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BioMed Research International
Volume 2016, Article ID 8645027, 7 pages
http://dx.doi.org/10.1155/2016/8645027
Research Article

The Modified Femoral Neck-Shaft Angle: Age- and Sex-Dependent Reference Values and Reliability Analysis

Christoph Kolja Boese,1 Michael Frink,2 Janine Jostmeier,1 Stefan Haneder,3 Jens Dargel,1 Peer Eysel,1 and Philipp Lechler2

1Department of Orthopedic and Trauma Surgery, University Hospital of Cologne, Cologne, Germany
2Center of Orthopedic and Trauma Surgery, University of Giessen and Marburg, Marburg, Germany
3Institute of Diagnostic and Interventional Radiology, University Hospital of Cologne, Cologne, Germany

Received 4 August 2016; Accepted 16 November 2016

Academic Editor: Zbigniew Gugala

Copyright © 2016 Christoph Kolja Boese et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. C. K. Boese, J. Dargel, J. Oppermann et al., “The femoral neck-shaft angle on plain radiographs: a systematic review,” Skeletal Radiology, vol. 45, no. 1, pp. 19–28, 2016. View at Publisher · View at Google Scholar · View at Scopus
  2. S. Delaunay, R. G. Dussault, P. A. Kaplan, and B. A. Alford, “Radiographic measurements of dysplastic adult hips,” Skeletal Radiology, vol. 26, no. 2, pp. 75–81, 1997. View at Publisher · View at Google Scholar · View at Scopus
  3. J. R. Davids, T. W. Gibson, L. I. Pugh, and J. W. Hardin, “Proximal femoral geometry before and after varus rotational osteotomy in children with cerebral palsy and neuromuscular hip dysplasia,” Journal of Pediatric Orthopaedics, vol. 33, no. 2, pp. 182–189, 2013. View at Publisher · View at Google Scholar · View at Scopus
  4. K. M. Lee, J. Y. Kang, C. Y. Chung et al., “Clinical relevance of valgus deformity of proximal femur in cerebral palsy,” Journal of Pediatric Orthopaedics, vol. 30, no. 7, pp. 720–725, 2010. View at Publisher · View at Google Scholar · View at Scopus
  5. K.-W. Park, C. A. Rejuso, R.-A. N. Garcia, T.-W. Kim, and H.-R. Song, “Extent of physeal involvement in Legg–Calvé–Perthes disease,” International Orthopaedics, vol. 38, no. 11, pp. 2303–2308, 2014. View at Publisher · View at Google Scholar · View at Scopus
  6. B. Buecking, C. K. Boese, V. Seifert, S. Ruchholtz, M. Frink, and P. Lechler, “Femoral offset following trochanteric femoral fractures: A Prospective Observational Study,” Injury, vol. 46, supplement 4, pp. S88–S92, 2015. View at Publisher · View at Google Scholar · View at Scopus
  7. R. M. Kay, K. A. Jaki, and D. L. Skaggs, “The effect of femoral rotation on the projected femoral neck-shaft angle,” Journal of Pediatric Orthopaedics, vol. 20, no. 6, pp. 736–739, 2000. View at Publisher · View at Google Scholar · View at Scopus
  8. P. Lechler, M. Frink, A. Gulati et al., “The influence of hip rotation on femoral offset in plain radiographs,” Acta Orthopaedica, vol. 85, no. 4, pp. 389–395, 2014. View at Publisher · View at Google Scholar · View at Scopus
  9. C. Merle, W. Waldstein, E. Pegg et al., “Femoral offset is underestimated on anteroposterior radiographs of the pelvis but accurately assessed on anteroposterior radiographs of the hip,” The Journal of Bone & Joint Surgery—British Volume, vol. 94, no. 4, pp. 477–482, 2012. View at Publisher · View at Google Scholar · View at Scopus
  10. C. Y. Chung, K. M. Lee, M. S. Park, S. H. Lee, I. H. Choi, and T.-J. Cho, “Validity and reliability of measuring femoral anteversion and neck-shaft angle in patients with cerebral palsy,” The Journal of Bone & Joint Surgery—American Volume, vol. 92, no. 5, pp. 1195–1205, 2010. View at Publisher · View at Google Scholar · View at Scopus
  11. J. Rippstein, “Determination of the antetorsion of the femur neck by means of two X-ray pictures,” Zeitschrift für Orthopädie und ihre Grenzgebiete, vol. 86, no. 3, pp. 345–360, 1955. View at Google Scholar · View at Scopus
  12. C. K. Boese, J. Bredow, M. Ettinger et al., “The influence of hip rotation on femoral offset following short stem total hip arthroplasty,” Journal of Arthroplasty, vol. 31, pp. 312–316, 2016. View at Publisher · View at Google Scholar · View at Scopus
  13. N. H. Mast, F. Impellizzeri, S. Keller, and M. Leunig, “Reliability and agreement of measures used in radiographic evaluation of the adult hip,” Clinical Orthopaedics and Related Research, vol. 469, no. 1, pp. 188–199, 2011. View at Publisher · View at Google Scholar · View at Scopus
  14. M. Haspl and R. Bilic, “Assessment of femoral neck-shaft and antetorsion angles,” International Orthopaedics, vol. 20, no. 6, pp. 363–366, 1996. View at Publisher · View at Google Scholar · View at Scopus
  15. C. K. Boese, J. Jostmeier, J. Oppermann et al., “The neck shaft angle: CT reference values of 800 adult hips,” Skeletal Radiology, vol. 45, no. 4, pp. 455–463, 2016. View at Publisher · View at Google Scholar · View at Scopus
  16. C. K. Boese, J. Dargel, J. Jostmeier, P. Eysel, M. Frink, and P. Lechler, “Agreement between proximal femoral geometry and component design in total hip arthroplasty: implications for implant choice,” The Journal of Arthroplasty, vol. 31, no. 8, pp. 1842–1848, 2016. View at Publisher · View at Google Scholar
  17. B. Kummer, “The clinical relevance of biomechanical analysis of the hip area,” Zeitschrift für Orthopädie und ihre Grenzgebiete, vol. 129, no. 4, pp. 285–294, 1991. View at Google Scholar
  18. J. D. Wilson, W. Eardley, S. Odak, and A. Jennings, “To what degree is digital imaging reliable? Validation of femoral neck shaft angle measurement in the era of picture archiving and communication systems,” British Journal of Radiology, vol. 84, no. 1000, pp. 375–379, 2011. View at Publisher · View at Google Scholar · View at Scopus
  19. I. Gilligan, S. Chandraphak, and P. Mahakkanukrauh, “Femoral neck-shaft angle in humans: variation relating to climate, clothing, lifestyle, sex, age and side,” Journal of Anatomy, vol. 223, no. 2, pp. 133–151, 2013. View at Publisher · View at Google Scholar · View at Scopus
  20. M. R. Schmitz, B. Bittersohl, D. Zaps, J. D. Bomar, A. T. Pennock, and H. S. Hosalkar, “Spectrum of radiographic femoroacetabular impingement morphology in adolescents and young adults: An Eos-Based Double-Cohort Study,” Journal of Bone & Joint Surgery—American Volume, vol. 95, no. 13, pp. e90-1–e90-8, 2013. View at Publisher · View at Google Scholar · View at Scopus