CORRELATION OF MODIFIED FEMORAL NECK SHAFT ANGLE WITH AGE AND GENDER

Main Article Content

Priyanka Yadav
Dr Muktyaz Hussein
Namrata Singh
Rajkumar

Keywords

Femoral shaft axis, modified femoral neck axis, modified Femoral neck shaft angle.

Abstract

Introduction: The modified femoral neck shaft angle is defined as the angle between femoral shaft axis and modified femoral neck axis. Line drawn from upper most extension of greater trochanter, crossing the centre of two circles that is upper circle is positioned at the outer margins of the sub-trochanteric femur, the centre of this circle is placed by the lower boundary of the lesser trochanter whereas, the lower one is placed above the end of the scan. The objective of the our study is to determine the bilateral inconsistency in the mean value of modified femoral neck shaft angle.


Materials and Methods: The study group was comprised of 100 CT images (54 Females and 46 males) of pelvis in scout view of patient. All the measurements were done using CT images with the help of Simens 128 slice CT machine and software syngo CT VA48A.


Result-Comparison of right and left modified NSA by sex as following the value of mean and Standard deviation for mNSA in right side of female were found 145.720 (8.39) and right side of male were found 147.63° (6.74). p value for right side in both genders were 0.283.The value of mean and Standard deviation for mNSA in left side of female were found 145.13° (8.75) and left side of male were found 146.39° (6.35). p value for left side in both genders were 0.407.


Conclusion: In male, the modified neck shaft angle of femur is more as compared to female in any age group.

Abstract 16 | PDF Downloads 2

References

1. Huda Najamul, Agarawal Ankur, Sharma Mohan Man, Agarwal Saurabh. Age and gender differences in modified femoral neck-shaft angle: an MRI based observational study, Feb-(2020)p2277-8179.
2. Faruqi N.A a clinical orientation human osteology. 3rd edition 2018:58-76
3. Gujar S, Vikani S, Parmar J, Bondre KV. A correlation between femoral neck shaft angle to femoral neck length. Int J Biomed Adv Res.2013;4:295-7.
4. Wright D, Whyne C, Hardisty M, Kreder HJ, Lubovsky O. Functional and anatomic orientation of the femoral head. ClinOrthopRelat Res. 2011 Sep;469(9):2583-9.
5. Boese CK, Frink M, Jostmeier J, Haneder S, Dargel J, Eysel P, et al. The modifed femoral neck-shaft angle: age-and sex-dependent reference values and reliability analysis. Biomed Res Int. 2016; 2016: 8645027.
6. Panula J. Surgically treated hip fracture in older people With Special Emphasis on Mortality Analysis, University of Turku, Turku, Finland [online]; 2010.
7. Khan SM, Saheb SH. Study on neck shaft angle and femoral length of south Indian femurs. Int J Anat Res. 2014;2(4):633-35.
8. Sharma V, Kumar K, Kalia V, Soni P. Evaluation of femoral neck-shaft angle in sub Himalayan population of North West India using digital radiography and dry bone measurements. Journal of the Scientific Society. 2018;45(1):3-7.
9. Snell Richard S. clinical anatomy by regions. 8th edition 2006:561.
10. Boese CK, Frink M, Jostmeier J, Haneder S, Dargel J, Eysel P, Lechler P. The Modified Femoral Neck-Shaft Angle: Age- and Sex-Dependent Reference Ethics and Reliability Analysis. Biomed Res Int. 2016;2016:8645027. doi: 10.1155/2016/8645027. Epub 2016 Dec 14. PMID: 28070521; PMCID: PMC5192320.
11. Moore Keith L, Dalley Arthur F, Agur Anne M.R clinically oriented anatomy. 6th edition 2009:525.
12. Burghardt RD, Hinterwimmer S, Bürklein D, Baumgart R. Lower limb alignment in the frontal plane: analysis from long standing radiographs and computer tomography scout views: an experimental study. Arch Orthop Trauma Surg. 2013 Jan;133(1):29-36. doi: 10.1007/s00402-012-1635-z. Epub 2012 Oct 30. PMID: 23109093.