Evidence map›Paper›PMID 39077063›Full record

ArticleFrontiers in pediatrics2024

A new method for assessing tibial torsion using computerized tomography in a pediatric population.

Nathaly Gavira, Blaise Cochard, Nastassia Guanziroli, Giorgio Di Laura Frattura, Romain Dayer, Dimitri Ceroni

Abstract read
In one paragraph

Article in Frontiers in pediatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Nathaly GaviraPediatric Orthopedics Unit, Pediatric Surgery Service, University Hospitals of Geneva, Geneva, Switzerland.
Blaise CochardDivision of Orthopedics and Trauma Surgery, University Hospitals of Geneva, Geneva, Switzerland.
Nastassia GuanziroliDivision of Orthopedics and Trauma Surgery, University Hospitals of Geneva, Geneva, Switzerland.
Giorgio Di Laura FratturaPediatric Orthopedics Unit, Pediatric Surgery Service, University Hospitals of Geneva, Geneva, Switzerland.
Romain DayerPediatric Orthopedics Unit, Pediatric Surgery Service, University Hospitals of Geneva, Geneva, Switzerland.
Dimitri CeroniPediatric Orthopedics Unit, Pediatric Surgery Service, University Hospitals of Geneva, Geneva, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Tibial torsion disorders may lead to abnormal gait, frequently leading to a consultation with a pediatric orthopedic surgeon. The present study evaluated an alternative method for assessing tibial torsion on computerized tomography (CT) images that considers the tibial distal axis to be equivalent to the geometric axis of the tibiotalar joint. Methods: One hundred CT scans were reviewed retrospectively, and four measurements were taken: proximal transtibial angle (PTTA), posterior margin tibial plateau angle (PMTPA), intermalleolar angle (IMA), and talar angle (TA). The tibial torsion angle was then calculated using these different angles. Results: The patient cohort comprised 38 girls and 62 boys, with a mean age of 12 ± 4.4 years. Median PTTA and PMTPA were -8.4° ± 14.7° and -8.8° ± 14.2°, respectively, with no statistically significant difference. Mean IMA and TA were 23° ± 16.2° and 17.2° ± 16.9°, respectively, with a statistically significant difference. Mean total measurement time per patient was 6'44", with means of 2'24" for PTTA, 36" for PMTPA, 2'14" for IMA, and 1'12" for TA. Conclusion: Tibial torsion values may differ significantly depending on the axis chosen to define tibial orientation. At the level of the proximal tibia, the choice of PTTA or PMTPA had little influence on the calculation of the tibial torsion angle. There was a significant difference of 5.8° when measuring the distal tibia. Measuring the PMTPA and TA is probably more suited for use in clinical practice because their tracing is simple and faster.

Indexed as

intermalleolar anglepediatric tibial torsionscanner assessmenttalar angletalar axis

Identifiers

PMID39077063
PMCPMC11284142

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.