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Surgical and Radiologic Anatomy

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01-10-2020 | Original Article

The morphometry, localization, and shape types of the fovea capitis femoris, and their relationship with the femoral head parameters

Authors: Burhan Yarar, Mehmet Ali Malas, Gizem Çizmeci

Published in: Surgical and Radiologic Anatomy | Issue 10/2020

Abstract

Purpose

The aim of this study was to investigate the morphometric properties of the fovea capitis femoris (FCF) and its localization on the femoral head, the shape types, and the relationship with the femoral head parameters.

Methods

This study was performed on 146 dry femora. The morphological and morphometric properties were evaluated on dry bones and digital images of these bones. Some of the FCF and femoral head parameters were measured with a caliper on dry bones while others were measured using ImageJ software on digital images.

Results

The most common localization type was the Type 2 localization and the shape type was the oval type. The FCF sizes [except depth of the FCF (D_FCF)] were found to be smaller in the Type 1 localization. The femoral neck shaft angle (NSA) was found to be greater in the triangular type than the round (or circular) type on the left side and in all cases. The vertical diameter of the femoral head (FHD-V), the anteroposterior diameter of the femoral head (FHD-AP), and the area of the femoral head (AREA_HOF) values were greater in the triangular types than in the oval types in all cases. There was no relationship between the localization types and the shape types of the FCF.

Conclusion

Results showed that the morphometric properties, localization, and shape types of the FCF were related to some femoral head parameters. It is thought that our findings contributed to orthopedic and radiological applications and anthropological sciences.

Acar N, Karaarslan A, Karakasli A, Erduran M (2017) Femoral head fovea capitis variant configurations and age related changes: a radiological study. Iran J Radiol 14:e41130

Albanese J, Eklics G, Tuck A (2008) A metric method for sex determination using the proximal femur and fragmentary hipbone. J Forensic Sci 53:1283–1288PubMed

Amenabar T, O'Donnell J (2012) Arthroscopic ligamentum teres reconstruction using semitendinosus tendon: surgical technique and an unusual outcome. Arthrosc Tech 1:e169–e174CrossRef

Bardakos N, Villar R (2009) The ligamentum teres of the adult hip. J Bone Jt Surg Br 91:8–15CrossRef

Başaloğlu H, Akbaş A (1996) İnsan femurlarinda Torsiyon Ve Kolladiafizer Açılarının Ölçümleri Ve Birbirleriyle İlişkileri. Acta Orthop Traumatol Turc 30:299–302

Beltran LS, Mayo JD, Rosenberg ZS, De Tuesta MD, Martin O, Neto LP Sr, Bencardino JT (2012) Fovea alta on MR images: is it a marker of hip dysplasia in young adults? AJR Am J Roentgenol 199:879–883. https://doi.org/10.2214/AJR.11.8193 CrossRefPubMed

Bensler S, Agten CA, Pfirrmann CWA, Sutter R (2018) Osseous spurs at the fovea capitis femoris—a frequent finding in asymptomatic volunteers. Skelet Radiol 47:69–77. https://doi.org/10.1007/s00256-017-2763-x CrossRef

Bertsatos A, Chovalopoulou ME, Giannaki K, Valakos E (2018) Morphological variation of the femoral head fovea capitis. Eur J Anat 22:397–402

Botser IB, Ozoude GC, Martin DE, Siddiqi AJ, Kuppuswami S, Domb BG (2012) Femoral anteversion in the hip: comparison of measurement by computed tomography, magnetic resonance imaging, and physical examination. Arthroscopy 28:619–627CrossRef

10.

Cerezal L, Kassarjian A, Canga A, Dobado MC, Montero JA, Llopis E, Rolón A, Pérez-Carro L (2010) Anatomy, biomechanics, imaging, and management of ligamentum teres injuries. Radiographics 30:1637–1651CrossRef

11.

Ceynowa M, Rocławski M, Pankowski R, Mazurek T (2018) The position and morphometry of the fovea capitis femoris in computed tomography of the hip. Surg Radiol Anat 41:101–107CrossRef

12.

Chandler SB, Kreuscher PH (1932) A study of the blood supply of the ligamentum teres and its relation to the circulation of the head of the femur. J Bone Jt Surg 14:834–846

13.

Chung S (1976) The arterial supply of the developing proximal end of the human femur. J Bone Jt Surg Am 58:961–970CrossRef

14.

Garabekyan T, Chadayammuri V, Pascual-Garrido C, Mei-Dan O (2016) All-arthroscopic ligamentum teres reconstruction with graft fixation at the femoral head-neck junction. Arthrosc Tech 5:e143–e147CrossRef

15.

Isaac B, Vettivel S, Prasad R, Jeyaseelan L, Chandi G (1997) Prediction of the femoral neck-shaft angle from the length of the femoral neck. Clin Anat 10:318–323CrossRef

16.

Kafa İM, İlknur A (2004) Morfometrik çalışmalarda manüel (el ile) ve dijital (sayısal)-bilgisayar destekli ölçüm yöntemlerinin karşılaştırılması. Uludağ Tıp Derg 30:141–144

17.

King CA, Işcan M, Loth SR (1998) Metric and comparative analysis of sexual dimorphism in the Thai femur. J Forensic Sci 43:954–958CrossRef

18.

Kurylo JC, Templeman D, Mirick GE (2015) The perfect reduction: approaches and techniques. Injury 46:441–444CrossRef

19.

Murton N, Eliopoulos C, Borrini M (2015) Sexual dimorphism of the fovea capitis femoris in a medieval population from Gloucester, England. Glob J Anthropol Res 2:9–14CrossRef

20.

Nötzli H, Müller S, Ganz R (2001) Die radiologische Beziehung der Fovea capitis femoris zur azetabulären Belastungszone bei der normalen und dysplastischen Hüfte des Erwachsenen. Z Orthop Ihre Grenzgeb 319:502–506CrossRef

21.

Ollivier M, Parratte S, Le Corroller T, Reggiori A, Champsaur P, Argenson JN (2015) Anatomy of the proximal femur at the time of total hip arthroplasty is a matter of morphotype and etiology but not gender. Surg Radiol Anat 37:377–384. https://doi.org/10.1007/s00276-014-1368-5 CrossRefPubMed

22.

Perumal V, Woodley SJ, Nicholson HD (2017) The morphology and morphometry of the fovea capitis femoris. Surg Radiol Anat 39:791–798. https://doi.org/10.1007/s00276-016-1810-y CrossRefPubMed

23.

Sampatchalit S, Barbosa D, Gentili A, Haghighi P, Trudell D, Resnick D (2009) Degenerative changes in the ligamentum teres of the hip: cadaveric study with magnetic resonance arthrography, anatomical inspection, and histologic examination. J Comput Assist Tomogr 33:927–933CrossRef

24.

Standring S, Borley NR (2008) Gray's anatomy: the anatomical basis of clinical practice, 40th edn. Churchill Livingstone, London, pp 1360–1390

25.

Unnanuntana A, Toogood P, Hart D, Cooperman D, Grant RE (2010) Evaluation of proximal femoral geometry using digital photographs. J Orthop Res 28:1399–1404. https://doi.org/10.1002/jor.21119 CrossRefPubMed

26.

Verma M, Joshi S, Tuli A, Raheja S, Jain P, Srivastava P (2017) Morphometry of proximal femur in Indian population. J Clin Diagn Res 11:AC01–AC04. https://doi.org/10.7860/JCDR/2017/23955.9210 CrossRefPubMedPubMedCentral

27.

Wu C-C (2017) Is clinical measurement of anatomic axis of the femur adequate? A radiographic verification. Acta Orthop 88:407–410CrossRef

28.

Yamamoto Y, Ide T, Ono T, Hamada Y (2003) Usefulness of arthroscopic surgery in hip trauma cases. Arthroscopy 19:269–273CrossRef

29.

Yi L-H, Li R, Zhu Z-Y, Bai C-W, Tang J-L, Zhao F-C, Zheng X, Guo K-J (2019) Anatomical study based on 3D-CT image reconstruction of the hip rotation center and femoral offset in a Chinese population: preoperative implications in total hip arthroplasty. Surg Radiol Anat 41(1):117–124CrossRef

Title: The morphometry, localization, and shape types of the fovea capitis femoris, and their relationship with the femoral head parameters
Authors: Burhan Yarar
Mehmet Ali Malas
Gizem Çizmeci
Publication date: 01-10-2020
Publisher: Springer Paris
Published in: Surgical and Radiologic Anatomy / Issue 10/2020
Print ISSN: 0930-1038
Electronic ISSN: 1279-8517
DOI: https://doi.org/10.1007/s00276-020-02508-5

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Springer Medicine

The morphometry, localization, and shape types of the fovea capitis femoris, and their relationship with the femoral head parameters

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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