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Skeletal Radiology

, Volume 35, Issue 12, pp 929–934 | Cite as

Rotational profile of the lower extremity in achondroplasia: computed tomographic examination of 25 patients

  • Hae-Ryong Song
  • Abi-Turab Choonia
  • Suk Joo HongEmail author
  • Seok-Hyun Lee
  • Seung-Woo Suh
  • In Ho Cha
  • Jong-Tae Park
Scientific Article

Abstract

Purpose

To evaluate lower-extremity rotational abnormalities in subjects with achondroplasia using computed tomography (CT) scans.

Materials and methods

CT scans were performed in 25 subjects with achondroplasia (13 skeletally immature, mean age 8.7 years; 12 skeletally mature, mean age 17.6 years). In a total of 50 bilateral limbs, CT images were used to measure the angles of acetabular anteversion, femoral anteversion, and tibial external torion. Measurement was performed by three examiners and then repeated by one examiner. Inter- and intraobserver agreements were analyzed, and results were compared with previously reported normal values.

Results

Mean values for skeletally immature and skeletally mature subjects were 13.6±7.5° and 21.5±6.4° respectively for acetabular anteversion, 27.1±20.8° and 30.5±20.1° for femoral torsion, and 21.6±10.6° and 22.5±10.8° for tibial torsion. Intra- and interobserver agreements were good to excellent. Acetabular anteversion and femoral anteversion in skeletally mature subjects were greater than normal values in previous studies. Both skeletally immature and mature subjects with achondroplasia had decreased tibial torsion compared to normal skeletally immature and mature subjects.

Conclusion

Lower-extremity rotational abnormalities in subjects with achondroplasia include decreased tibial external torsion in both skeletally immature and mature subjects, as well as increased femoral and acetabular anteversion in skeletally mature subjects.

Keywords

Achondroplasia Computed tomography (CT) Femur Tibia 

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Copyright information

© ISS 2006

Authors and Affiliations

  • Hae-Ryong Song
    • 1
  • Abi-Turab Choonia
    • 3
  • Suk Joo Hong
    • 2
    • 6
    Email author
  • Seok-Hyun Lee
    • 4
  • Seung-Woo Suh
    • 1
  • In Ho Cha
    • 2
  • Jong-Tae Park
    • 5
  1. 1.Department of Orthopaedic Surgery, Rare Diseases InstituteKorea University Guro HospitalSeoulSouth Korea
  2. 2.Department of RadiologyKorea University Guro HospitalSeoulSouth Korea
  3. 3.Department of Orthopaedic SurgeryLaud ClinicMumbaiIndia
  4. 4.Department of Orthopaedic SurgeryDongguk University Ilsan Buddist HospitalGoyangSouth Korea
  5. 5.Department of Occupational and Enviornmental MedicineKorea University Ansan HospitalAnsanSouth Korea
  6. 6.Department of RadiologyKorea University Guro HospitalSeoulSouth Korea

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