.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.jpg)
Frequency of Femoral Ante Version in Patients Presenting with Developmental Dysplasia of Hip (DDH)
Keywords:
Craig Test, Developmental Dysplasia of Hip, Femoral AnteversionAbstract
Objective: To determine the frequency of femoral ante version in patients presenting with Developmental Dysplasia of Hip (DDH).
Methods: This Cross-sectional was conducted in Ghurki Trust Teaching Hospital, Lahore from April 2019 to September 2019.All children of DDH fulfilling the inclusion criteria were subjected to Craig test for the evaluation of femoral anteversion. An angle more than 15° (normal 8-15°) was termed as femoral anteversion (internal torsion).
Results: In our study total 57 children with mean age 5 years± 3.26 were included. Male children were 33 (58%) and female 24 (42%). The frequency of femoral anteversion was detected in 30(52%) children with DDH.
Conclusion: Femoral anteversion was found in most of children suffering from developmental dysplasia of hip. All children with DDH must be screened for femoral anteversion and the operating surgeon must plain to correct this deformity precisely while operating on patients with DDH.
References
2. Byun HY, Shin H, Lee ES, Kong MS, Lee SH, Lee CH. The availability of radiological measurement of femoral anteversion angle: three-dimensional computed tomography reconstruction. Annals of Rehabilitation Medicine 2016 Apr;40(2):237.
3. Buckley SL, Sponseller PD, Magid D. The acetabulum in congenital and neuromuscular hip instability. Journal of Pediatric Orthopedics 1991;11(4):498-501.
4. Sankar WN, Neubuerger CO, Moseley CF. Femoral anteversion in developmental dysplasia of the hip. Journal of Pediatric Orthopaedics 2009 ;29(8):885-8.
5. Kim WY, Hutchinson CE, Andrew JG, Allen PD. The relationship between acetabular retroversion and osteoarthritis of the hip. J Bon Joint Surg Br 2006 ;88(6):727-9.
6. Giori NJ, Trousdale RT. Acetabular retroversion is associated with osteoarthritis of the hip. Clinic Orthop Rel Res 2003;1:263-9.
7. Ning B, Yuan Y, Yao J, Zhang S, Sun J. Analyses of outcomes of one-stage operation for treatment of late-diagnosed developmental dislocation of the hip: 864 hips followed for 3.2 to 8.9 years. BMC Musculoskeletal Disorders 2014;15(1):401.
8. Kohno Y, Nakashima Y, Akiyama M, Fujii M, Iwamoto Y. Does native combined anteversion influence pain onset in patients with dysplastic hips?. Clinic Orthop Rel Res 2015;473(12):3716-22.
9. Maheshwari AV, Zlowodzki MP, Siram G, Jain AK. Femoral neck anteversion, acetabularanteversion and combined anteversion in the normal Indian adult population: A computed tomographic study. Indian Journal of Orthopaedics 2010 ;44(3):277.
10. Jiang N, Peng L, Al-Qwbani M, Xie GP, Yang QM, Chai Y et al. Femoral version, neck-shaft angle, and acetabular anteversion in Chinese Han population: A retrospective analysis of 466 healthy adults. Medicine 2015;94(21).
11. Vandenbroucke JP, von Elm E, Altman DG, Gotzsche PC, Mulrow CD, Pocock SJ et al. Strengthening the Reporting of Observational Studies in Epidemiology (STROBE): Explanation and Elaboration. PLoS Med 2007; 4(10):297-307.
12. Jia JY, Li LY, Zhang LJ, Zhao Q, Liu XJ. Three dimensional CT evaluation of femoral neck anteversion, acetebularanteversion and combined anteversion in unilateral DDH in an early walking age group. International Orthopaedics 2012;36:119-124.
13. Sankar WN, Neubuerger CO, Moseley CF. Femoral anteversion in developmental dysplasia of the hip. Journal of Pediatric Orthopaedics 2009 ;29(8):885-8.
14. Lerch TD, Todorski IA, Steppacher SD, Schmaranzer F, Werlen SF, Siebenrock KA et al.Prevalence of femoral and acetabular version abnormalities in patients with symptomatic hip disease: a controlled study of 538 hips. The American Journal of Sports Medicine 2018;46(1):122-34.
15. Tomczak RJ, Guenther KP, Rieber A, Mergo P, Ros PR, Brambs HJ. MR imaging measurement of the femoral antetorsional angle as a new technique: comparison with CT in children and adults. AJR 1997;168(3):791-4.
