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Published in: European Journal of Pediatrics 9/2011

01-09-2011 | Original Paper

Interpopliteal distance percentiles to diagnose bowleg in 0–84 month-old Turkish children

Authors: Selim Kurtoglu, Mumtaz M. Mazicioglu, Ahmet Ozturk, Nihal Hatipoglu, Elcin Balci, Hasan Basri Ustunbas

Published in: European Journal of Pediatrics | Issue 9/2011

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Abstract

The purpose of this study was to determine the percentiles of interpopliteal distance to diagnose bowleg in 0–6 year-old children. Measurement of interpopliteal distance is a simple but valuable indicator in clinical examination to diagnose bowleg. We analyzed data from the anthropometry of Turkish children aged 0–6 years. The primary sampling unit included 21 family health centers (Aile Sagligi Merkezi) located in the city center and suburbs of Kayseri, Turkey. A total of 2,873 children and adolescents (1,419 boys, 1,454 girls), whose parents gave consent were included in the study. The smoothed percentiles and Z-scores were calculated by age and gender in 0–6 year-old children in quarter year intervals except for the 0–28-day newborn period. We found a significant correlation (r: 0.60, p < 0.001) between body weight and interpopliteal distance (after onset of walking). We consider that percentiles of interpopliteal distance can be used in the follow-up of children who may be at risk of bone and growth disorders. The zone between −2 standard deviation (SD) and +2SD values can be used to decide if the child has a normal growth pattern.
Literature
1.
go back to reference Carpenter TO (1997) New perspectives on the biology and treatment of X-linked hypophosphatemic rickets. Pediatr Clin N Am 44:443–466CrossRef Carpenter TO (1997) New perspectives on the biology and treatment of X-linked hypophosphatemic rickets. Pediatr Clin N Am 44:443–466CrossRef
2.
go back to reference Cheema JI, Grissom LE, Harcke HT (2003) Radiographic characteristics of lower-extremity bowing in children. Radiographics 23:871–880PubMedCrossRef Cheema JI, Grissom LE, Harcke HT (2003) Radiographic characteristics of lower-extremity bowing in children. Radiographics 23:871–880PubMedCrossRef
3.
go back to reference Cole TJ, Green PJ (1992) Smoothing reference centile curves: the LMS method and penalized likelihood. Stat Med 11:1305–19PubMedCrossRef Cole TJ, Green PJ (1992) Smoothing reference centile curves: the LMS method and penalized likelihood. Stat Med 11:1305–19PubMedCrossRef
4.
go back to reference Davids JR, Blackhurst DW, Allen BL (2001) Radiographic evaluation of bowed legs in children. J Pediat Orthop 21:257–263CrossRef Davids JR, Blackhurst DW, Allen BL (2001) Radiographic evaluation of bowed legs in children. J Pediat Orthop 21:257–263CrossRef
5.
6.
go back to reference Kurtoglu S, Hatipoglu N, Akcakus M, Gunes T, Buyukkayhan D, Koklu E (2007) Interpopliteal distance in term neonates for evaluating bowleg. Horm Res 68(Suppl 1):69 Kurtoglu S, Hatipoglu N, Akcakus M, Gunes T, Buyukkayhan D, Koklu E (2007) Interpopliteal distance in term neonates for evaluating bowleg. Horm Res 68(Suppl 1):69
7.
go back to reference Salenius P, Vankka E (1975) The developmental of the tibiofemoral angle in children. J Bone Joint Surg Am 57:259–261PubMed Salenius P, Vankka E (1975) The developmental of the tibiofemoral angle in children. J Bone Joint Surg Am 57:259–261PubMed
8.
go back to reference Sass P, Hassan G (2003) Lower extremity abnormalities in children. Am Fam Phys 68:461–468 Sass P, Hassan G (2003) Lower extremity abnormalities in children. Am Fam Phys 68:461–468
9.
go back to reference Stricker SJ, Sama AA (2001) Assessment of angulation and torsion of lower limbs in children. Int Pediatr 16:138–143 Stricker SJ, Sama AA (2001) Assessment of angulation and torsion of lower limbs in children. Int Pediatr 16:138–143
10.
go back to reference Wilkins KE (1986) Bowlegs. Pediatr Clin N Am 33:1429–1438 Wilkins KE (1986) Bowlegs. Pediatr Clin N Am 33:1429–1438
Metadata
Title
Interpopliteal distance percentiles to diagnose bowleg in 0–84 month-old Turkish children
Authors
Selim Kurtoglu
Mumtaz M. Mazicioglu
Ahmet Ozturk
Nihal Hatipoglu
Elcin Balci
Hasan Basri Ustunbas
Publication date
01-09-2011
Publisher
Springer-Verlag
Published in
European Journal of Pediatrics / Issue 9/2011
Print ISSN: 0340-6199
Electronic ISSN: 1432-1076
DOI
https://doi.org/10.1007/s00431-011-1414-9

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