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Femoral anteversion: significance and measurement

Scorcelletti, Matteo und Reeves, Neil D. und Rittweger, Jörn und Ireland, Alex (2020) Femoral anteversion: significance and measurement. Journal of Anatomy, 237, Seiten 811-826. Wiley. doi: 10.1111/joa.13249. ISSN 0021-8782.

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Offizielle URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7542196/

Kurzfassung

Femoral neck anteversion (FNA) is the angle between the femoral neck and femoral shaft, indicating the degree of torsion of the femur. Differences in FNA affect the biomechanics of the hip, through alterations in factors such as moment arm lengths and joint loading. Altered gait associated with differences in FNA may also contribute to the development of a wide range of skeletal disorders including osteoarthritis. FNA varies by up to 30° within apparently healthy adults. FNA increases substantially during gestation and thereafter decreases steadily until maturity. There is some evidence of a further decrease at a much lower rate during adulthood into old age, but the mechanisms behind it have never been studied. Development of FNA appears to be strongly influenced by mechanical forces experienced during everyday movements. This is evidenced by large differences in FNA in groups where movement is impaired, such as children born breech or individuals with neuromuscular conditions such as cerebral palsy. Several methods can be used to assess FNA, which may yield different values by up to 20° in the same participant. While MRI and CT are used clinically, limitations such as their cost, scanning time and exposure to ionising radiation limit their applicability in longitudinal and population studies, particularly in children. More broadly, applicable measures such as ultrasound and functional tests exist, but they are limited by poor reliability and validity. These issues highlight the need for a valid and reliable universally accepted method. Treatment for clinically problematic FNA is usually derotational osteotomy; passive, non-operative methods do not have any effect. Despite observational evidence for the effects of physical activity on FNA development, the efficacy of targeted physical activity remains unexplored. The aim of this review is to describe the biomechanical and clinical consequences of FNA, factors influencing FNA and the strengths and weaknesses of different methods used to assess FNA

elib-URL des Eintrags:https://elib.dlr.de/136978/
Dokumentart:Zeitschriftenbeitrag
Titel:Femoral anteversion: significance and measurement
Autoren:
AutorenInstitution oder E-Mail-AdresseAutoren-ORCID-iDORCID Put Code
Scorcelletti, MatteoDepartment of Life Sciences, Research Centre for Musculoskeletal Science & Sports Medicine, Manchester Metropolitan University, Manchester, UKhttps://orcid.org/0000-0003-0186-1008NICHT SPEZIFIZIERT
Reeves, Neil D.Manchester Metropolitan UniversityNICHT SPEZIFIZIERTNICHT SPEZIFIZIERT
Rittweger, JörnJoern.Rittweger (at) dlr.dehttps://orcid.org/0000-0002-2223-8963NICHT SPEZIFIZIERT
Ireland, AlexManchester Metropolitan University; a.ireland (at) mmu.ac.ukhttps://orcid.org/0000-0003-1094-9183NICHT SPEZIFIZIERT
Datum:24 Juni 2020
Erschienen in:Journal of Anatomy
Referierte Publikation:Ja
Open Access:Ja
Gold Open Access:Nein
In SCOPUS:Ja
In ISI Web of Science:Ja
Band:237
DOI:10.1111/joa.13249
Seitenbereich:Seiten 811-826
Verlag:Wiley
ISSN:0021-8782
Status:veröffentlicht
Stichwörter:antetorsion, hip, joint shape, proximal femur, skeletal development
HGF - Forschungsbereich:Luftfahrt, Raumfahrt und Verkehr
HGF - Programm:Raumfahrt
HGF - Programmthema:Forschung unter Weltraumbedingungen
DLR - Schwerpunkt:Raumfahrt
DLR - Forschungsgebiet:R FR - Forschung unter Weltraumbedingungen
DLR - Teilgebiet (Projekt, Vorhaben):R - Vorhaben Systemphysiologie (alt)
Standort: Köln-Porz
Institute & Einrichtungen:Institut für Luft- und Raumfahrtmedizin > Muskel- und Knochenstoffwechsel
Hinterlegt von: Arndt, Carina
Hinterlegt am:29 Okt 2020 13:29
Letzte Änderung:05 Dez 2023 07:06

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