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A new standard radiographic reference for proximal fibular height in children
Background and purpose — To date there is a lack of studies defining the anatomical position of the proximal fibula. This is especially relevant when planning surgical interventions affecting the knee joint such as permanent or temporary epiphysiodesis to correct leg length discrepancies or angular...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Taylor & Francis
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8023889/ https://www.ncbi.nlm.nih.gov/pubmed/32452290 http://dx.doi.org/10.1080/17453674.2020.1769378 |
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author | Frommer, Adrien Niemann, Maike Gosheger, Georg Toporowski, Gregor Laufer, Andrea Eveslage, Maria Bröking, Jan Niklas Rödl, Robert Vogt, Bjoern |
author_facet | Frommer, Adrien Niemann, Maike Gosheger, Georg Toporowski, Gregor Laufer, Andrea Eveslage, Maria Bröking, Jan Niklas Rödl, Robert Vogt, Bjoern |
author_sort | Frommer, Adrien |
collection | PubMed |
description | Background and purpose — To date there is a lack of studies defining the anatomical position of the proximal fibula. This is especially relevant when planning surgical interventions affecting the knee joint such as permanent or temporary epiphysiodesis to correct leg length discrepancies or angular deformities in growing patients. The goal of this study is to establish a standardized measurement technique and radiological reference values for the position of the proximal fibula in children. Patients and methods — 500 measurements were performed in calibrated long standing anteroposterior radiographs of 256 skeletally immature patients (8–16 years; 233 female, 267 male legs). As a radiographic reference in the frontal plane, the distance between the center of the proximal tibial growth plate and a line tangential to the tip of the fibular head and horizontal to the imaging plane was measured (dPTFH). Results — The average value of dPTFH in the studied population (median age 12 years) was –2.7 mm (SD 3, CI –3.0 to –2.5) and normally distributed (p = 0.1). There were no clinically significant sex or age-dependent differences. The inter-rater reliability analysis showed excellent ICC values (ICC = 0.88; CI 0.77–0.93). Interpretation — This study provides a new radiographic reference value to assess the position of the proximal fibula in relation to the proximal tibia in children and adolescents. This reference can aid preoperative decision-making as to whether additional fibular epiphysiodesis is necessary when performing tibial epiphysiodesis to correct moderate leg-length discrepancies. |
format | Online Article Text |
id | pubmed-8023889 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Taylor & Francis |
record_format | MEDLINE/PubMed |
spelling | pubmed-80238892021-04-22 A new standard radiographic reference for proximal fibular height in children Frommer, Adrien Niemann, Maike Gosheger, Georg Toporowski, Gregor Laufer, Andrea Eveslage, Maria Bröking, Jan Niklas Rödl, Robert Vogt, Bjoern Acta Orthop Articles Background and purpose — To date there is a lack of studies defining the anatomical position of the proximal fibula. This is especially relevant when planning surgical interventions affecting the knee joint such as permanent or temporary epiphysiodesis to correct leg length discrepancies or angular deformities in growing patients. The goal of this study is to establish a standardized measurement technique and radiological reference values for the position of the proximal fibula in children. Patients and methods — 500 measurements were performed in calibrated long standing anteroposterior radiographs of 256 skeletally immature patients (8–16 years; 233 female, 267 male legs). As a radiographic reference in the frontal plane, the distance between the center of the proximal tibial growth plate and a line tangential to the tip of the fibular head and horizontal to the imaging plane was measured (dPTFH). Results — The average value of dPTFH in the studied population (median age 12 years) was –2.7 mm (SD 3, CI –3.0 to –2.5) and normally distributed (p = 0.1). There were no clinically significant sex or age-dependent differences. The inter-rater reliability analysis showed excellent ICC values (ICC = 0.88; CI 0.77–0.93). Interpretation — This study provides a new radiographic reference value to assess the position of the proximal fibula in relation to the proximal tibia in children and adolescents. This reference can aid preoperative decision-making as to whether additional fibular epiphysiodesis is necessary when performing tibial epiphysiodesis to correct moderate leg-length discrepancies. Taylor & Francis 2020-05-26 /pmc/articles/PMC8023889/ /pubmed/32452290 http://dx.doi.org/10.1080/17453674.2020.1769378 Text en © 2020 The Author(s). Published by Taylor & Francis on behalf of the Nordic Orthopedic Federation. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.http://creativecommons.org/licenses/by/4.0/ |
spellingShingle | Articles Frommer, Adrien Niemann, Maike Gosheger, Georg Toporowski, Gregor Laufer, Andrea Eveslage, Maria Bröking, Jan Niklas Rödl, Robert Vogt, Bjoern A new standard radiographic reference for proximal fibular height in children |
title | A new standard radiographic reference for proximal fibular height in children |
title_full | A new standard radiographic reference for proximal fibular height in children |
title_fullStr | A new standard radiographic reference for proximal fibular height in children |
title_full_unstemmed | A new standard radiographic reference for proximal fibular height in children |
title_short | A new standard radiographic reference for proximal fibular height in children |
title_sort | new standard radiographic reference for proximal fibular height in children |
topic | Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8023889/ https://www.ncbi.nlm.nih.gov/pubmed/32452290 http://dx.doi.org/10.1080/17453674.2020.1769378 |
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