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[Tibial torsion deformities].
- Source :
-
Der Orthopade [Orthopade] 2000 Sep; Vol. 29 (9), pp. 802-7. - Publication Year :
- 2000
-
Abstract
- Tibial torsion defects are usually not clinically evident and, hence, are often overlooked. Clinical examination and CT scan have proved to be the best ways of measuring static tibial torsion, whereas dynamic measurements are usually performed in the clinic and the "gait laboratory." Only few studies have determined there to be a connection between a torsion defect in the lower leg and expected pathological conditions of the knee and ankle joints. However, patellofemoral instability, Osgood-Schlatter disease, osteochondrosis dissecans are increasingly being found in cases of increased external tibial torsion and arthrosis in reduced torsion. Although spontaneous correction may occur in certain cases, in others the only way to correct the condition is by employing physiologic torsion. Conservative treatment methods such as bandages or orthosis have been shown to not have any effect on torsion; thus, surgical treatment is the only successful way to correct a pathologic angle of rotation of the tibia. For this, supramalleolar osteotomy with fixation using Kirscher wires and plaster or an external fixator are the most common treatments.
- Subjects :
- Adolescent
Arthritis diagnosis
Arthritis physiopathology
Cartilage Diseases diagnosis
Cartilage Diseases physiopathology
Child
Clubfoot diagnosis
Clubfoot physiopathology
External Fixators
Female
Follow-Up Studies
Gait
Humans
Male
Orthotic Devices
Osteochondritis diagnosis
Osteochondritis physiopathology
Osteochondritis Dissecans diagnosis
Osteochondritis Dissecans physiopathology
Osteotomy
Tibia surgery
Time Factors
Torsion Abnormality
Knee Joint physiopathology
Tibia physiopathology
Subjects
Details
- Language :
- German
- ISSN :
- 0085-4530
- Volume :
- 29
- Issue :
- 9
- Database :
- MEDLINE
- Journal :
- Der Orthopade
- Publication Type :
- Academic Journal
- Accession number :
- 11092002
- Full Text :
- https://doi.org/10.1007/s001320050529