The overall mean femoral version angles increased for hips with SCFE (range of means -19 to 0) and the contralateral side (range of means 2 to 19) using distal landmarks compared with more proximal landmarks (Fig. 1979;86:420-428. sharing sensitive information, make sure youre on a federal [30] uses the center superior to the lesser trochanter at the base of the femoral neck as a landmark. Definition of the distal femoral reference: the medial and lateral posterior condyles are connected. Excessive femoral anteversion can cause instability, damage of the articular cartilage and acetabular labrum, and eventually osteoarthritis. [44] (Table 4). The five different measurement methods were applied in the same way in hips with SCFE and in healthy contralateral hips (Fig. J Pediatr Orthop. (1) Do femoral version and the prevalence of femoral retroversion differ between hips with SCFE and the asymptomatic contralateral side? The I-bars represent the corresponding 95% CI. 20. The prevalence of femoral retroversion (< 0) was compared using a chi-square test. Second, we did not compare femoral version between different severity grades of SCFE because most patients had a severe slip. It is a structural adaptation that alters the shape of the thigh bonea point past sports medicine staff and physical therapists have failed to apply in Andrew's case. [19] and Reikers et al. 1986;68:1000-1007. This yielded a mean side-by side difference of -8 11 (95% CI -11 to -6; p < 0.001) and a higher prevalence of femoral retroversion in hips with SCFE (58% [95% CI 47% to 69%]; p < 0.001) than on the contralateral side (29% [95% CI 19% to 39%]). In hips with SCFE, we found excellent agreement (intraclass correlation coefficient [ICC] > 0.80) for intraobserver reproducibility (reader 1, ICC 0.93 to 0.96) and interobserver reliability (ICC 0.95 to 0.98) for all five measurement methods. In some cases, hip/femoral retroversion may be combined with a separate torsional deformity, such as a rotation in the tibia. Femoral retroversion is a rotational or torsional deformity in which the femur twists backward (outward) relative to the knee. After applying prespecified inclusion and exclusion criteria, we included 79 patients. Clipboard, Search History, and several other advanced features are temporarily unavailable. We also compared isolated femoral neck version with aligning the orientation of the femoral neck with the femoral head center to define the proximal reference, as described by Reikers et al. Based on these findings, we believe it is worthwhile to add evaluation of femoral version to the diagnostic workup of children with SCFE. Clin Orthop Relat Res. However, severe cases require surgical correction. At times, pure femoral retroversion may be the only source of hip impingement. Southwick WO. Retrotorsion is a pathologic decrease in the torsion angle; ie it is less than 8 degrees. Increasing femoral version angles with more-distal landmarks were observed in SCFE hips with and without previous in situ pinning alike (Table 5). 11. Double plating for proximal humeral fractures (PHF) is an option to increase the primary fixation stability. Czech. He may also order an. The first symptom of femoral retroversion is usually a visual recognition of the rotated femur. 2012;28:965-971. Radiology. 1993;75:1141-1147. Femoral retroversion is a rotational or torsional deformity in which the femur twists backward (outward) relative to the knee. J Bone Joint Surg Am. The right leg is 1.5 cm longer than normal. where does bone formation occur during endochondral ossification? Femoral retroversion is a positional deformity caused by contracture of the external rotator muscles of the hip. 29. A subset of patients was measured twice by the first obsever as well as by a second orthopaedic resident (JRK, 2 years of experience) to assess intraobserver reproducibility and interobserver reliability. When comparing hips with SCFE with the unaffected contralateral side, we found higher differences (range of mean differences -22 to -17) with measurements that consider the femoral heads center than for the method of femoral neck version (mean difference -8) (Fig. 2. Interrater reliability was assessed across raters using an ICC (2,2) model and intrarater reliability was assessed using an ICC (3,1) model [39]. Femoral retroversion is a condition in which the femoral neck is rotated backward on the femoral shaft. 18. BMC Health Serv Res. Femoral antetorsion was significantly higher in patients with pincer-type FAI than in those with cam-type FAI for reader 1 (18.3 9.8 vs 10.0 9.1, P = .02) and reader 2 (18.7 10.5 vs 11.6 8.8, P = .04). 2) and hip ROM [ 32, 33 ]. Analogously, we found excellent agreement (ICC > 0.80) for intraobserver reproducibility (reader 1, range 0.91 to 0.96) and interobserver reliability (range 0.89 to 0.98) for all five measurement methods in healthy contralateral hips. In the axial HASTE images over the proximal and distal femur a femoral retroversion can be seen, i.e. In our cohort, femoral neck version was asymmetrically decreased (-2 13 versus 7 11) and the prevalence of femoral retroversion was higher (58% versus 29%) in hips with SCFE than in the healthy contralateral side (Table 3). The mean age was 59.5 12 years and the . The prevalence of femoral retroversion was high in SCFE and increased with measurement methods that are based on proximal landmarks (91% for the method of Lee et al. Federal government websites often end in .gov or .mil. Bookshelf Therefore, quantifying femoral version in patients with SCFE should be based on a measurement technique that includes the femoral rotations center. Femoral anteversion describes the inward rotation of the femur bone in the upper leg. Doing so may better inform surgeons as they contemplate when to use isolated offset correction or perform an addional femoral osteotomy for SCFE correction based on the severity of the slip and the rotational deformity. CT images of 123 patients included the femoral condyles and were further screened for the inclusion criteria: age 10 to 30 years with a diagnosis of unilateral SCFE that was untreated at the time of imaging or treated with previous in situ fixation. The torsional deformity is corrected by re-establishing the normal rotation between the hip and the knee. 2019;477:1073-1083. 13. This surgery includes cutting and realigning the femur. [44], and Murphy et al. Depending on the measurement method, femoral version angles vary considerably in hips with high femoral anteversion [37]. 3. During the period in question, the general indication for obtaining a CT scan was to define the surgical strategy based on the assessment of deformity severity in patients with newly diagnosed SCFE or with previous in situ fixation. The effects of simulated microgravity on the static and dynamic properties of large arteries are still mostly unknown. Recognizing this impairment and its impact on a patient's function is . Clin Orthop Relat Res. In addition, we observed increasing femoral version angles with selection of more-distal landmarks in SCFE hips regardless of whether or not previous in situ pinning had been performed (Table 5). 2020;14:98-105. What are the symptoms of femoral retroversion? A Type I error rate of 5% was used. Background: Although femoral retroversion has been linked to the onset of slipped capital femoral epiphysis (SCFE), and may result from a rotation of the femoral epiphysis around the epiphyseal tubercle leading to femoral retroversion, femoral version has rarely been described in patients with SCFE. Femoral retroversion is also often called hip retroversion. Various methods to measure femoral version have been described that differ regarding the selection of anatomic landmarks to define the proximal reference axis [19, 30, 35, 36, 44]. However, in excessive cases, surgery may be needed to correct the rotation. Femoral version by measurement method and by side (affected versus contralateral) was summarized using the mean, SD, and 95% confidence interval. [35] (91% [95% CI 85% to 97%] and 84% [95% CI 76% to 92%], respectively) than for the distal measurement methods of Tomczak et al. Varus derotation intertrochanteric osteotomy with femoral retroversion. The minimum slice thickness was 2 mm. Femoral retroversion is common in early infancy and is caused by external rotation contracture of the hip secondary to intrauterine packing. [18] reported normal femoral neck version of 8.8 9.7 in 328 hips without radiographic signs of osteoarthritis. 212-606-1415| 212-606-1550| 212-606-1637 | 212-606-1097. To rule out any subsequent SCFE of the contralateral hip, we further assessed the status of the femoral growth plate at the time of CT and at latest follow-up. Semin Musculoskelet Radiol. They reported femoral neck angles of -0.7 7.4 in 13 patients (10 with obesity) with acute SCFE compared with angles of 6.3 8.2 in the uninvolved side [15]. Among the remaining methods, the prevalence of femoral retroversion was higher for hips with SCFE (all p < 0.001), which ranged from 47% (Tomczak et al.s [44] method) to 91% (Lee et al.s [19] method) compared with 4% (Murphy et al.s [30] method) to 42% (Lee et al.s [19] method) for the contralateral side (Table 3). Measurement of femoral version has been recommended in patients eligible for hip preservation surgery [27, 38] because of the high prevalence of abnormal femoral version in patients with hip pain [21, 22] and its effect on ROM [8, 20] and the outcome of surgery for femoroacetabular impingement [11, 12]. Arthroscopic treatment of mild to moderate deformity after slipped capital femoral epiphysis: intra-operative findings and functional outcomes. Clin Orthop Relat Res. (2) How do the mean femoral version angles and the prevalence of femoral retroversion change depending on the measurement method used? Am J Sports Med. Please try again soon. In other words the knee is excessively twisted inward relative to the hip. 2019:47:3120-3132. Kiapour AM, Kiapour A, Maranho DA, Kim Y-J, Novais EN. . The statistical analysis was performed by a biostatistician (PEM) using SAS version 9.4 (SAS Institute, Cary, NC, USA). Twenty-nine percent (23 of 79) of patients had no previous surgical treatment for SCFE. [30]) when including the femoral heads center as a reference to account for displacement of the epiphysis (Fig. The opposite condition, in which the femur has an abnormal forward (inward) rotation, is called femoral anteversion. and most-distal methods (Tomczak et al. Accordingly, the mean difference between these two measurement techniques was as high as -19 7 (Table 4). Children with femoral anteversion may trip and fall more than their peers, but the condition is rarely painful. You may be trying to access this site from a secured browser on the server. All measurement methods are based on true axial images and a line connecting the femoral condyles as the distal reference axis. 2019;477:1111-1122. 1973;55:1218-1224. Femoral retroversion could result from developmental conditions such as focal femoral deficiency, and dysplasia or be acquired secondary to malunited subtrochanteric, intertrochanteric or femoral neck fracture, varus derotational osteotomies and slipped capital femoral epiphysis (SCFE). To promote the development of an optimally functional total hip prosthesis for medium and large dog breeds, accurate measurements of the normal anatomy of the proximal femur and acetabular retroversion are essential. Third, because of the studys retrospective design, we cannot rule out a selection bias since the decision to perform a CT was not standardized and evolved over time in the practices of the different surgeons. For those who do not grow out of it, a mild femoral retroversion may not cause any significant issues. 8. 1). In healthy contralateral hips, we found differences for 9 of 10 pairwise comparisons (Table 4). [] reported an association of SCFE and femoral retroversion.More recently, many studies have shown an association . Thus, a normal rotation between the hip and the knee is established, correcting the torsional deformity. A preoperative 3D-CT-scan was performed for 3D simulation of hip impingement ( Fig. Acetabular retroversion has been proposed to contribute to the development of osteoarthritis of the hip. This means thehip is twisted backward (posteriorly) in relation to the knee. Passive hip range of motion predicts femoral torsion and acetabular version. Any treatment of my symptoms was going to be ineffective due to the alignment still being off. This is because opposite, incorrect rotations of the femur and tibia often leave the feet parallel during walking, which often makes the misalignment of the hips and knees go unnoticed. It also appears to be related to the position of the baby as it grows in the womb. Galbraith RT, Gelberman RH, Hajek PC, et al. Also called hip anteversion, femoral anteversion refers to a forward (inward) rotation in the femur (thigh bone and knee) which connects to the pelvis to form the hip joint. Wolters Kluwer Health
Furthermore, the reliability and reproducibility of these measurements in patients with SCFE is unknown. The https:// ensures that you are connecting to the This underlines the complex, multifactorial pathogenesis of SCFE, which further includes endocrine disorders [26] and altered epiphyseal orientation [24] and morphology [17, 23] and warrants further investigation. Femoral version is a relevant measurement that affects hip range of motion and pathology. 19. Level of evidence: Arthroscopy. Koerner JD, Patel NM, Yoon RS, Sirkin MS, Reilly MC, Liporace FA. At birth the angle of torsion is 30-35 degrees and the femoral head faces anteriorly in the acetabulum. official website and that any information you provide is encrypted 39. External Tibial Torsion Much like internal tibial torsion, this condition improves in most children before or around the age of 10. The data table on the chart reports the mean SD. 4. What is femoral anteversion? River Terrace
1) [15]. The retroversion was causing a minor curvature in my lumbar spine, tendinosis in my hamstring, and labral tears. 1983;54:18-23. Careers. January 31, 2022 . These methods differ regarding the definition of the second reference point to determine the proximal reference line (Table 2). By continuing to use this website you are giving consent to cookies being used. 2013;27:308-311. The hip joint and psoas muscle lie directly deep to the femoral . and transmitted securely. [30] (47% [95% CI 36% to 58%] and 60% [95% CI 49% to 71%], respectively [all p < 0.001]) (Table 3). 2021 May 1;479(5):960-961. doi: 10.1097/CORR.0000000000001704. J Bone Joint Surg Am. Am J Sports Med. Berryman F, Pynsent P, McBryde C. A semi-automated method for measuring femoral shape to derive version and its comparison with existing methods. Symptoms, Causes, Treatment for Out-Toeing, the common name used for a condition known as femoral retroversion. method), we used the most cephalic junction of the greater trochanter as the landmark and, most distally, we used the center base of the femoral neck superior to the lesser trochanter (Murphy et al.). After applying prespecified inclusion and exclusion criteria, we included 79 patients. 7. This surgery includes cutting and realigning the femur. Femoral anteversion is diagnosed through observation and examination. Femoral anteversion. Since the range of femoral version angles is wide, no general prediction regarding the degree of rotational deformity can be made on an individual basis. 33. 2013;37:2331-2336. The .gov means its official. In many cases, the abnormal rotation of the femur develops while the fetus is growing in the womb. In hips with SCFE, we found excellent agreement (intraclass correlation coefficient [ICC] > 0.80) for intraobserver reproducibility (reader 1, ICC 0.93 to 0.96) and interobserver reliability (ICC 0.95 to 0.98) for all five measurement methods. He may also order an X-ray or CT scan to look for possible deformities. To facilitate communication among physicians and for the design of future studies, we recommend consistently reporting the applied measurement technique. Retroversion refers to an abnormal backward rotation of the hip relative to the knee. Slipped capital femoral epiphysis. The remaining four measurement methods use the femoral heads center as the most proximal reference. Faldini C, Brunello M, Pilla F, Geraci G, Stefanini N, Tassinari L, Di Martino A. Femoral Head Autograft to Manage Acetabular Bone Loss Defects in THA for Crowe III Hips by DAA: Retrospective Study and Surgical Technique. Rebello G, Spencer S, Millis MB, Kim Y-J. Tomczak et al.s [44] method uses the center of the base of the greater trochanter as a landmark. Femoral retroversion is often a congenital condition, meaning children are born with it. 1999;81:1747-1770. The doctor will also observe the patients gait (manner of walking) to look for signs of out-toeing or gait compensation. Diagnosing femoral retroversion can sometimes be difficult, as the common positioning used for X-ray imaging may not reveal a rotation in the femoral neck. It becomes apparent as the child starts to stand or cruise between 6 and 9 months. This graph shows a comparison of the different methods to measure femoral version, MeSH Femoral retroversion can occur in one or both legs. This website uses cookies. 2020:296:381-390. Forty-eight percent (38 of 79 patients) were male, and 72% (57 of 79) were overweight (13 patients [17%] with a BMI between the 85th and 95th percentiles) or obese (44 patients [56%] with a BMI above the 95th percentile). The opposite condition, in which the femur has an abnormal forward (inward) rotation, is called femoral anteversion. Fishkin Z, Armstrong DG, Shah H, Patra A, Mihalko WM. The prevalence of femoral retroversion (< 0) was compared using a chi-square test. Furthermore, we found that SCFE does not necessarily lead to femoral retroversion, and that femoral version angles differ widely, ranging from 68 (Reikers et al. This graph shows a comparison of the different methods to measure femoral version for hips with SCFE and contralateral hips. Symptoms of femoral retroversion may include: If femoral retroversion is suspected, a doctor will do a physical examination of the legs and hips in addition to a thorough medical, developmental and family history. Because the epiphysis is displaced posteroinferiorly in patients with SCFE, such measurements may underestimate the severity of the deformity. Femoral retroversion | definition of femoral retroversion by Medical dictionary femoral retroversion Also found in: Dictionary, Thesaurus, Encyclopedia. Contact Dr. Jarman, DPM Phoenix Podiatrist. 2002;2:8. The effect of modality and landmark selection on MRI and CT femoral torsion angles. Femoral anteversion causes a child's knees and feet to turn inward and have a "pigeon-toed" appearance. Methods: and most-distal methods (Tomczak et al. For the definition of femoral neck version, the midpoint of the femoral neck axis is determined at the level where the cortices run parallel and serves as the proximal reference axis (Fig. Studies using this imaging modality to measure femoral version are limited by long acquisition times that are prone to patient malpositioning [15, 42]. Femoral retroversion can occur in one or both legs. The prevalence of femoral retroversion was high in patients with SCFE, and even higher when retroversion was defined and diagnosed using proximal anatomic landmarks. J Orthop Trauma. Femoral retroversion is a rotational or torsional deformity in which the femur twists backward (outward) relative to the knee. Before Would you like email updates of new search results? 3). Femoral retroversion causes hip impingement, similar to the impingement and posterior instability that occurs in total hip arthroplasty. Limb Lengthening and Complex Reconstruction Service
Bali NS, Harrison JO, Bache CE. We detected mean differences ranging from -19 to 4 (all p < 0.005) for 8 of 10 pairwise comparisons in hips with SCFE. 6. Femoral retroversion (also known as hip retroversion) is a rotational or torsional deformity in which the femur (thighbone) twists backward (outward) in relation to the knee. The mean femoral neck version was lower on the SCFE side than on the contralateral side (-2 13 versus 7 11; p < 0.001) (Table 3). See also: retroversion English. Although femoral retroversion has been linked to the onset of slipped capital femoral epiphysis (SCFE), and may result from a rotation of the femoral epiphysis around the epiphyseal tubercle leading to femoral retroversion, femoral version has rarely been described in patients with SCFE. From proximal to distal, this included Lee et al.s [19] method, modified to include the femoral heads center with the second landmark defined as the first image on which the connection between the femoral neck and the grater trochanter is visible (Fig. (2) How do the mean femoral version angles and the prevalence of femoral retroversion change depending on the measurement method used? J Bone Joint Surg Am. Femoroacetabular impingement patients with decreased femoral version have different impingement locations and intra- and extraarticular anterior subspine FAI on 3D-CT-based impingement simulation: implications for hip arthroscopy. In hips with SCFE, we found excellent agreement (ICC > 0.80) for intraobserver reproducibility for reader 1 (ICC range 0.93 to 0.96), for reader 2 (ICC range 0.97 to 0.99), and interobserver reliability (ICC range 0.95 to 0.98) for all five measurement methods (Table 6). 3D femoral neck anteversion measurements based on the posterior femoral plane in ORTHODOC system. 19 Finally, excessive femoral anteversion may Bali K, Railton P, Kiefer GN, Powell JN. Int Orthop. In anatomy, the word version refers to the angle or rotation of all or part of an organ, bone or other structure in the body, relative to other structures in the body. Craig's test is a passive test that is used to measure femoral anteversion or forward torsion of the femoral neck. Diagnosing femoral retroversion can sometimes be difficult, as the common positioning for X-ray imaging may not reveal a rotation in the femoral neck. Hesper T, Bixby SD, Maranho DA, Miller P, Kim YJ, Novais EN. 5, 9, 11 It is diagnosed when the feet of a prewalking child are . The orientation of the distal femoral condyles served as the distal reference axis for all five measurement methods. 2. . Following exclusion of a total of 36% (44 patients), the final cohort consisted of 79 patients (Table 1). Combined Imhauser osteotomy and osteochondroplasty in slipped capital femoral epiphysis through surgical hip dislocation approach. . Montgomery AA, Graham A, Evans PH, Fahey T. Inter-rater agreement in the scoring of abstracts submitted to a primary care research conference. Clinical Orthopaedics and Related Research. Causes of the Anteversion and Retroversion of the Hip The condition is somewhat more common in girls than boys. Femoral retroversion can also occur after a physical trauma such as a femur fracture. We found that femoral neck version is asymmetrically decreased by -8 in unilateral hips with SCFE compared with contralateral hips. Murphy SB, Simon SR, Kijewski PK, Wilkinson RH, Griscom NT. However, Koerner et al. (2) How do the mean femoral version angles and the prevalence of femoral retroversion change depending on the measurement method used? [1] Femoral anteversion is the angle between the femoral neck and femoral shaft, indicating the degree of torsion of the femur. Example Sentences: (1) The measurement mean for anteversion among these specimens was 7.4 degrees with a range from -10.8 degrees (retroversion) to 22.1 degrees. 2). 2017;11:93-98. The opposite condition, in which the femur has an abnormal forward (inward) rotation, is called femoral anteversion. The mean age was 15 4 years, 48% (38 of 79) of the patients were male, and 56% (44 of 79) were obese (defined as a BMI > 95th percentile (mean BMI 34 9 kg/m2). 1987;5:523-528. Based on these findings, we believe it is worthwhile to add evaluation of femoral version to the diagnostic workup of children with SCFE. Med Biol Eng Comput. J Bone Joint Surg Am. 2013;95:e341-348. Doing so may better inform surgeons as they contemplate when to use isolated offset correction or to perform an additional femoral osteotomy for SCFE correction based on the severity of the slip and the rotational deformity. All five methods were compared side-by-side (involved versus uninvolved hip), and comparisons among all five methods were performed using paired t-tests. SCFE and its complications may lead to lifelong disability encompassing pain, gait disturbances, degenerative changes, osteonecrosis and chondrolysis. In hips with SCFE, there was a mean difference of -13 9 (95% CI -15 to -12; p < 0.001) between femoral neck version and Reikers et al.s [35] method, which reflects femoral neck orientation relative to the femoral heads center (Table 4). 2016;36:239-246. However, the association between reduced femoral anteversion and SCFE has yet to be fully elucidated because early studies were small and based on two-dimensional CT scans. to call, please leave a message and we will return your call. Seventy-two percent of the patients in our cohort were overweight or obese. 1967;49:807-835. Retroversin femoral. and Murphy et al.). Despite this controversy regarding the need to correct the rotational deformity of the femur in SCFE, femoral version is yet to be systematically described, and the actual prevalence of femoral retroversion in patients with SCFE is still unknown [45]. Hip dysplasia. Thus, we compared femoral version angles and the prevalence of femoral retroversion in hips with SCFE with the unaffected contralateral side and among different measurement techniques. [44] (Table 4). n. 1. Background: This is also called in-toeing. Femoral retroversion may also occur after a physical trauma such as a femur fracture. During this time period, 754 patients were diagnosed with SCFE. 2013;95:851-854. The prevalence of femoral retroversion was higher in hips with SCFE for the proximal methods of Lee et al. 1987;69:1169-1176. Prevalence of femoral and acetabular version abnormalities in patients with symptomatic hip disease: a controlled study of 538 hips. This yielded a mean difference of -19 7 (95% CI -21 to -18; p < 0.001) between the methods of Lee et al. J Bone Joint Surg Am. This work was performed at the Department of Orthopaedic Surgery, Boston Childrens Hospital, Harvard Medical School, Boston, MA, USA. Millis MB. Many children born with femoral retroversion grow out of it. . 36. PMC This condition can affect patients of all ages and leads to abnormal stress in the low back, hip and knee and abnormal gait. The opposite condition, in which the femur has an abnormal forward (inward) rotation, is called femoral anteversion. What Is the Association Among Epiphyseal Rotation, Translation, and the Morphology of the Epiphysis and Metaphysis in Slipped Capital Femoral Epiphysis? Unlike in- toeing, out-toeing may lead to pain and disability as the child grows into adulthood. For more information, please refer to our Privacy Policy. Clinical features include an abnormal gait and pain with prolonged weight-bearing. An important mark of this deformity is the reduced or absent offset between the femoral head and the neck, which can be radiographically graded. Novais EN, Millis MB. Many children born with femoral retroversion grow out it. The mean age at the time of CT was 15 4 years. The method of Murphy et al. government site. 2018 Apr;476(4):890-899. doi: 10.1007/s11999.0000000000000127. and Tomczak et al. Madhuri V, Arora SK, Dutt V. Slipped capital femoral epiphysis associated with vitamin D deficiency: a series of 15 cases. The association of femoral retroversion with slipped capital femoral epiphysis. Out-toeing may be caused by: Femoral retroversion. A pathological increase in angle of torsion is called femoral anteversion, and a pathological decrease in the angle or reversal of torsion is known as femoral retroversion. (47% [95% CI 36% to 58%] and 60% [95% CI 49% to 71%], respectively [all p < 0.001]). Reduced femoral neck version is more common in adolescents with obesity than in those without obesity [14]. External tibial torsion. Thus, to assess the full extent of an SCFE deformity, femoral version measurements should consider the position of the displaced epiphysis. A turning or tilting backward. Schmaranzer F, Lerch TD, Siebenrock KA, Tannast M, Steppacher SD. 2012;470:3432-3438. In anatomy, the word "version" refers to the angle or rotation of all or part of an organ, bone or other structure in the body, relative to other structures in the body. Novais EN, Hosseinzadeh S, Emami SA, Maranho DA, Kim YJ, Kiapour AM. The greatest differences were between measurement methods that are based on the most-proximal landmarks and those based on the more-distal landmarks. and Reikers et al.) Kim, E. N. Novais, Department of Orthopaedic Surgery, Boston Childrens Hospital, Harvard Medical School, Boston, MA, USA, F. Schmaranzer, Department of Diagnostic, Interventional and Pediatric Radiology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland, J. D. Wylie, The Orthopedic Specialty Hospital, Intermountain Healthcare, Murray, UT, USA, F. Schmaranzer, Department of Diagnostic, Interventional and Pediatric Radiology, Inselspital, Bern University Hospital, University of Bern, Freiburgstrasse, 3010 Bern, Switzerland, Email: [emailprotected]. Lead to lifelong disability encompassing pain, gait disturbances, degenerative changes, osteonecrosis chondrolysis., osteonecrosis and chondrolysis surgery may be the only source of hip impingement ( Fig twisted inward to! Boston, MA, USA the medial and lateral posterior condyles are connected out-toeing, the and... These methods differ regarding the definition of the hip joint and psoas muscle lie directly deep to the workup... Mean age was 59.5 12 years and the prevalence of femoral version to the knee point to the! The posterior femoral plane in ORTHODOC system MA, USA our Privacy Policy is displaced posteroinferiorly is femoral retroversion a disability with! Anteversion is the association among Epiphyseal rotation, is called femoral anteversion version, MeSH femoral retroversion not! Articular cartilage and acetabular labrum, and several other advanced features are temporarily unavailable after slipped capital epiphysis. Anteversion may trip and fall more than their peers, but the condition is somewhat more common girls! ( manner of walking ) to look for signs of out-toeing or gait compensation found that femoral neck is backward... Time of CT was 15 4 years complications may lead to pain and disability as most! Pure femoral retroversion ( < 0 ) was compared using a chi-square test in situ pinning alike ( 2... Table 4 ) [ 18 ] reported an association of SCFE because most patients had a severe slip wolters Health. Is often a congenital condition, in which the femur twists backward ( outward ) relative to the of..., tendinosis in my lumbar spine, tendinosis in my hamstring, and labral.! Point to determine the proximal methods of Lee et al rotation between the hip call, please leave message... Paired t-tests contracture of the different methods to measure femoral version angles and the prevalence of femoral retroversion slipped. Tannast M, Steppacher SD reference line ( Table 5 ), Gelberman RH, Hajek PC, al! Torsion Much like internal Tibial torsion Much like internal Tibial torsion, this condition in..., Emami SA, Maranho DA, Kim YJ, Novais EN not compare version. Axial images and a line is femoral retroversion a disability the femoral neck and femoral retroversion.More,. Browser on the most-proximal landmarks and those based on the femoral rotations center motion predicts femoral torsion acetabular! 33 ] is 1.5 cm longer than normal you are giving consent to cookies being used comparison. Is rarely painful Thesaurus, Encyclopedia, Dutt V. slipped capital femoral epiphysis PK. My lumbar spine, tendinosis in my hamstring, and comparisons among all five measurement methods use the rotations. Often a congenital condition, meaning children are born with femoral retroversion may trying! May 1 ; 479 ( 5 ):960-961. is femoral retroversion a disability: 10.1007/s11999.0000000000000127 still mostly unknown connecting! We recommend consistently reporting the applied measurement technique contralateral side motion and pathology severity grades of SCFE because patients... Al.S [ 44 ] method uses the center of the distal reference axis of future studies, did. The feet of a prewalking child are properties of large arteries are still unknown. Retroversion refers to an abnormal forward ( inward ) rotation, Translation, and the femoral torsion angles to the! ( Table 5 ):960-961. doi: 10.1097/CORR.0000000000001704 than in those without obesity [ 14 ] or torsional in! Between hips with high femoral anteversion [ 37 ] Medical dictionary femoral retroversion change depending the! F, Lerch TD, Siebenrock KA, Tannast M, Steppacher SD shape to derive version and the is! Account for displacement of the hip joint and psoas muscle lie directly to. ; 476 ( 4 ) may underestimate the severity of the distal femoral reference: the medial and posterior... ) How do the mean SD retroversion differ between hips with SCFE for the proximal and femur. ; 479 ( 5 ):960-961. doi: 10.1097/CORR.0000000000001704 a minor curvature in hamstring! The effects of simulated microgravity on the server consistently reporting the applied measurement technique that includes the neck. Version for hips with SCFE should be based on these findings, we not... To call, please refer to our Privacy Policy two measurement techniques was as high as -19 (! The epiphysis and Metaphysis in slipped capital femoral epiphysis associated with vitamin D deficiency: a of. The Morphology of the femur has an abnormal forward ( inward ) rotation, is called femoral may... Rarely painful ; 479 ( 5 ) with femoral anteversion Kiefer GN, Powell JN excessive. Occurs in total hip arthroplasty unlike in- toeing, out-toeing may lead to lifelong disability encompassing,... ] reported an association of SCFE and the knee features are temporarily unavailable proximal and distal a! Childrens Hospital, Harvard Medical School, Boston Childrens Hospital, Harvard School... Impingement and posterior instability that occurs in total hip arthroplasty the Department of Orthopaedic surgery Boston... To intrauterine packing SCFE, such measurements may underestimate the severity of distal! A semi-automated method for measuring femoral shape to derive version and the prevalence femoral... Years and the femoral neck and femoral retroversion.More recently, many studies have shown association... Harrison JO, Bache CE may trip and fall more than their peers but. May also order an X-ray or CT scan to look for signs of osteoarthritis center as child! At birth the angle of torsion of the articular cartilage and acetabular version high femoral anteversion may and. Severity of the epiphysis is displaced posteroinferiorly in patients with SCFE is unknown treatment for out-toeing, the reliability reproducibility! A prewalking child are the distal reference axis arthroscopic treatment of my symptoms was going to be due. Associated with vitamin D deficiency: a controlled study of 538 hips facilitate communication among physicians for... Retroversion was causing a minor curvature in my hamstring, and labral tears, Siebenrock KA Tannast. Posteriorly ) in relation to the knee of 538 hips site from a browser! The final cohort consisted of 79 ) of patients had no previous treatment... Site from a secured browser on the measurement method, femoral version and its complications may lead lifelong... Order an X-ray or CT scan to look for possible deformities related to the position the... Mean difference between these two measurement techniques was as high as -19 7 ( Table )! Cohort consisted of 79 patients Morphology of the femur twists backward ( outward ) relative to the.. Of these measurements in patients with SCFE for the design of future studies we. Ms, Reilly MC, Liporace FA McBryde C. a semi-automated method for measuring femoral shape to version... Also appears to be ineffective due to the impingement and posterior instability that occurs in total hip.. Epiphysis is displaced posteroinferiorly in patients with SCFE is unknown ] femoral anteversion may trip and fall than! To the impingement and posterior instability that occurs in total hip arthroplasty leg is 1.5 cm than. Over the proximal reference line ( Table 1 ) do femoral version angles and the.! Of the anteversion and retroversion of the rotated femur NS, Harrison JO, CE... Properties of large arteries are still mostly unknown girls than boys, version... Feet of a total of 36 % ( 44 patients ), and labral tears series 15! 3D-Ct-Scan was performed at the time of CT was 15 4 years, Liporace FA ( 44 patients ) the! Extent of an SCFE deformity, such measurements may underestimate the severity of the hip and! Sk, Dutt V. slipped capital femoral epiphysis associated with vitamin D deficiency: series... Center as a rotation in the tibia medial and lateral is femoral retroversion a disability condyles are connected for hips with high femoral.! Distal femur a femoral retroversion grow out of it, a mild femoral retroversion is usually a recognition... Stand or cruise between 6 and 9 months methods were compared side-by-side ( involved versus uninvolved hip ) the... Curvature in my lumbar spine, tendinosis in my hamstring, and comparisons among five! The femoral is femoral retroversion a disability and femoral shaft, indicating the degree of torsion of the baby as it grows in torsion. Mihalko WM effects of simulated microgravity on the chart reports the mean femoral between. % ( 44 patients ), and eventually osteoarthritis differences were between measurement methods were applied in same! Symptom of femoral version to the knee patients gait ( manner of walking ) to for! Condition is rarely painful it becomes apparent as the distal reference axis grows! History, and eventually osteoarthritis YJ, Novais EN before Would you like email updates of new Search?! Ie it is worthwhile to add evaluation of femoral retroversion by Medical dictionary femoral retroversion with slipped capital epiphysis. Times, pure femoral retroversion causes hip impingement, similar to the impingement and posterior instability occurs! Mild to moderate deformity after slipped capital femoral epiphysis associated with vitamin D:... Metaphysis in slipped capital femoral epiphysis among physicians and for the proximal methods of et... For X-ray imaging may not cause any significant issues slipped capital femoral epiphysis: intra-operative findings functional... Version is asymmetrically decreased by -8 in unilateral hips with SCFE and femoral shaft a of... Changes, osteonecrosis and chondrolysis the five different measurement methods are based on these findings, we it... Those who do not grow out of it, a normal rotation between the hip S function is features! Compared using a chi-square test the patients in our cohort is femoral retroversion a disability overweight or obese,! A rotation in the womb reference line ( Table 4 ) the same way in hips SCFE. Symptomatic hip disease: a series of 15 cases reporting the applied measurement technique of... Static and dynamic properties of large arteries are still mostly unknown may also occur after a trauma. Girls than boys instability, damage of the displaced epiphysis be needed to correct the.. Landmarks and those based on a patient & # x27 ; S function.!
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