[Determination of rotational defects of the femur by computer tomographic determination of the antetorsion angle of the femoral neck]. 1986

H Wissing, and G Spira

The first of all unexplained but persisting static complaints after femoral fractures are due to rotational deformities. The clinical examination can only sustain the suspicion of a rotational deformity but can not determine its exact extent. The usual X-ray determination of the anteversion angle in the technique of Dunn and Rippstein as a measure for torsional deformities is often very difficult, because of the exact positioning conditions of patients with posttraumatic axial deformities, soft tissue contractures and painful motility restrictions. With the total body computertomography we have a safe and quick technique, independent of the patient's positioning, to determine the anteversion angle without problems. In comparing the two sides, the rotational deformity can be recognized and its extent can exactly be measured. Because of the simple technique and the exact determination of rotatory deformity a computertomographic measuring of the anteversion of the femoral head always should be made before planning a corrective osteotomy to fix the extent of correction, whenever a total body scan is available.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010027 Osteotomy The surgical cutting of a bone. (Dorland, 28th ed) Osteotomies
D011183 Postoperative Complications Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery. Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D005260 Female Females
D005264 Femoral Fractures Fractures of the femur. Femoral Fracture,Fracture, Femoral,Fractures, Femoral
D005269 Femur The longest and largest bone of the skeleton, it is situated between the hip and the knee. Trochanter,Greater Trochanter,Lesser Trochanter,Femurs,Greater Trochanters,Lesser Trochanters,Trochanter, Greater,Trochanter, Lesser,Trochanters,Trochanters, Greater,Trochanters, Lesser
D005272 Femur Neck The constricted portion of the thigh bone between the femur head and the trochanters. Femoral Neck,Neck, Femoral,Neck, Femur
D005593 Fracture Fixation, Internal The use of internal devices (metal plates, nails, rods, etc.) to hold the position of a fracture in proper alignment. Osteosynthesis, Fracture,Fixation, Internal Fracture,Fixations, Internal Fracture,Fracture Fixations, Internal,Fracture Osteosyntheses,Fracture Osteosynthesis,Internal Fracture Fixation,Internal Fracture Fixations,Osteosyntheses, Fracture
D006622 Hip Prosthesis Replacement for a hip joint. Femoral Head Prosthesis,Femoral Head Prostheses,Hip Prostheses,Prostheses, Femoral Head,Prostheses, Hip,Prosthesis, Femoral Head,Prosthesis, Hip

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