A new method for tibial torsion measurement by computerized tomography.

Madadi, Firooz; Madadi, Firoozeh; Maleki, Arash; Shamie, Arya Nick; Washington, Eleby Rudolph; Yazdanshenas, Hamed · J Orthop · 2016

cross_sectional · Level IV

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Abstract

Computerized tomography (CT) is the gold standard technique for tibial torsion assessment. This study compared two methods of tibial torsion assessment and proposed a new method, which could be of value in cases of abnormal fibular changes. The CT-scanograms of 60 participants were assessed by using two different techniques, differed in determination of the distal tibial axis. The interobserver reliability was 0.861 and 0.863 in the first and second methods, respectively. The intraobserver reliability in both measurement methods was 0.868. We proposed a reliable method, independent of the fibular midpoint, in assessment of tibial torsion by CT.

Anatomy