Bestimmung der Tibiatorsion - Vergleich von klinischen Winkelmessungen zur Computertomographie

Bouchard, R.; Meeder, P. J.; Krug, Fernanda Dagmar Martins; Libicher, M.

doi:10.1055/s-2004-813366

Cited by 17 publications

(6 citation statements)

References 16 publications

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“…Evaluation of deviations of the static leg axis (goniometry) in the frontal and sagittal planes can cause difficulties for the clinician depending on the soft tissue circumference of the patient. Hardly any suitable clinical test exists for the valid measurement of deviations in the transversal plane, particularly femoral anteversion or femoral torsion [42,43]. In literature, clinical measurement methods only show approximate values that deviate between 10°and 15°from the radiologically measured torsion [42].…”

Section: Marker Tracking Versus Classical Imaging Methodsmentioning

confidence: 99%

“…Hardly any suitable clinical test exists for the valid measurement of deviations in the transversal plane, particularly femoral anteversion or femoral torsion [42,43]. In literature, clinical measurement methods only show approximate values that deviate between 10°and 15°from the radiologically measured torsion [42]. MBS thus al- lows a more precise measurement in the transverse plane than clinical examination.…”

Section: Marker Tracking Versus Classical Imaging Methodsmentioning

confidence: 99%

“…CT and MRT show a comparably high reliability [42,44]. Reliability depends decisively on the definition of the respective proximal and distal reference axes [42,45]. The error width of the CT torsion angle determination is generally specified as ± 3.5° [46].…”

Section: Marker Tracking Versus Classical Imaging Methodsmentioning

confidence: 99%

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Movement Analysis in Orthopedics and Trauma Surgery – Measurement Systems and Clinical Applications

et al. 2019

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Background Technical development lead to an enhancement of clinical movement analysis in the last few decades and expanded its research and clinical applications. Since the mid 20th century, human movement analysis has made its way into clinical practice, e.g. in treating poliomyelitis and infantile cerebral palsy. Today, it has a wide range of applications in various clinical areas. The aim of this narrative review is to illustrate the variety of camera-based systems for human movement analysis and their clinical applications, specifically in the field of orthopaedics and trauma surgery (O/U). Benefits and limitations of each system are shown. Future development and necessary improvements are discussed. Material and Methods A selective literature review was undertaken with the databases PubMed and Google Scholar using keywords related to clinical human movement analysis in the field of orthopaedics and trauma surgery. Furthermore standard book references were included. Results Common video camera systems (VS) are used for basic visual movement analysis. Instrumented movement analysis systems include marker-based systems (MBS), markerless optical systems (MLS) and rasterstereographic analysis systems (VRS). VS, MBS and MLS have clinical use for dynamic examination of patients with various disorders in movement and gait. Among such are e.g. neuro-orthopaedic disorders, muscular insufficiencies, degenerative and post-trauma deficiencies with e.g. resultant pathologic leg axis. Besides the measurement of kinematic data by MBS and MLS, the combination with kinetic measurements to detect abnormal loading patterns as well as the combination with electromyography (EMG) to detect abnormal muscle function is a great advantage. Validity and reliability of kinematic measurements depend on the camera systems (MBS, MLS), the applied marker models, the joints of interest and the observed movement plane. Movements in the sagittal plane of the hip and knee joint, pelvic rotation and tilt as well as hip abduction are generally measured with high reliability. In the frontal and transverse planes of the knee and ankle joint substantial angular variabilities were noted due to the small range of motion of the joints in these planes. Soft tissue artefacts and marker placement are the biggest sources of errors. So far MLS did not improve these limitations. MBS are most accurate and remain the gold-standard in clinical and scientific movement analysis. VRS is used clinically for static 3D-analysis of the trunk posture and spine deformities. Current systems allow the dynamic measurement and visualisation of trunk and spine movement in 3D during gait and running. Planar x-ray-imaging (Cobbʼs angle) and to some extent cross sectional imaging with CT-scan or MRI are commonly used for the evaluation of patients with spinal deformities. VRS offers functional 3D data of trunk and spine deformities without radiation exposure, thus allowing safer clinical monitoring of the mainly infantile and adolescent patients. The accuracy, validity and reliability of measurements of different VRS-systems for the clinical use has been proven by several studies. Conclusion The instrumented movement analysis is an additional tool that aids clinical practitioners of O/U in the dynamic assessment of pathologic movement and loading patterns. In conjunction with common radiologic imaging it aids in the planning of type and extent of corrective surgical interventions. In the field of orthopaedics and trauma surgery movement analysis can help as an additional diagnostic tool to develop therapeutic strategies and evaluate clinical outcomes.

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Section: Marker Tracking Versus Classical Imaging Methodsmentioning

confidence: 99%

Section: Marker Tracking Versus Classical Imaging Methodsmentioning

confidence: 99%

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Movement Analysis in Orthopedics and Trauma Surgery – Measurement Systems and Clinical Applications

et al. 2019

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“…No exame físico reconhecemos pelo método clínico a existência das deformidades angular e torcional do fêmur (13) e da tíbia (14) . A mensuração longitudinal do membro foi realizada com fita métrica de forma habitual, tomando como parâmetros sempre pontos de referência ósseos, optando pelos mais adequados para cada caso clínico.…”

Section: Métodounclassified

“…Esta pode ser medida clinicamente (3,8,10) ou por radiografias, ultra-som ou tomografias, sendo esta última a mais precisa (5)(6)(11)(12)(13) .…”

Section: âNgulo De Deformidade Torcional âNgulo De Deformidade Verdadunclassified

A osteotomia em um plano oblíquo por corte único para correção de deformidades complexas diafisárias de ossos longos: um método para sua realização

Christian¹,

Mercadante²

2008

Rev. bras. ortop.

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The Pediatric History and Physical Examination

Harris

2019

The Pediatric Foot and Ankle

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Bestimmung der Tibiatorsion - Vergleich von klinischen Winkelmessungen zur Computertomographie

Cited by 17 publications

References 16 publications

Movement Analysis in Orthopedics and Trauma Surgery – Measurement Systems and Clinical Applications

Movement Analysis in Orthopedics and Trauma Surgery – Measurement Systems and Clinical Applications

A osteotomia em um plano oblíquo por corte único para correção de deformidades complexas diafisárias de ossos longos: um método para sua realização

The Pediatric History and Physical Examination

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