ULTRASONOGRAPHIC ASSESSMENT OF FEMORAL TORSION ANGLE BASED ON TILTING ANGLES OF FEMORAL NECK AND CONDYLAR AXIS

ULTRASONOGRAPHIC ASSESSMENT OF FEMORAL TORSION ANGLE BASED ON TILTING ANGLES OF FEMORAL NECK AND CONDYLAR AXIS
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DOI:
10.1016/j.ultrasmedbio.2019.03.022
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发表时间:
2019-08-01
影响因子:
2.9
通讯作者:
Yoshida, Masahito
Yoshida, Masahito
中科院分区:
医学3区
文献类型:
--
作者:
Takeuchi, Satoshi;Goto, Hideyuki;Yoshida, Masahito

文献摘要

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超声通过股骨颈倾斜角(FN-TA)来评估股骨前倾角,而股骨扭转角(FTA),即股骨扭转角(FTA)是由FN-TA和髁状轴倾斜角定义的,尚未用超声评估。本研究旨在通过比较US-FTA和CT所获得的数据来建立超声对FTA(US-FTA)的评估。21例患者,年龄38-82岁,21个完整髋关节。在US-FTA中,股骨头和大粗隆前结节被用作骨性标志。US-FTA的评价者内和评价者间信度分别为0.994(SEM0.93)和0.994(SEM0.94)。超声和CT获得的故障树变量之间有很强的一致性(R=0.939,p<0.001)。超声是有用的,可以是一种有效的替代CT的方法来评估股骨扭转角度,而不需要辐射照射。(C)2019年世界医学和生物学超声联合会。版权所有。
Femoral anteversion has been assessed with ultrasound using femoral neck tilting angle (FN-TA); however, femoral torsion angle (FTA), which is defined using FN-TA and condylar axis tilting angle, has not been assessed with ultrasound. This study aimed to establish the ultrasonographic assessment of FTA (US-FTA) by comparing data obtained through US-FTA and computed tomography (CT). Twenty-one patients (age range, 38-82 y) with 21 intact hips were included. In the US-FTA, the femoral head and anterior tubercle of the greater trochanter were used as bony landmarks. The intra-rater and inter-rater reliabilities and standard error of measurement (SEM) of US-FTA were 0.994 (SEM 0.93) and 0.994 (SEM 0.94), respectively. A strong agreement was found between FTA variables obtained with ultrasound and CT (R = 0.939, p < 0.001). Ultrasound is useful and can be a valid alternative to CT for the evaluation of the femoral torsion angle without radiation exposure. (C) 2019 World Federation for Ultrasound in Medicine & Biology. All rights reserved.