The fibular head projection is of limited use as a radiographic landmark in preoperative planning of total knee arthroplasty
Introduction The projection of the fibular head is recommended as a quality indicator of a correct radiographic projection. However, this landmark has yet to be sufficiently validated. Methods The MRIs of 334 knee joints were included. On the MRIs, the distance between the FH and lateral tibial cort...
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| Veröffentlicht in: | Skeletal radiology 2017-10, Vol.46 (10), p.1379-1384 |
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| creator | Matziolis, Doerte Meiser, Marius Sieber, Norbert Teichgräber, Ulf Matziolis, Georg |
| description | Introduction
The projection of the fibular head is recommended as a quality indicator of a correct radiographic projection. However, this landmark has yet to be sufficiently validated.
Methods
The MRIs of 334 knee joints were included. On the MRIs, the distance between the FH and lateral tibial cortical bone was simulated in projections parallel to surgically relevant axes. Then, the Pearson correlation coefficient between the distance of the FH to the lateral tibial cortical bone and the projection plane causing this was determined.
Results
A projection of the knee joint perpendicular to Akagi’s line projected the center of the fibular head on average 4.8 ± 2.9 mm laterally of the tibial cortical bone, parallel to the maximum mediolateral axis of the tibia 7.5 ± 3.4 mm, parallel to the posterior condylar axis 5.6 ± 3.6 mm and parallel to the surgical epicondylar axis 6.1 ± 3.5 mm laterally of the tibial cortical bone. An almost linear correlation was seen, with 1.9° tilting of the projection plane per mm change in distance between the fibular head and tibial cortical bone. At the same time, the interindividual scatter was over 60°.
Conclusions
The rule of thumb for a partial overlap of the fibular head by the tibia in the case of a correct antero-posterior projection plane was also confirmed. However, a considerable interindividual variability of the position of the FH was found, which limits a conclusion regarding the quality of the radiographic projection on the basis of the position of the fibular head. |
| doi_str_mv | 10.1007/s00256-017-2705-7 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_1915343225</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A731036034</galeid><sourcerecordid>A731036034</sourcerecordid><originalsourceid>FETCH-LOGICAL-c439t-4e19be0225fac26771ca4924cc5381cd43e6b8b96e93cc51698b3fb6252d6e373</originalsourceid><addsrcrecordid>eNp1kU1r3DAQhkVpaLbb_oBeiqCXXpzow5btYwhtWgj0kpyFLI93tbElV5ILgfz4jtmkXzToIJh53peZeQl5x9kZZ6w-T4yJShWM14WoWVXUL8iGl1IUgiv-kmyYVGUhZNmcktcpHRiCdaVekVPRKFUKxTfk4WYPdHDdMppI92B6OsdwAJtd8NQlGgY6usll6OmSgJpEDY2md2EXzbx3lo7G95OJd9R5lEKYIZrsfgCdseOd360WOWQz0jsP6BDzPgZspnz_hpwMZkzw9vHfktvPn24uvxTX366-Xl5cF7aUbS5K4G0HTIhqMFaouubWlK0ora1kw21fSlBd07UKWok1rtqmk0OnRCV6BbKWW_Lx6Iu7fV8gZT25ZGHECSEsSfOWVxLvJipEP_yDHsISPU6HlGhl27BG_aZ2ZgTt_BByNHY11Re15Hh3hn5bcvYfCl8Pk7PBw-Cw_peAHwU2hpQiDHqODo97rznTa-L6mLjGIPWauF53e_848NJN0P9SPEWMgDgCCVt-B_GPjZ51_QkHvbU1</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1929398086</pqid></control><display><type>article</type><title>The fibular head projection is of limited use as a radiographic landmark in preoperative planning of total knee arthroplasty</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Matziolis, Doerte ; Meiser, Marius ; Sieber, Norbert ; Teichgräber, Ulf ; Matziolis, Georg</creator><creatorcontrib>Matziolis, Doerte ; Meiser, Marius ; Sieber, Norbert ; Teichgräber, Ulf ; Matziolis, Georg</creatorcontrib><description>Introduction
The projection of the fibular head is recommended as a quality indicator of a correct radiographic projection. However, this landmark has yet to be sufficiently validated.
Methods
The MRIs of 334 knee joints were included. On the MRIs, the distance between the FH and lateral tibial cortical bone was simulated in projections parallel to surgically relevant axes. Then, the Pearson correlation coefficient between the distance of the FH to the lateral tibial cortical bone and the projection plane causing this was determined.
Results
A projection of the knee joint perpendicular to Akagi’s line projected the center of the fibular head on average 4.8 ± 2.9 mm laterally of the tibial cortical bone, parallel to the maximum mediolateral axis of the tibia 7.5 ± 3.4 mm, parallel to the posterior condylar axis 5.6 ± 3.6 mm and parallel to the surgical epicondylar axis 6.1 ± 3.5 mm laterally of the tibial cortical bone. An almost linear correlation was seen, with 1.9° tilting of the projection plane per mm change in distance between the fibular head and tibial cortical bone. At the same time, the interindividual scatter was over 60°.
Conclusions
The rule of thumb for a partial overlap of the fibular head by the tibia in the case of a correct antero-posterior projection plane was also confirmed. However, a considerable interindividual variability of the position of the FH was found, which limits a conclusion regarding the quality of the radiographic projection on the basis of the position of the fibular head.</description><identifier>ISSN: 0364-2348</identifier><identifier>EISSN: 1432-2161</identifier><identifier>DOI: 10.1007/s00256-017-2705-7</identifier><identifier>PMID: 28664261</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Anatomic Landmarks ; Arthroplasty (knee) ; Arthroplasty, Replacement, Knee ; Biomedical materials ; Child ; Correlation coefficients ; Cortical bone ; Female ; Fibula - anatomy & histology ; Fibula - diagnostic imaging ; Humans ; Imaging ; Joint surgery ; Knee ; Magnetic Resonance Imaging - methods ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Nuclear Medicine ; Orthopedics ; Pathology ; Projection ; Quality control ; Radiology ; Retrospective Studies ; Scattering ; Scientific Article ; Surgical implants ; Tibia ; Tibia - anatomy & histology ; Tibia - diagnostic imaging</subject><ispartof>Skeletal radiology, 2017-10, Vol.46 (10), p.1379-1384</ispartof><rights>ISS 2017</rights><rights>COPYRIGHT 2017 Springer</rights><rights>Skeletal Radiology is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c439t-4e19be0225fac26771ca4924cc5381cd43e6b8b96e93cc51698b3fb6252d6e373</citedby><cites>FETCH-LOGICAL-c439t-4e19be0225fac26771ca4924cc5381cd43e6b8b96e93cc51698b3fb6252d6e373</cites><orcidid>0000-0002-5105-5875</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00256-017-2705-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00256-017-2705-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28664261$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Matziolis, Doerte</creatorcontrib><creatorcontrib>Meiser, Marius</creatorcontrib><creatorcontrib>Sieber, Norbert</creatorcontrib><creatorcontrib>Teichgräber, Ulf</creatorcontrib><creatorcontrib>Matziolis, Georg</creatorcontrib><title>The fibular head projection is of limited use as a radiographic landmark in preoperative planning of total knee arthroplasty</title><title>Skeletal radiology</title><addtitle>Skeletal Radiol</addtitle><addtitle>Skeletal Radiol</addtitle><description>Introduction
The projection of the fibular head is recommended as a quality indicator of a correct radiographic projection. However, this landmark has yet to be sufficiently validated.
Methods
The MRIs of 334 knee joints were included. On the MRIs, the distance between the FH and lateral tibial cortical bone was simulated in projections parallel to surgically relevant axes. Then, the Pearson correlation coefficient between the distance of the FH to the lateral tibial cortical bone and the projection plane causing this was determined.
Results
A projection of the knee joint perpendicular to Akagi’s line projected the center of the fibular head on average 4.8 ± 2.9 mm laterally of the tibial cortical bone, parallel to the maximum mediolateral axis of the tibia 7.5 ± 3.4 mm, parallel to the posterior condylar axis 5.6 ± 3.6 mm and parallel to the surgical epicondylar axis 6.1 ± 3.5 mm laterally of the tibial cortical bone. An almost linear correlation was seen, with 1.9° tilting of the projection plane per mm change in distance between the fibular head and tibial cortical bone. At the same time, the interindividual scatter was over 60°.
Conclusions
The rule of thumb for a partial overlap of the fibular head by the tibia in the case of a correct antero-posterior projection plane was also confirmed. However, a considerable interindividual variability of the position of the FH was found, which limits a conclusion regarding the quality of the radiographic projection on the basis of the position of the fibular head.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anatomic Landmarks</subject><subject>Arthroplasty (knee)</subject><subject>Arthroplasty, Replacement, Knee</subject><subject>Biomedical materials</subject><subject>Child</subject><subject>Correlation coefficients</subject><subject>Cortical bone</subject><subject>Female</subject><subject>Fibula - anatomy & histology</subject><subject>Fibula - diagnostic imaging</subject><subject>Humans</subject><subject>Imaging</subject><subject>Joint surgery</subject><subject>Knee</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Nuclear Medicine</subject><subject>Orthopedics</subject><subject>Pathology</subject><subject>Projection</subject><subject>Quality control</subject><subject>Radiology</subject><subject>Retrospective Studies</subject><subject>Scattering</subject><subject>Scientific Article</subject><subject>Surgical implants</subject><subject>Tibia</subject><subject>Tibia - 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anatomy & histology</topic><topic>Fibula - diagnostic imaging</topic><topic>Humans</topic><topic>Imaging</topic><topic>Joint surgery</topic><topic>Knee</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Nuclear Medicine</topic><topic>Orthopedics</topic><topic>Pathology</topic><topic>Projection</topic><topic>Quality control</topic><topic>Radiology</topic><topic>Retrospective Studies</topic><topic>Scattering</topic><topic>Scientific Article</topic><topic>Surgical implants</topic><topic>Tibia</topic><topic>Tibia - anatomy & histology</topic><topic>Tibia - diagnostic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Matziolis, Doerte</creatorcontrib><creatorcontrib>Meiser, Marius</creatorcontrib><creatorcontrib>Sieber, Norbert</creatorcontrib><creatorcontrib>Teichgräber, Ulf</creatorcontrib><creatorcontrib>Matziolis, Georg</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Skeletal radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Matziolis, Doerte</au><au>Meiser, Marius</au><au>Sieber, Norbert</au><au>Teichgräber, Ulf</au><au>Matziolis, Georg</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The fibular head projection is of limited use as a radiographic landmark in preoperative planning of total knee arthroplasty</atitle><jtitle>Skeletal radiology</jtitle><stitle>Skeletal Radiol</stitle><addtitle>Skeletal Radiol</addtitle><date>2017-10-01</date><risdate>2017</risdate><volume>46</volume><issue>10</issue><spage>1379</spage><epage>1384</epage><pages>1379-1384</pages><issn>0364-2348</issn><eissn>1432-2161</eissn><abstract>Introduction
The projection of the fibular head is recommended as a quality indicator of a correct radiographic projection. However, this landmark has yet to be sufficiently validated.
Methods
The MRIs of 334 knee joints were included. On the MRIs, the distance between the FH and lateral tibial cortical bone was simulated in projections parallel to surgically relevant axes. Then, the Pearson correlation coefficient between the distance of the FH to the lateral tibial cortical bone and the projection plane causing this was determined.
Results
A projection of the knee joint perpendicular to Akagi’s line projected the center of the fibular head on average 4.8 ± 2.9 mm laterally of the tibial cortical bone, parallel to the maximum mediolateral axis of the tibia 7.5 ± 3.4 mm, parallel to the posterior condylar axis 5.6 ± 3.6 mm and parallel to the surgical epicondylar axis 6.1 ± 3.5 mm laterally of the tibial cortical bone. An almost linear correlation was seen, with 1.9° tilting of the projection plane per mm change in distance between the fibular head and tibial cortical bone. At the same time, the interindividual scatter was over 60°.
Conclusions
The rule of thumb for a partial overlap of the fibular head by the tibia in the case of a correct antero-posterior projection plane was also confirmed. However, a considerable interindividual variability of the position of the FH was found, which limits a conclusion regarding the quality of the radiographic projection on the basis of the position of the fibular head.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>28664261</pmid><doi>10.1007/s00256-017-2705-7</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-5105-5875</orcidid></addata></record> |
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| subjects | Adolescent Adult Aged Aged, 80 and over Anatomic Landmarks Arthroplasty (knee) Arthroplasty, Replacement, Knee Biomedical materials Child Correlation coefficients Cortical bone Female Fibula - anatomy & histology Fibula - diagnostic imaging Humans Imaging Joint surgery Knee Magnetic Resonance Imaging - methods Male Medicine Medicine & Public Health Middle Aged Nuclear Medicine Orthopedics Pathology Projection Quality control Radiology Retrospective Studies Scattering Scientific Article Surgical implants Tibia Tibia - anatomy & histology Tibia - diagnostic imaging |
| title | The fibular head projection is of limited use as a radiographic landmark in preoperative planning of total knee arthroplasty |
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