CT measurement of femoral anteversion angle in patients with unilateral developmental hip dysplasia: A comparative study between 2D and 3D techniques

Objective: To compare the accuracy of 2D and 3D CT measurements of femoral anteversion angle, in pediatric patients with developmental hip dysplasia. Materials and methods: Twenty patients (20 hips) with unilateral non syndromic DDH were studies. CT scans were performed using a 16 slice CT scanner t...

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Bibliographic Details
Main Authors: Mennatallah Hatem Shalaby, Shady Samir, Ahmed Deif
Format: Article
Language:English
Published: SpringerOpen 2017-09-01
Series:The Egyptian Journal of Radiology and Nuclear Medicine
Online Access:http://www.sciencedirect.com/science/article/pii/S0378603X17300244
Description
Summary:Objective: To compare the accuracy of 2D and 3D CT measurements of femoral anteversion angle, in pediatric patients with developmental hip dysplasia. Materials and methods: Twenty patients (20 hips) with unilateral non syndromic DDH were studies. CT scans were performed using a 16 slice CT scanner to measure the femoral anteversion angle (FAVA) using 2D & 3D techniques. Findings were correlated with the intra operative measurements. Results: There was a significant difference between 2D & 3D methods. Results of clinical assessment were comparable to results of 3D CT assessment which range from 30 to 50° with a mean of 37.5°. Mean percent difference between 3D and intra operative measurement of FAVA was significantly lower than the corresponding value between 2D and intraoperative measurement of FAVA. Conclusion: 3D is more accurate than 2D in measuring the degree of FAVA in DDH patients. It is easily applied and rapid and doesn't require sophisticated software. Keywords: Femoral anteversion angle (FAVA), Developmental dysplasia of the hip (DDH), 3D computed tomography (CT)
ISSN:0378-603X