Anatomia radiográfica da região proximal do fêmur: correlação com a ocorrência de fraturas

• Autor(a) principal: Pires, Robinson Esteves Santos
• Data de Publicação: 2012
• Outros Autores: Prata, Eric Fontes, Gibram, Athos Vilela, Santos, Leandro Emilio Nascimento, Lourenço, Paulo Roberto Barbosa de Toledo, Belloti, Joao Carlos [UNIFESP]
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: http://dx.doi.org/10.1590/S1413-78522012000200004; http://repositorio.unifesp.br/handle/11600/6893
• topic: Femur; Femoral fractures; Femur neck; Radiography; Fêmur; Fraturas do fêmur; Colo do fêmur; Radiografia

OBJECTIVE: To evaluate the correlation between radiographic parameters of the proximal femur anatomy and fractures. METHODS: Three hundred and five digital x-rays of the pelvis were analyzed in the anteroposterior view. Of these x-rays, twenty-seven showed femoral neck or transtrochanteric fractures. The anatomical parameters analyzed were: femoral neck width (FNW), femoral neck length (FNL), femoral axis length (FAL), cervicodiaphyseal angle (CDA), acetabular tear-drop distance (ATD) and great trochanter-pubic symphysis distance (GTPSD). The analysis was performed by comparing the results of the x-rays with and without proximal femoral fracture, to establish a correlation between them. RESULTS: No differences were found between the anatomical parameters of the groups with and without proximal femoral fracture. CONCLUSION: There was no association between anatomical changes in the proximal femur and greater susceptibility to fractures. Level of evidence IV, Cross-sectional Study.