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01.07.2009 | Original Article | Ausgabe 7/2009

Clinical Orthopaedics and Related Research® 7/2009

A New Radiographic Measurement Method for Evaluation of Tibial Torsion: A Pilot Study in Adults

Zeitschrift:
Clinical Orthopaedics and Related Research® > Ausgabe 7/2009
Autoren:
MD Melih Güven, MD Budak Akman, MD Koray Ünay, MD Engin Kutay Özturan, MD Hüsamettin Çakıcı, MD Abdullah Eren
Wichtige Hinweise
Each author certifies that he or she has no commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article.
Each author certifies that his or her institution has approved the human protocol for this investigation, that all investigations were conducted in conformity with ethical principles of research, and that informed consent for participation in the study was obtained.

Abstract

Computed tomography (CT) frequently is used to determine torsional abnormalities. However, its use in clinical practice may be limited. We present a new method for measuring tibial torsion using conventional radiographs. We compared the method with several clinical methods and with CT measurement in 44 lower extremities of 25 subjects. The radiographic method agreed well with all of the clinical methods, and this agreement was better than agreement between CT and clinical examination. The best agreement was between thigh-foot angle and the radiographic method. The proposed radiographic measurement is a practical method for evaluation of tibial torsion in outpatient clinics without the need for specialized equipment.
Level of Evidence: Level II, diagnostic study. See the Guidelines for Authors for a complete description of levels of evidence.

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