Evaluation of the femoral midshaft in children with cerebral palsy using magnetic resonance imaging.
Evaluation of the femoral midshaft in children with cerebral palsy using magnetic resonance imaging.
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DOI:
10.1007/s00198-008-0718-8
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发表时间:
2009-04
期刊:
影响因子:
--
通讯作者:
Miller F
中科院分区:
文献类型:
--
作者:
Modlesky CM;Kanoff SA;Johnson DL;Subramanian P;Miller F
The femoral shaft is very susceptible to fracture in children with quadriplegic cerebral palsy (QCP); however, its structure and strength have not been evaluated. The volume and width of the middle third of the femur (midfemur) and its cortical wall and medullary cavity were assessed in children with QCP and unable to ambulate independently and typically developing children (n =10/group) using magnetic resonance imaging (MRI). Estimates of cross-sectional moment of inertia (CSMI), section modulus (Z), and polar moment of inertia (J) were also determined. Total volume of the midfemur and volume of its cortical wall and medullary cavity were substantially lower in children with QCP than controls (51-55%; p < 0.001). In addition, the total midfemur, its medullary cavity and the anterior, posterior and lateral sections of its cortical wall were thinner (27-43 %) in children with QCP (p < 0.001). The midfemur in children with QCP also had remarkably lower CSMI, Z and J (60-71%; p < 0.001). Children with QCP who lack the ability to ambulate independently have midfemurs that are very thin with very thin cortical walls and very low estimated strength. The disparity can be detected using MRI.
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影响因子:
4.1
作者:
Siffert, RS;Luo, GM;Kaufman, JJ
通讯作者:
Kaufman, JJ
影响因子:
19.7
作者:
Wehrli, FW;Hwang, SN;Haddad, JG
通讯作者:
Haddad, JG
DOI:
10.1249/01.mss.0000139898.30804.60
发表时间:
2004-09-01
影响因子:
4.1
作者:
Puyau, MR;Adolph, AL;Butte, NF
通讯作者:
Butte, NF
影响因子:
4
作者:
Modlesky, C. M.;Subramanian, P.;Miller, F.
通讯作者:
Miller, F.
影响因子:
4.1
作者:
Ferretti, JL;Capozza, RF;Zanchetta, JR
通讯作者:
Zanchetta, JR