln samt frakturvinkeln. (In Swedish.)Nord. Med.73 (1965), 46 and Nord. Med. 74 (1965), 119.
18.
RippsteinJ.: Zur Bestimmung der Antetorsion des Schenkelhalses mittels zweier Röntgenaufnahmen. Z. Orthop.86 (1955), 345.
19.
RubyL.MohinderA. M.O'ConnorI.UpendraP.: Anteversion of the femoral neck. Comparison of methods of measurements in patient. J. Bone Jt Surg.61 A (1979), 46.
20.
RyderC. T.CraneL.: Measuring femoral anteversion. The problem and a method. J. Bone Jt Surg.35 A (1953), 321.
21.
TjörnstrandB.EgundN.HagstedtB.: High tibial osteotomy. Clin. Orthop.160 (1981), 124.