COMPARISON OF RADIOGRAPHIC METHODS AND COMPUTED TOMOGRAPHY SCANOGRAMS FOR MEASURING LEG LENGTH DISCREPANCIES

Authors

  • Wanna TRIVITAYARATANA Dept. of Radiological Technology, Faculty of Medical Technology, Mahidol University
  • Pichit TRIVITAYARATANA Dept. of Radiological Technology, Faculty of Medical Technology, Mahidol University.,
  • Chavalit VONGSABARN Dept. of Radiology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University
  • Songthip NUKROO Kumkunkaew Hospital, Ministry of Public Health

Abstract

Four radiographic methods for measuring leg length discrepancies were compared to computed tomography (CT) scanograms by exposing a polyvinyl chloride (PVC) phantom. Central ray of X-ray machine was checked. At 180 cm focal film distance (FFD), the elongation error at hip, knee and ankle joints of teleroentgenography(except knee joint), teleroentgenography mixed with orthoroentgenography, orthoroentgenography, spot orthoroentgenography and CT scanograms were 20, 5, 0, 0 and 0 mm, respectively. Although the elongation error was found in the first two methods, the whole leg length could be visualized in single exposure radiograph. No elongation error occured in orthoroentgenography, spot orthoroentgenography because of the central ray centered directly over the three joints of lower limb, but they had several disadvantages. Three separate roentgenograms were needed and entired leg pathology could not be seen on one radiograph. CT scanograms was the most accurate and was the standard method for leg length measurement. However, this technique was more expensive and needed more time to complete an examination than the radiographic JAN. - APR. 1999. Volume V Number I methods.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

Siffert RS. Current concepts review lower limb length discrepancy. J Bone Joint Surg 1987;69-A:1100-1106.

Margaret A, Green WT, Messner MB. Growth and predictions of growth in the lower extremities. J Bone Joint Surg 1963; 4S5A:1-14.

Vade A, Eissenstat R. Radiographic features of bone lengthening procedures. Radiology 1990; 174: 531-537.

Chapurlat RD, Duboeuf FP, Liens D, Meunier PJ. Dual energy X-ray absorptionmetry in patients with lower limb reflex sympathetic dystrophy syndrome. J Rheumatol 1996;23:1557- 1559.

Hernefalk L, Granstrom P, Messner K. Sequential scintigraphy and _ orthoradiographic measurement of femoral shortening after femoral neck fracture. Arch Orthop Trauma Surg 1997;116:198- 203.

Bal BS. A technique for comparison of leg lengths during total hip replacement. Am J Orthop 1996;25:61-62.

Mattassi R. Differential diagnosis in congenital vascular-bow syndromes. Semin Vasc Surg 1993; 6: 233-44.

Aaron A, Weinstein D, Thickman D, Eilert R. Comparison of orthoroentgenography and computed tomography in the measurement of limb length discrepancy. J Bone Joint Surg 1992;74-A:897-902.

Walker CW, Aronson J, Kaplan PA, Molpus WM, et al. Radiologic evaluation of limb-lengthening procedures. AJR 1991;156:353-358.

Paley D. Current techniques of limb lengthening. J Pediatr Orthop 1988;8:73- 92.

Lampe HI, Swierstra BA, Diepstraten AF. Measurement of limb length inequality: comparison of clinical methods with orthoradiography in 190 children. Acta Orthop Scand 1996;67:242-244.

Tjernstrom B, Jakobsson O, Pech P, Rehnberg L. Reliability of radiological measurements of the distraction gap during leg lengthening. Acta Radiol 1996; 37:162-165. 9

Pfeifer T, Mahlo R, Franzreb M, Heiss U, et al. Computed tomography in the determination of leg geometry. In vivo 1995;9:257-261.

Minty I, Maffulli N, Hughes TH, Shaw DG, et al. Radiographic features of limb lengthening in children. Acta Radiol 1994; 35:555-559.

Atiken GF, Flodmark O, Newman DE, Kilcoyne RF, et al. Leg length determination by CT digital radiography. AJR 1985: 144:613-615.

Rhodes DW, Mansfield ER, Bishop PA, Smith JF. Comparison of leg length inequality measurement methods as estimators of the femur head height difference on standing X-ray. J Manipulative Physiol Ther 1995;18:448-452.

Rhodes DW, Mansfield ER, Bishop PA, Smith JF. The validity of the prone leg check as an estimate of standing leg length ' inequality measured by X-ray. J Manipulative Physiol Ther 1995;18:343-346.

Stricker SJ, Faustgen JP. Radiographic measurement of bowleg deformity: variability due to method and limb rotation. J Pediatr Orthop 1994;14:147-151.

Cleveland R, Kushner D, Ogden M, Herman T, et al. Determination of leg length discrepancy: a comparison of weight-bearing and supine imaging. Invest Radiol 1988;23:301.

National Council on Radiation Protection and Measurement (NCRP). Quality control in diagnostic imaging. NCRP report no. 99. Maryland: NCRP, 1988.

Soon TN. Radiographic methods of measuring leg length discrepancies. Medical Radiographer 1985;4:49-55.

Helms CA, McCarthy S. CT scanograms for measuring leg length discrepancy. Radiology 1984; 151: 802.

Downloads

Published

2023-04-09

How to Cite

1.
TRIVITAYARATANA W, TRIVITAYARATANA P, VONGSABARN C, NUKROO S. COMPARISON OF RADIOGRAPHIC METHODS AND COMPUTED TOMOGRAPHY SCANOGRAMS FOR MEASURING LEG LENGTH DISCREPANCIES. ASEAN J Radiol [Internet]. 2023 Apr. 9 [cited 2024 Jul. 7];5(1):87-94. Available from: https://asean-journal-radiology.org/index.php/ajr/article/view/470

Issue

Section

Original Article

Most read articles by the same author(s)