Gait deviations and compensations in pediatric patients with increased femoral torsion

Bruderer-Hofstetter, Marina; Fenner, Verena; Payne, Erika; Zdenek, Katja; Klima, Harry; Wegener, Regina

doi:10.1002/jor.22746

Publication type:	Article in scientific journal
Type of review:	Peer review (publication)
Title:	Gait deviations and compensations in pediatric patients with increased femoral torsion
Authors:	Bruderer-Hofstetter, Marina Fenner, Verena Payne, Erika Zdenek, Katja Klima, Harry Wegener, Regina
DOI:	10.1002/jor.22746
Published in:	Journal of Orthopaedic Research
Volume(Issue):	33
Issue:	2
Page(s):	155
Pages to:	162
Issue Date:	Feb-2015
Publisher / Ed. Institution:	Wiley
ISSN:	1554-527X
Language:	German
Subject (DDC):	616.7: Diseases of musculoskeletal system and orthopaedics 618.92: Pediatrics
Abstract:	Coxa antetorta describes an abnormal torsion of the femur. It is commonly considered a cosmetic problem and is treated surgically only in severe cases and the presence of physical complaints. The purpose of this study was to identify deviations in gait kinematics and kinetics in pediatric patients caused by coxa antetorta and to categorize these deviations into primary and secondary deviations. We conducted a retrospective, cross-sectional three-dimensional (3D) gait analysis study to detect gait deviations in adolescents (n = 18; age range 10.5-17.5 years) with coxa antetorta compared to age-matched healthy control subjects (n = 17). Principal component (PC) analysis was used for data reduction. Linear mixed models applied to PC-scores were used to estimate the main effects within retained PCs followed by a post-hoc subgroup analysis. Patients walked with smaller external foot progression angle, greater knee adduction, more internally rotated and flexed hips and greater anterior pelvic tilt. Subgroup analysis revealed that-depending on knee alignment-patients had higher knee and hip adduction moments. These deviations in joint kinematics and kinetics may be associated with physical complaints and accelerated development of osteoarthritis. Assessment of gait deviations related to coxa antetorta using 3D gait analysis may be an additional tool in individual clinical decision-making.
URI:	https://digitalcollection.zhaw.ch/handle/11475/7497
Fulltext version:	Published version
License (according to publishing contract):	Licence according to publishing contract
Departement:	School of Health Sciences
Organisational Unit:	Institute of Physiotherapy (IPT)
Appears in collections:	Publikationen Gesundheit

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Bruderer-Hofstetter, M., Fenner, V., Payne, E., Zdenek, K., Klima, H., & Wegener, R. (2015). Gait deviations and compensations in pediatric patients with increased femoral torsion. Journal of Orthopaedic Research, 33(2), 155–162. https://doi.org/10.1002/jor.22746

Bruderer-Hofstetter, M. et al. (2015) ‘Gait deviations and compensations in pediatric patients with increased femoral torsion’, Journal of Orthopaedic Research, 33(2), pp. 155–162. Available at: https://doi.org/10.1002/jor.22746.

M. Bruderer-Hofstetter, V. Fenner, E. Payne, K. Zdenek, H. Klima, and R. Wegener, “Gait deviations and compensations in pediatric patients with increased femoral torsion,” Journal of Orthopaedic Research, vol. 33, no. 2, pp. 155–162, Feb. 2015, doi: 10.1002/jor.22746.

BRUDERER-HOFSTETTER, Marina, Verena FENNER, Erika PAYNE, Katja ZDENEK, Harry KLIMA und Regina WEGENER, 2015. Gait deviations and compensations in pediatric patients with increased femoral torsion. Journal of Orthopaedic Research. Februar 2015. Bd. 33, Nr. 2, S. 155–162. DOI 10.1002/jor.22746

Bruderer-Hofstetter, Marina, Verena Fenner, Erika Payne, Katja Zdenek, Harry Klima, and Regina Wegener. 2015. “Gait deviations and compensations in pediatric patients with increased femoral torsion.” Journal of Orthopaedic Research 33 (2): 155–62. https://doi.org/10.1002/jor.22746.

Bruderer-Hofstetter, Marina, et al. “Gait deviations and compensations in pediatric patients with increased femoral torsion.” Journal of Orthopaedic Research, vol. 33, no. 2, Feb. 2015, pp. 155–62, https://doi.org/10.1002/jor.22746.