You are here

Home » Content

Fetal dönemde femur distalinin morfometrik gelişimi

Journal Name:

  • Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 2011

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Purpose: It was aimed to investigate the development and morphometric changes of the distal femur during the fetal period. Materials and method: 105 human fetuses (55 males and 50 females) aged between 9-40 weeks were used in this study. Fetuses were divided into four groups between gestational weeks; 1st trimester (9-12 weeks), 2nd trimester (13-25 weeks), 3rd trimester (26-37 weeks) and full term (38-40 weeks). Patella and patellar tendon were dissected in all fetal materials and the knee of each fetus was shown. The dimensions; length and width of intercondylar notch, length and width of medial and lateral condyles, total width of the distal femur and the angle of trochlear groove were measured by Vernier's caliper and square. Finding: The length and width of intercondylar notch were found significantly different between trimesters and were rising with gestational age (p<0.05). The length and width of medial and lateral condyles were increased with gestational age. The length and width of lateral condyles were higher than the medial one. The angle of trochlear groove was not changing with gestational age and was found 129.90. It was also found in our study that notch shape index (NSI) was 0,91 and notch width index (NWI) was 0.26 during the fetal period. Result: We consider that the data acquired in our study may contribute to the evaluation the development of distal femur in intrauterine cases.
Bookmark/Search this post with
Abstract (Original Language): 
Amaç. Çalışmamızda fetal dönem boyunca femurun distalinde yer alan oluşumların morfometrik değişimi ve gelişiminin araştırılması amaçlandı. Gereç ve Yöntem: Yaşları 9-40 hafta arasında değişen eksternal anomalisi ve patolojisi olmayan 105 (55erkek, 50 kız) adet insan fetusunda çalışıldı. Fetuslar I.grup; 9-12 hafta, II. grup; 13-25 hafta, III. grup; 26-37 hafta ve IV. grup; miadında, 38-40 hafta olmak üzere 4 gruba ayrıldı. Bütün fetal materyallerde diz eklemi diseke edilerek patella ve patellar ligament yerinden kaldırıldı ve femur distaline ait fossa intercondylaris yüksekliği, genişliği, condylus medialis yüksekliği ve genişliği, condylus lateralis yüksekliği ve genişliği, femur distalinin genişliği, trochlear oluk açısı ölçümleri dijital kumpas ve gönye yardımı ile alındı. Bulgular: Fossa intercondylaris yüksekliği ve genişliği gestasyonel yaş boyunca artıyordu ve trimesterlar arasında anlamlı fark vardı (p<0.05). Femur distalindeki condylus medialis ve condylus lateralis yükseklik ve genişliklerinin gestasyonel yaş boyunca arttığı görüldü (p<0.05). Condylus lateralis yüksekliğinin ve genişliğinin, condylus medialis yükseklik ve genişliğinden daha büyük olduğu tespit edildi (p<0.05). Trochlear oluk açısı ise gestasyonel yaş boyunca değişmiyordu ve ortalama 129. 9° idi. Ayrıca çalışmamızda fetal dönemde fossa intercondylaris şekil indeksi (notch shape index) (NSI) 0,91, fossa intecondylaris genişlik indeksi (notch width index) (NWI) 0.26 olarak tespit edildi. Sonuç: Çalışmamızda elde edilen verilerin intrauterin olgularda femur gelişiminin değerlendirilmesine katkıda bulunacağını düşünmekteyiz.
FULL TEXT (PDF): 
PDF icon arastirmax-fetal-donemde-femur-distalinin-morfometrik-gelisimi.pdf
  • 2
48-53
  • Turkish

REFERENCES

References: 

1. Urabe K, Mahoney OM, Mabuchi K, Itoman M. Morphologic differences ofthe distal femur between Caucasian and Japanese women. J Orthop Surg 2008; 16(3): 312-5.
2. Balcarek P, Walde TA, Frosch S, Schüttrumpf JP, Wachowski MM, Stürmer KM et al. Patellar dislocations in children, adolescents and adults: A comparative MRI study of medial patellofemoral ligament injury patterns and trochlear groove anatomy. Eur J Radiol. 2010; (15) [Epub ahead of print]
3. Murshed KA,
Çiçekcibaş
ı AE, Karabacakoğlu A, Seker
M,
Ziyla
n T. Distal femur morphometry: a gender and bilateral comparative study using magnetic resonance imaging. Surg Radiol Anat. 2005; 27(2): 108-12.
4. Shelbourne KD, Gray T, Benner RW. Intercondylar notch width measurement differences between African American and white men and women with intact anterior cruciate ligament knees. Am J Sports Med. 2007; 35(8): 1304-7.
5. Tillman MD, Smith KR, Bauer JA, Cauraugh JH, Falsetti
AB,
Pattishal
l JL Differences in three intercondylar notch geometry indices between males and females: a cadaver study. Knee 2002; 9(1): 41-6.
6. Shelbourne KD, Facibene WA, Hunt JJ. Radiographic
and intraoperative intercondylar notch width measurements in men and women with unilateral and bilateral anterior cruciate ligament tears. Knee Surg Sports Traumatol Arthrosc. 1997; 5(4): 229-33.
7. Ireland ML., Ballantyne BT., Little K, McClay IS. A
radiographic analysis ofthe relationship between the size and shape ofthe intercondylar notch and anterior cruciate ligament injury. Knee Surg, Sports Traumatol, Arthrosc 2001; 9(4): 200-5.
8. Liu RW, Farrow LD, Messerschmitt PJ, Gilmore A,
Goodfellow DB, Cooperman DR. An anatomical study ofthe pediatric intercondylar notch. J Pediatr Orthop. 2008; 28(2): 177-83.
9. Biedert RM, Bachmann M. Anterior-posterior trochlear
measurements ofnormal and dysplastic trochlea by axial magnetic resonance imaging. Knee Surg Sports Traumatol Arthrosc. 2009; 17(10): 1225-30.
10. Lonner JH, Jasko JG, Thomas BS. Anthropomorphic differences between the distal femora of men and women. Clin Orthop Relat Res. 2008; 466(11): 2724¬9.
11. Nietosvaara AY. The femoral sulcus in children: an ultrasonographic study. J Bone Joint Surg Br 1994; 76(5): 807-9.
12. Tardieu C, Glard Y, Garron E, Boulay C, Jouve JL, Dutour O et al. Relationship between formation ofthe femoral bicondylar angle and trochlear shape: independence of diaphyseal and epiphyseal growth. Am J Phys Anthropol. 2006; 130(4): 491-500.
13. Teichtahl AJ, Parkins K, Hanna F, Wluka AE, Urquhart DM, English DR et all. The relationship between the angle ofthe trochlear groove and patella cartilage and bone morphology--a cross-sectional study ofhealthy adults. Osteoarthritis Cartilage. 2007; 15(10): 1158¬62.
14. Mizobuchi RR, Galbiatti JA, Quirici Neto F, Milani C, Fujiki EN, de Oliveira HC, Bensahel H, Navarro RD. Ultrasonographic study ofthe femoropatellarjoint and its attachments in normal infants from birth to 24 months ofage: part I. J Pediatr Orthop B. 2007; 16(4):
262-5.
15. Moore KL, Persaud TVN. 2003. The Developing Human (Clinically Oriented Embryology), 7th edn. WB Saunders Company, Philadephia, pp 255-286.
16. Souryal TO, Freeman TR. Intercondylar notch size and anterior cruciate ligament injuries in athletes. A prospective study. Am J Sports Med. 1993; 21(4): 535¬9.
17. Teitz CC, Lind BK, Sacks BM. Symmetry ofthe femoral notch width index. Am J Sports Med 1997; 25(5): 687-90.
18. Anderson AF, Lipscomb AB, Liudahl KJ, Addlestone RB. Analysis ofthe intercondylar notch by computed tomography. Am J Sports Med 1987; 15(6): 547-52.
19. Muneta T, Takakuda K, Yamamoto H. Intercondylar notch width and its relation to the configuration and crosssectional area of the anterior cruciate ligament. A cadaveric knee study. Am J Sports Med 1997; 25(1):
69-72.
20. Dargel J, Michael JW, Feiser J, Ivo R, Koebke J. Human Knee Joint Anatomy Revisited: Morphometry in the Light of Sex-Specific Total Knee Arthroplasty. J Arthroplasty. 2010; (3) [Epub ahead of print]
21. Wanner JA. Variations in the anterior patellar groove ofthe human femur. Am J Phys Anthropol 1977; 47(1):
99-102.
22. Glard Y, Jouve JL, Garron E, Adalian P, Tardieu C, Bollini G. Anatomic study of femoral patellar groove in fetus. J pediatr orthop 2005; 14(2): 105-10.
23. Garron E, Jouve JL, Tardieu C, Panuel M, Dutour O, Bollini G. Anatomic study of the anterior patellar groove in the fetal period. Rev Chir Orthop Reparatrice ApparMot. 2003; 89(5): 407-12.

Thank you for copying data from http://www.arastirmax.com