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Ultrasound femoral anteversion (FAV) and tibial torsion (TT) after school screening for adolescent idiopathic scoliosis (AIS)

机译:超声波股骨逆转因素(FAV)和胫骨扭转(TT)放学后筛选青少年特发性脊柱侧凸(AIS)

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Torsion and counter-torsion in the spine are features of the three-dimensional deformity of adolescent idiopathic scoliosis, Vertebral axial rotation has recently been found in the normal adult thoracic spine. Torsion in the lower limbs, femora and tibiae is a feature of normal human skeletal postnatal development. In recent years, femoral anteversion (FAV) and tibial torsion (TT) have been studied in normal children by imaging techniques, especially ultrasound. This paper reports summaries of the application of real-time ultrasound to FAV and TT of normal children and scoliosis school screening referrals. In the scoliosis girls and boys, the FAV decrease and FAV asymmetry compared with normals may result from abnormally increased femoral detorsion maturationally earlier with left-right asynchrony which, if repeated as a growth plate anomaly in the trunk (spine and/or periapical ribs), might initiate the AIS deformity, given other requirements. In scoliosis boys relative to girls, the TT decrease without asymmetry may result from sexually dimorphic maturation at knee tibial growth plates ? maturationally delayed TT with left-right synchrony.
机译:脊柱中的扭转和反扭转是青少年特发性脊柱侧凸三维畸形的特征,椎体轴向旋转最近被发现在正常的成人胸椎脊柱中。下肢,股骨和胫骨的扭转是正常人体骨骼产后发育的特征。近年来,通过成像技术,尤其是超声波,已经在正常儿童中研究了股骨进步(FAV)和胫骨扭转(TT)。本文报告了实时超声将实时超声波的摘要和TT的普通儿童和脊柱侧凸学校筛选推荐的推荐。在脊柱侧凸女孩和男孩中,与法线相比,FAV降低和最丰富的不对称可能因左右异步而初期成熟的股骨挖掘可能导致,如果在躯干(脊柱和/或根本肋骨)中重复作为生长板异常,可能会引发AIS畸形,给出其他要求。在脊柱侧凸男孩相对于女孩,在膝关节胫骨生长板上的性二态成熟可能导致没有不对称的TT减少?与左右同步进行了延迟的TT。

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