EVALUATION OF THE FEMORAL ANTEVERSION AND INCLINATION ANGLE OF PEOPLE WHO LIVING IN ANATOLIAN GEOGRAPHY

Abstract

Objective It was aimed to determine the characteristics of femoral anteversion and inclination angles of individuals who lived Anatolian geography in the inventory of the medical faculty anatomy main science laboratory. Materials and Methods 45 femurs (27 male – 18 female) were selected from the anatomy laboratory. Femurs were grouped according to gender and sides. Photographs of each femur were taken and digitized. Femoral anteversion angle (FAA) and femoral inclination angle (FIA) measurements were taken using the Image-J program. With the SPSS 20, statistical data between genders and sides were determined and compared. Results It has been shown in many studies that both FAA and FIA dimensions have lower values than the right side of the left side and the female gender less than the male gender. However, according to our findings in our study, the p value was above 0.05 in comparing the measurements of FAA and FIA measures between both genders and the parties. Therefore, there was no significantly difference in the statistical data obtained. Conclusion Angular values of the femur may be related to many lower extremity pathologies. For this reason, femoral angle values for each society should be investigated and values belonging to that society should be revealed. Especially in a society that is located in the transition zone between Asia and Europe like our society, it is important to reveal the femoral angular values.

Keywords

• femoral anteversion angle
• femoral inclination angle
• Image-J

ANADOLU COĞRAFYASINDA YAŞAYAN BİREYLERİN FEMUR ANTEVERSİYON VE İNKLİNASYON AÇISININ DEĞERLENDİRİLMESİ

Abstract

Amaç Tıp Fakültesi Anatomi Ana Bilim Dalı laboratuvar envanterinde bulunan Anadolu coğrafyasında yaşamış bireylerin femur anteversiyon ve inklinasyon açılarının özelliklerinin belirlenmesi amaçlanmıştır. Gereç ve Yöntem Anatomi laboratuvarında bulunan 27’si erkek 18’i kadın toplam 45 femur üzerinde çalışıldı. Femurlar cinsiyet ve taraflara göre gruplandırıldı. Her bir femurun fotoğrafı çekildi ve dijital ortama aktarıldı. Image-J programı kullanılarak femoral anteversiyon açısı (FAA) ve femoral inklinasyon açısı (FİA) ölçümleri alındı. Ölçümlerin cinsiyet ve taraflar arasında karşılaştırılması SPSS 20 programı ile yapıldı. Bulgular Yapılan birçok çalışmada hem FAA hem de FİA açılarının sol tarafta sağ taraftan, kadınlarda erkeklere göre daha küçük olduğu gösterilmiştir. Ancak bizim çalışmamızdaki bulgularımıza göre kadınlardaki ortalamalar daha yüksek bulunmuş olsa da, hem cinsiyet hem de taraf karşılaştırmasında FAA, FİA ölçümlerinde istatistiki olarak anlamlı bir fark bulunmamıştır. Sonuç Femura ait açısal değerler birçok alt ekstremite patolojileri ile ilgili olabilir. Bu sebeple her toplum için femoral açı değerleri araştırılarak o topluma ait değerler ortaya konmalıdır. Özellikle bizim toplumumuz gibi Asya ile Avrupa arasındaki geçiş bölgesinde yer alan bir toplumda, femoral açısal değerlerin ortaya konması önemlidir.

Keywords

• femur
• femoral anteversiyon açısı
• femoral inklinasyon açısı
• Image-J

References

1. 1. Child SL, Cowgill LW. Femoral neck-shaft angle and climate-induced body proportions. American Journal of Physical Anthropology. 2017;164(4):720-35.
2. 2. Shrestha A, Ranjit N, Shrestha R. Neck Shaft Angle of Non-articulated Femur Bones among Adults in Nepal. Medical Journal of Shree Birendra Hospital. 2016;14(2):1-4.
3. 3. Anderson JY, Trinkaus E. Patterns of sexual, bilateral and interpopulational variation in human femoral neck-shaft angles. Journal of Anatomy. 1998;192(Pt 2):279-85.
4. 4. Boese CK, Dargel J, Oppermann J, Eysel P, Scheyerer MJ, Bredow J, Lechler P. The femoral neck-shaft angle on plain radiographs: a systematic review. Skeletal Radiology. 2016;45(1):19-28.
5. 5. Sugano N, Noble PC, Kamaric E, Salama JK, Ochi T TH. The morphology of the femur in developmental dysplasia of the hip. The Journal of Bone and Joint Surgery. 1998;80-B:71:1–9.
6. 6. Ripamonti C, Lisi L, Avella M. Femoral neck shaft angle width is associated with hip-fracture risk in males but not independently of femoral neck bone density. British Journal of Radiology. 2014;87(1037):20130358.
7. 7. Walton NP, Wynn-Jones H, Ward MS, Wimhurst JA. Femoral neck-shaft angle in extra-capsular proximal femoral fracture fixation; does it make a TAD of difference? Injury. 2005;36(11):1361-4.
8. 8. Mills HJ, Horne JG, Purdie GL. The Relationship Between Proximal Femoral Anatomy and Osteoarthrosis of the Hip. Clinical Orthopaedics and Related Research. 1993 Mar;(288):205-8.

9. 9. Argenson JNA, Flecher X, Parratte S, Aubaniac JM. Anatomy of the dysplastic hip and consequences for total hip arthroplasty. Clinical Orthopaedics and Related Research. 2007;465:40–5.
10. 10. Olsen M, Davis ET, Gallie PAM, Waddell JP, Schemitsch EH. The Reliability of Radiographic Assessment of Femoral Neck- Shaft and Implant Angulation in Hip Resurfacing Arthroplasty. The Journal of Arthroplasty. 2009;24(3):333-40.
11. 11. Gilligan I, Chandraphak S, Mahakkanukrauh P. Femoral neck-shaft angle in humans: Variation relating to climate, clothing, lifestyle, sex, age and side. Journal of Anatomy. 2013;223(2):133–51.
12. 12. Imamura H. A case of double common bile duct in a deceased donor for transplantation. Surgical and Radiologic Anatomy. 2017;39(12):1409–11.
13. 13. Gulan G, Matovinović D, Nemec B, Rubinić D, Ravlić-Gulan J, Matovinovi D, et al. Femoral neck anteversion: values, development, measurement, common problems. Collegium Antropologicum. 2000;24(2):521.
14. 14. Debnath M, Konar S, Kundu P, Debnath M. Study of Femoral Neck Anteversion and its Correlations in Bengali Population. International Journal of Anatomy, Radiology and Surgery. 2016;5(1):1–5.
15. 15. Zalawadia A, Ruparelia S, Shah S, Parekh D, Patel S, Rathod SP, et al. Study of femoral neck anteversion of adult dry femora in Gujarat region. National Journal of Integrated Research in Medicine. 2010;1(3):7–11.
16. 16. Ravichandran D, Devi Sankar K, Sharmila Bhanu P, Manjunath KY, Shankar R. Angle of femoral neck anteversion in Andhra Pradesh population of India using image tool software. Journal International Medical Sciences Academy. 2014;27(4):199–200.
17. 17. Fabry G, MacEwen GD, Shands AR. Torsion of the femur. A follow up study in normal and abnormal conditions. Journal of Bone and Joint Surgery - Series A. 1973;55(8):1726-38
18. 18. Günay Y, Özden H, Çetin G. The Length of Bones of Upper and Lower Extremities in Turkish Society Antropometrical Search. The Bulletin of Legal Medicine. 2001; 6(1):3-7.
19. 19. Bräuer G. Osteometrie. In R. Krussmann (Ed.), Anthropologie I, Fischer Verlag, Stuttgart, 1988, s. 160–232.
20. 20. Emanuela GR. Study on Long Bones: Variation in angular traits with sex, age, and laterality. Anthropologischer Anzeiger. 1998;4:289–99.
21. 21. Moats AR, Badrinath R, Spurlock LB, Cooperman D. The antiquity of the cam deformity: A comparison of proximal femoral morphology between early and modern humans. Journal of Bone and Joint Surgery - American Volume. 2015;97(16):1297– 304.
22. 22. Kavita B, Ghanshyam G. Angle of Femoral Torsion in Subjects of Udaipur Region, Rajasthan, India. Journal of Medical and Health Sciences. 2014;3(1):27–30.
23. 23. Kingsley PC, Olmsted KL. A study to determine the angle of anteversion of the neck of the femur. The Journal of Bone and Joint Surgery - American Volume 1948;30A(3):745-51.
24. 24. Eckhoff DG, Montgomery WK, Kilcoyne RF, Stamm ER. Femoral Morphometry and anterior knee pain. Clinical Orthopaedics and Related Research. 1994;302;64-68.