Loading…

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...

Full description

Saved in:
Bibliographic Details
Published in:Acta orthopaedica 2020-09, Vol.91 (5), p.611-616
Main Authors: Frommer, Adrien, Niemann, Maike, Gosheger, Georg, Toporowski, Gregor, Laufer, Andrea, Eveslage, Maria, Bröking, Jan Niklas, Rödl, Robert, Vogt, Bjoern
Format: Article
Language:English
Subjects:
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c534t-a2d9e21ed33ca77c42ecfe508ea376245fc58c9c43430f5f678e6b08b0cb5b1f3
cites cdi_FETCH-LOGICAL-c534t-a2d9e21ed33ca77c42ecfe508ea376245fc58c9c43430f5f678e6b08b0cb5b1f3
container_end_page 616
container_issue 5
container_start_page 611
container_title Acta orthopaedica
container_volume 91
creator Frommer, Adrien
Niemann, Maike
Gosheger, Georg
Toporowski, Gregor
Laufer, Andrea
Eveslage, Maria
Bröking, Jan Niklas
Rödl, Robert
Vogt, Bjoern
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.
doi_str_mv 10.1080/17453674.2020.1769378
format article
fullrecord <record><control><sourceid>proquest_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_7e71dcc39ff845c9931af553cb3d93d2</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><doaj_id>oai_doaj_org_article_7e71dcc39ff845c9931af553cb3d93d2</doaj_id><sourcerecordid>2406944291</sourcerecordid><originalsourceid>FETCH-LOGICAL-c534t-a2d9e21ed33ca77c42ecfe508ea376245fc58c9c43430f5f678e6b08b0cb5b1f3</originalsourceid><addsrcrecordid>eNp9kc1uEzEUhUcIREvhEUBesknx-GdsbxBVRaFSERtYW57r68SVMw72hNK3x2nSiG5Y2To-99wjf133tqfnPdX0Q6-E5IMS54yyJqnBcKWfdac7fcEHzZ4f70qcdK9qvaWUa2Hoy-6EMyEZM_S0-3ZBJrwjdXaTd8WT4nzMy-I2qwikYMCCEyAJuZBNyX_i2iUS4rhNrpAVxuVqJnEisIrJN-fr7kVwqeKbw3nW_bz6_OPy6-Lm-5fry4ubBUgu5oVj3iDr0XMOTikQDCGgpBodV0PrFkBqMCC44DTIMCiNw0j1SGGUYx_4WXe9z_XZ3dpNabXKvc0u2gchl6V1ZY6Q0CpUvQfgJgQtJBjDexek5DByb7hnLevjPmuzHdfoAae5uPQk9OnLFFd2mX9bTRnX2rSA94eAkn9tsc52HStgSm7CvK2WCToYIZjpm1XurVByre17j2t6andY7SNWu8NqD1jb3Lt_Ox6nHjk2w6e9IU4N1drd5ZK8nd19yiUUN0Gslv9_x1_mPrNO</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2406944291</pqid></control><display><type>article</type><title>A new standard radiographic reference for proximal fibular height in children</title><source>EBSCOhost SPORTDiscus with Full Text</source><source>Taylor &amp; Francis Open Access</source><source>PubMed Central(OpenAccess)</source><creator>Frommer, Adrien ; Niemann, Maike ; Gosheger, Georg ; Toporowski, Gregor ; Laufer, Andrea ; Eveslage, Maria ; Bröking, Jan Niklas ; Rödl, Robert ; Vogt, Bjoern</creator><creatorcontrib>Frommer, Adrien ; Niemann, Maike ; Gosheger, Georg ; Toporowski, Gregor ; Laufer, Andrea ; Eveslage, Maria ; Bröking, Jan Niklas ; Rödl, Robert ; Vogt, Bjoern</creatorcontrib><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.</description><identifier>ISSN: 1745-3674</identifier><identifier>EISSN: 1745-3682</identifier><identifier>DOI: 10.1080/17453674.2020.1769378</identifier><identifier>PMID: 32452290</identifier><language>eng</language><publisher>England: Taylor &amp; Francis</publisher><subject>Adolescent ; Child ; Female ; Fibula - anatomy &amp; histology ; Fibula - diagnostic imaging ; Humans ; Male ; Organ Size ; Radiography ; Reference Standards ; Retrospective Studies</subject><ispartof>Acta orthopaedica, 2020-09, Vol.91 (5), p.611-616</ispartof><rights>2020 The Author(s). Published by Taylor &amp; Francis on behalf of the Nordic Orthopedic Federation. 2020</rights><rights>2020 The Author(s). Published by Taylor &amp; Francis on behalf of the Nordic Orthopedic Federation. 2020 The Author(s)</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c534t-a2d9e21ed33ca77c42ecfe508ea376245fc58c9c43430f5f678e6b08b0cb5b1f3</citedby><cites>FETCH-LOGICAL-c534t-a2d9e21ed33ca77c42ecfe508ea376245fc58c9c43430f5f678e6b08b0cb5b1f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8023889/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8023889/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27502,27924,27925,53791,53793,59143,59144</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32452290$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Frommer, Adrien</creatorcontrib><creatorcontrib>Niemann, Maike</creatorcontrib><creatorcontrib>Gosheger, Georg</creatorcontrib><creatorcontrib>Toporowski, Gregor</creatorcontrib><creatorcontrib>Laufer, Andrea</creatorcontrib><creatorcontrib>Eveslage, Maria</creatorcontrib><creatorcontrib>Bröking, Jan Niklas</creatorcontrib><creatorcontrib>Rödl, Robert</creatorcontrib><creatorcontrib>Vogt, Bjoern</creatorcontrib><title>A new standard radiographic reference for proximal fibular height in children</title><title>Acta orthopaedica</title><addtitle>Acta Orthop</addtitle><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.</description><subject>Adolescent</subject><subject>Child</subject><subject>Female</subject><subject>Fibula - anatomy &amp; histology</subject><subject>Fibula - diagnostic imaging</subject><subject>Humans</subject><subject>Male</subject><subject>Organ Size</subject><subject>Radiography</subject><subject>Reference Standards</subject><subject>Retrospective Studies</subject><issn>1745-3674</issn><issn>1745-3682</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>0YH</sourceid><sourceid>DOA</sourceid><recordid>eNp9kc1uEzEUhUcIREvhEUBesknx-GdsbxBVRaFSERtYW57r68SVMw72hNK3x2nSiG5Y2To-99wjf133tqfnPdX0Q6-E5IMS54yyJqnBcKWfdac7fcEHzZ4f70qcdK9qvaWUa2Hoy-6EMyEZM_S0-3ZBJrwjdXaTd8WT4nzMy-I2qwikYMCCEyAJuZBNyX_i2iUS4rhNrpAVxuVqJnEisIrJN-fr7kVwqeKbw3nW_bz6_OPy6-Lm-5fry4ubBUgu5oVj3iDr0XMOTikQDCGgpBodV0PrFkBqMCC44DTIMCiNw0j1SGGUYx_4WXe9z_XZ3dpNabXKvc0u2gchl6V1ZY6Q0CpUvQfgJgQtJBjDexek5DByb7hnLevjPmuzHdfoAae5uPQk9OnLFFd2mX9bTRnX2rSA94eAkn9tsc52HStgSm7CvK2WCToYIZjpm1XurVByre17j2t6andY7SNWu8NqD1jb3Lt_Ox6nHjk2w6e9IU4N1drd5ZK8nd19yiUUN0Gslv9_x1_mPrNO</recordid><startdate>20200902</startdate><enddate>20200902</enddate><creator>Frommer, Adrien</creator><creator>Niemann, Maike</creator><creator>Gosheger, Georg</creator><creator>Toporowski, Gregor</creator><creator>Laufer, Andrea</creator><creator>Eveslage, Maria</creator><creator>Bröking, Jan Niklas</creator><creator>Rödl, Robert</creator><creator>Vogt, Bjoern</creator><general>Taylor &amp; Francis</general><general>Medical Journals Sweden</general><scope>0YH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20200902</creationdate><title>A new standard radiographic reference for proximal fibular height in children</title><author>Frommer, Adrien ; Niemann, Maike ; Gosheger, Georg ; Toporowski, Gregor ; Laufer, Andrea ; Eveslage, Maria ; Bröking, Jan Niklas ; Rödl, Robert ; Vogt, Bjoern</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c534t-a2d9e21ed33ca77c42ecfe508ea376245fc58c9c43430f5f678e6b08b0cb5b1f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adolescent</topic><topic>Child</topic><topic>Female</topic><topic>Fibula - anatomy &amp; histology</topic><topic>Fibula - diagnostic imaging</topic><topic>Humans</topic><topic>Male</topic><topic>Organ Size</topic><topic>Radiography</topic><topic>Reference Standards</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Frommer, Adrien</creatorcontrib><creatorcontrib>Niemann, Maike</creatorcontrib><creatorcontrib>Gosheger, Georg</creatorcontrib><creatorcontrib>Toporowski, Gregor</creatorcontrib><creatorcontrib>Laufer, Andrea</creatorcontrib><creatorcontrib>Eveslage, Maria</creatorcontrib><creatorcontrib>Bröking, Jan Niklas</creatorcontrib><creatorcontrib>Rödl, Robert</creatorcontrib><creatorcontrib>Vogt, Bjoern</creatorcontrib><collection>Taylor &amp; Francis Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Acta orthopaedica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Frommer, Adrien</au><au>Niemann, Maike</au><au>Gosheger, Georg</au><au>Toporowski, Gregor</au><au>Laufer, Andrea</au><au>Eveslage, Maria</au><au>Bröking, Jan Niklas</au><au>Rödl, Robert</au><au>Vogt, Bjoern</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A new standard radiographic reference for proximal fibular height in children</atitle><jtitle>Acta orthopaedica</jtitle><addtitle>Acta Orthop</addtitle><date>2020-09-02</date><risdate>2020</risdate><volume>91</volume><issue>5</issue><spage>611</spage><epage>616</epage><pages>611-616</pages><issn>1745-3674</issn><eissn>1745-3682</eissn><abstract>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.</abstract><cop>England</cop><pub>Taylor &amp; Francis</pub><pmid>32452290</pmid><doi>10.1080/17453674.2020.1769378</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1745-3674
ispartof Acta orthopaedica, 2020-09, Vol.91 (5), p.611-616
issn 1745-3674
1745-3682
language eng
recordid cdi_doaj_primary_oai_doaj_org_article_7e71dcc39ff845c9931af553cb3d93d2
source EBSCOhost SPORTDiscus with Full Text; Taylor & Francis Open Access; PubMed Central(OpenAccess)
subjects Adolescent
Child
Female
Fibula - anatomy & histology
Fibula - diagnostic imaging
Humans
Male
Organ Size
Radiography
Reference Standards
Retrospective Studies
title A new standard radiographic reference for proximal fibular height in children
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T21%3A03%3A39IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=A%20new%20standard%20radiographic%20reference%20for%20proximal%20fibular%20height%20in%20children&rft.jtitle=Acta%20orthopaedica&rft.au=Frommer,%20Adrien&rft.date=2020-09-02&rft.volume=91&rft.issue=5&rft.spage=611&rft.epage=616&rft.pages=611-616&rft.issn=1745-3674&rft.eissn=1745-3682&rft_id=info:doi/10.1080/17453674.2020.1769378&rft_dat=%3Cproquest_doaj_%3E2406944291%3C/proquest_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c534t-a2d9e21ed33ca77c42ecfe508ea376245fc58c9c43430f5f678e6b08b0cb5b1f3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2406944291&rft_id=info:pmid/32452290&rfr_iscdi=true