Skip to main content
Log in

Fluoroscopic measurement of tibial torsion in adults

A comparison of three methods

  • Original Articles
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Summary

Three methods based on the fluoroscopic technique for measurement of tibial torsion were analyzed. The measurements were performed bilaterally in 100 normal adults. The values for bilateral tibial torsion were recorded and the values for the difference in torsion between the right and left tibia were calculated. The standard error of all investigated methods was found to be lower than published figures for computerized tomography and ultrasonic methods. The method found to be most convenient for routine use also presented the best repeatability. With this method, the standard error of a single determination of tibial torsion was estimated to be 0.7°.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Clementz B-G (1987) A new method for routine measurement of the rotational deformity of a tibial fracture and the bilateral tibial torsion determined in a hundred normal adults. Acta Orthop Scand 58:443–444

    Google Scholar 

  2. Clementz B-G (1988) Tibial torsion measured in normal adults. Acta Orthop Scand 59:441–442

    Google Scholar 

  3. Le Damany P (1909) La torsion du tibia — normale, pathologique, expérimentale. J anat Physiol 45:598–615

    Google Scholar 

  4. Dupuis P-V (1951) La torsion tibiale — sa mesure, son intéretclinique, radiologique et chirurgical. Masson, Paris

    Google Scholar 

  5. Elftman H (1945) Torsion of the lower extremity. Am J Phys Anthropol 33:255–265

    Google Scholar 

  6. Elgeti H, Grote R, Giebel G (1980) Bestimmung der Tibiatorsion mit der axialen Computertomographie. Unfallheilkunde 83:14–19

    Google Scholar 

  7. Hutter CG, Scott W (1949) Tibial torsion. J Bone Joint Surg [Am] 31:511–518

    Google Scholar 

  8. Jakob RP, Haertel M, Stüssi E (1980) Tibial torsion calculated by computerised tomography and compared to other methods of measurement. J Bone Joint Surg [Br] 62:238–242

    Google Scholar 

  9. Jend H-H, Heller M, Dallek M, Schoettle H (1981) Measurement of tibial torsion by computer tomography. Acta Radiol [Diagn] (Stockh) 22:271–276

    Google Scholar 

  10. Joseph B, Carver RA, Bell MJ, Sharrard WJW, Levick RK, Aithal V, Chacko V, Murthy SV (1987) Measurement of tibial torsion by ultrasound. J Pediatr Orthop 7(3):317–323

    Google Scholar 

  11. Laasonen EM, Jokio P, Lindholm TS (1984) Tibial torsion measured by computed tomography. Acta Radiol [Diagn] (Stockh) 25:325–329

    Google Scholar 

  12. Larsson K, Bergström B, van der Linden W (1983) A new method for measuring tibio-fibular torsion. Acta Univ Upsaliensis 469, Faculty of Medicine, Uppsala, Sweden

    Google Scholar 

  13. Mebs G, Schrems HTh (1973) Eine röntgenologische Methode zur Bestimmung des Torsionswinkels der Tibia. Arch Orthop Unfall-Chir 76:1–8

    Google Scholar 

  14. Rosen H, Sandick H (1955) The measurement of tibiofibular torsion. J Bone Joint Surg [Am] 37:847–855

    Google Scholar 

  15. Staheli LT, Engel GM (1972) Tibial torsion—a method of assessment and a survey of normal children. Clin Orthop 86:183–186

    Google Scholar 

  16. Turner MS, Smillie IS (1981) The effect of tibial torsion on the pathology of the knee. J Bone Joint Surg [Br] 63:396–398

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Clementz, B.G., Magnusson, A. Fluoroscopic measurement of tibial torsion in adults. Arch Orthop Trauma Surg 108, 150–153 (1989). https://doi.org/10.1007/BF00934258

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00934258

Keywords

Navigation