Objectives. The development of tibiofemoral angle in children has shown ethnic
variations. However this data is unavailable for our population. Methods. We measured the tibiofemoral angle (TFA) and intercondylar and
intermalleolar distances in 360 children aged between two and 18
years, dividing them into six interrupted age group intervals: two
to three years; five to six years; eight to nine years; 11 to 12
years; 14 to 15Â years; and 17 to 18 years. Each age group comprised
30 boys and 30 girls. Other variables recorded included standing
height, sitting height, weight, thigh length, leg length and length
of the lower limb. Results. Children aged two to three years had a valgus angulation with
a mean TFA of 1.8° (. sd. 0.65) in boys and 2.45° (. sd. 0.87)
in girls. Peak valgus was seen in the five- to six-year age group,
with mean TFAs of 6.7° (. sd. 1.3) and 7.25° (. sd. 0.64)
for boys and girls, respectively. From this age the values gradually
declined to a mean of 3.18° (. sd. 1.74) and 4.43° (. sd. 0.68)
for boys and girls, respectively, at 17 to 18 years. Girls showed
a higher valgus angulation than boys at all age groups. Conclusion. This study defines the normal range of the TFA in south Indian
boys and girls using an easy and reliable technique of measurement
with a standardised custom-made
Perthes’ disease is a condition leading to necrosis of the femoral head. It is most common in children aged four to nine years, affecting around one per 1,200 children in the UK. Management typically includes non-surgical treatment options, such as physiotherapy with/without surgical intervention. However, there is significant variation in care with no consensus on the most effective treatment option. This systematic review aims to evaluate the effectiveness of non-surgical interventions for the treatment of Perthes’ disease. Comparative studies (experimental or observational) of any non-surgical intervention compared directly with any alternative intervention (surgical, non-surgical or no intervention) were identified from: Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), EMcare, Allied and Complementary Medicine Database (AMED), and the Physiotherapy Evidence Database (PEDro). Data were extracted on interventions compared and methodological quality. For post-intervention primary outcome of radiological scores (Stulberg and/or Mose), event rates for poor scores were calculated with significance values. Secondary outcomes included functional measures, such as range of movement, and patient-reported outcomes such as health-related quality of life.Aims
Methods
