Fovea Capitis Femoris’in Morfometrik ve Morfolojik Değerlendirilmesi

Yıl 2022, Cilt: 4 Sayı: 3, 400 - 404, 22.09.2022

Murat Gölpınar

https://doi.org/10.37990/medr.1107706

Öz

maç: Bu çalışma, fovea capitis femoris’in (FCF) kuru femur üzerindeki morfometrik ve morfolojik özelliklerini incelemek, lokasyonunu ve morfolojik tiplerini belirlemek amacıyla yapılmıştır.
Materyal ve Metot: FCF, 57 yetişkin kuru femur (27 sağ; 30 sol) ve dijital görüntüleri üzerinde morfometrik ve morfolojik olarak analiz edildi. FCF’nin boyutları ve yüzey alanı, kuru kemik üzerinde bir dijital kumpas ve dijital görüntüler üzerinde ImageJ yazılımı kullanılarak ölçüldü.
Bulgular: FCF’nin enine uzunluğu (p<0,001) ve FCF’nin yüzey alanının (p=0,007) sol uyluk kemiklerinde sağ uyluk kemiklerine göre daha büyük olduğu bulundu. Tip 1 lokalizasyon, FCF’nin en yaygın lokalizasyon tipiydi. En yaygın morfolojik tip oval şekilli FCF (%43,8) olarak bulunurken, bunu yuvarlak (%40,4), üçgen (%10,5) ve piriform (%5,3) tipler izledi.
Sonuç: Bu çalışma, FCF’nin çoğunlukla posteroinferior kadranda yerleştiğini ve genellikle oval veya yuvarlak olduğunu göstermektedir. Bu çalışmada elde edilen bulgular hem klinik hem de antropolojik uygulamada faydalı bilgiler sağlayabilir.

Morphometric and Morphological Evaluation of the Fovea Capitis Femoris

Öz

im: This study was performed to examine morphometric and morphological characteristics of the fovea for ligament of head of femur (FLHOF) on the dry femur to determine its location and morphological types.
Material and Method: FLHOF was analyzed morphometrically and morphologically on 57 dry adult femora (27 right; 30 left) and their digital images. Dimensions and surface area of the FLHOF were measured using a digital caliper on dry bone and ImageJ software on digital images.
Results: The transverse length of the FLHOF (p<0.001) and surface area of the FLHOF (p=0.007) were found to be greater in the left femur bones than in the right femur bones. Type 1 localization was the most common localization type of the FLHOF. The most common morphological type was found as oval-shaped FLHOF (43.8%), followed by round (40.4%), triangular (10.5%), and piriform shape types (5.3%).
Conclusion: This study indicates that FLHOF was located mostly posteroinferior quadrant and is usually oval or round in shape. Findings obtained in the present study could provide useful information in both clinical and anthropological practice.

Anahtar Kelimeler

Fovea capitis, femur, localization, shape, type

Kaynakça

• Garabekyan T, Chadayammuri V, Pascual-Garrido C, et al. All-Arthroscopic Ligamentum Teres Reconstruction With Graft Fixation at the Femoral Head-Neck Junction. Arthrosc Tech. 2016;5:e143-7.
• Lindner D, Sharp KG, Trenga AP, et al. Arthroscopic ligamentum teres reconstruction. Arthrosc Tech. 2013;2:e21-5.
• Beltran LS, Mayo JD, Rosenberg ZS, et al. Fovea alta on MR images: is it a marker of hip dysplasia in young adults? AJR Am J Roentgenol. 2012;199:879-83.
• Bensler S, Agten CA, Pfirrmann CWA, et al. Osseous spurs at the fovea capitis femoris-a frequent finding in asymptomatic volunteers. Skeletal Radiol. 2018;47(1):69-77.
• Kurylo JC, Templeman D, Mirick GE. The perfect reduction: approaches and techniques. Injury. 2015;46:441-4.
• Boughton OR, Uemura K, Tamura K, et al. Gender and disease severity determine proximal femoral morphology in developmental dysplasia of the hip. Journal of Orthopaedic Research. 2019;37:1123-32.
• Brady AW, Chahla J, Locks R, et al. Arthroscopic reconstruction of the ligamentum teres: A guide to safe tunnel placement. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2018;34:144-51.
• Rego P, Mascarenhas V, Mafra I, et al. Femoral neck osteotomy in skeletally mature patients: surgical technique and midterm results. International Orthopaedics. 2021;45:83-94.
• Eliopoulos C, Murton N, Borrini M. Sexual dimorphism of the fovea capitis femoris in a medieval population from Gloucester, England. Global Journal of Anthropology Research. 2015;2:9-14.
• Scheuer L, Black S, Christie A. The juvenile skeleton. Amsterdam: Elsevier Academic Press; 2004.
• Perumal V, Woodley SJ, Nicholson HD. The morphology and morphometry of the fovea capitis femoris. Surgical and Radiologic Anatomy. 2017;39:791-8.
• Tokpınar A, Yilmaz S, Şükrü A, et al. Morphometric Examination of the Proximal Femur in the Hip Joint. Experimental and Applied Medical Science. 2020;1:82-8.
• Yarar B, Malas MA, Çizmeci G. The morphometry, localization, and shape types of the fovea capitis femoris, and their relationship with the femoral head parameters. Surg Radiol Anat. 2020;42:1243-54.
• Bertsatos A, Garoufi N, Chovalopoulou M-E. Advancements in sex estimation using the diaphyseal cross-sectional geometric properties of the lower and upper limbs. International Journal of Legal Medicine. 2021;135:1035-46.
• Bardakos NV, Villar RN. The ligamentum teres of the adult hip. J Bone Joint Surg Br. 2009;91:8-15.
• Cerezal L, Kassarjian A, Canga A, et al. Anatomy, biomechanics, imaging, and management of ligamentum teres injuries. Radiographics. 2010;30:1637-51.
• Nötzli HP, Müller SM, Ganz R. The relationship between fovea capitis femoris and weight bearing area in the normal and dysplastic hip in adults: a radiologic study. Z Orthop Ihre Grenzgeb. 2001;139:502-6.
• Ceynowa M, Rocławski M, Pankowski R, et al. The position and morphometry of the fovea capitis femoris in computed tomography of the hip. Surg Radiol Anat. 2019;41:101-7.
• Perez-Carro L, Golano P, Vega J, et al. The ligamentum capitis femoris: anatomic, magnetic resonance and computed tomography study. Hip Int. 2011;21:367-72.