Ethics code: UI/EC/24/0218


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Adetona M O, Olowo A, Omotere D S. Evaluation of femoral parameters in a Nigerian population sample. Journal of Research in Applied and Basic Medical Sciences 2024; 10 (4) :389-399
URL: http://ijrabms.umsu.ac.ir/article-1-346-en.html
Department of Anatomy, College of Medicine, University of Ibadan, Nigeria , moses.detona@ui.edu.ng
Abstract:   (236 Views)
Background & Aims: Femoral parameters exhibit geographic variability; hence, population-specific analyses are important. This study aimed to estimate standard femur parameters for the Nigerian population.
Materials & Methods: Fifty-three dried human femurs (26 right femurs, 27 left femurs) were obtained from the skeletal archive of the Department of Anatomy, University of Ibadan. Each parameter was measured with a digital sliding Vernier caliper and the femoral angles were measured with a goniometer. Descriptive analysis was conducted, a paired Student’s t-test was used to compare the right and left values, and Pearson correlation was used to test the relationship between the variables. Analysis was done with GraphPad Prism 8, and statistical significance was considered at p ≤ 0.05.
Results: The right femur parameters have overall higher mean values except in maximal length of the femur (MLF), sub-capital diameter from the anterior-posterior diameter of the femur (SCii), and angle of declination (AOD). MLF, SCii, AOD, latero-medial diameter of the femoral head (LMDF), sub-capital diameter from the superior-inferior diameter of the femur (SCi), mid-cervical diameter from the anterior-posterior diameter of the femur (MCii), and depth of medial condyle (DMC) were statistically significant. A strong positive correlation exists between the MLF, LSAA, SCii, and ICL on the left.
Conclusion: Understanding the variation pattern of these parameters may aid in improving treatment outcomes in the use of implants, limb lengthening procedures and femoral fracture management in the Nigerian population.
Full-Text [PDF 387 kb]   (115 Downloads)    
Type of Study: orginal article | Subject: Other

References
1. Moosa SS, Shaikh MHR, Khwaja M, Shaikh SAH, Siddiqui FB, Daimi SRH, et al. Sexual dimorphic parameters of femur: a clinical guide in orthopedics and forensic studies. J. Med. Life 2021;14(6):762-8. [DOI:10.25122/jml-2021-0022] [PMID] []
2. Fischer H, Maleitzke T, Eder C, Ahmad S, Stöckle U, Braun KF. Management of proximal femur fractures in the elderly: current concepts and treatment options. Eur. J. Med. Res 2021;26(1):86. [DOI:10.1186/s40001-021-00556-0] [PMID] []
3. Faulkner KG, Cummings SR, Black D, Palermo L, Glüer CC, Genant HK. Simple measurement of femoral geometry predicts hip fracture: the study of osteoporotic fractures. J. Bone Miner. Res 1993;8(10):1211-7. [DOI:10.1002/jbmr.5650081008] [PMID]
4. Bouxsein ML, Zysset P, Glüer CC, McClung M, Biver E, Pierroz DD, et al. Perspectives on the non-invasive evaluation of femoral strength in the assessment of hip fracture risk. Osteoporos Int. 2020;31(3):393-408. [DOI:10.1007/s00198-019-05195-0] [PMID]
5. Pollitzer WS, Anderson JJ. Ethnic and genetic differences in bone mass: a review with a hereditary vs environmental perspective. Am. J. Clin. Nutr 1989;50(6):1244-59. [DOI:10.1093/ajcn/50.6.1244] [PMID]
6. Nam HS, Shin MH, Zmuda JM, Leung PC, Barrett-Connor E, Orwoll ES, et al. Osteoporotic Fractures in Men (MrOS). Race/ethnic differences in bone mineral densities in older men. Osteoporos Int. 2020;31(3):393-408. [Google Scholar]
7. Leslie WD. Ethnic Differences in Bone Mass-Clinical Implications. The Journal of Clinical Endocrinology & Metabolism 2012 Dec 1;97(12):4329-4340. [DOI:10.1210/jc.2012-2863] [PMID]
8. Hume PA, Kerr DA, Ackland TR. Best practice protocols for physique assessment in sport. Singapore: Springer; 2018. [DOI:10.1007/978-981-10-5418-1]
9. Meeusen RA, Christensen AM, Hefner JT. The use of femoral neck axis length to estimate sex and ancestry. J. Forensic Sci 2015;60(5):1300-4. [DOI:10.1111/1556-4029.12820] [PMID]
10. Muley M, Bhuiyan P. Morphometric study of neck of dry adult femora. Int J Anat Res 2017;5(3.2):4317-20. [DOI:10.16965/ijar.2017.321]
11. Sousa D, Fernandes E, Mathias RM, Rodrigues MB, Ambram MR, Babinski AJ. Morphometric study of the proximal femur extremity in Brazilians. Int J Morphol 2010 Sep 1;28(3):835-40. [DOI:10.4067/S0717-95022010000300027]
12. Adetona M, Shokunbi M. Quantitative anthropometric and dermatoglyphic variation of the major ethnic populations in Nigeria. J. Exp. Clin. Anat 2019;18(1):55 [DOI:10.4103/jeca.jeca_33_18]
13. Wang L, He K, Chen Z. Statistical analyses of femur parameters for designing anatomical plates. Comput. Math. Methods Med 2016;2016:1247560. [DOI:10.1155/2016/1247560] [PMID] []
14. Gupta A, Tse KM. Vibration analysis of femur bone using Elmer. JESTEC. 2014;12-19 [Google Scholar]
15. Aloudah AA, Almesned FA, Alkanan AA, Alharbi T. Pattern of fractures among road traffic accident victims requiring hospitalization: Single-institution experience in Saudi Arabia. Cureus 2020;12(1):e6550 [DOI:10.7759/cureus.6550] [PMID] []
16. Pick JW, Stack JK, Anson BJ. Measurements on the human femur-I. lengths, diameters and angles. Q Bull Northwest Univ Med Sch 1941;15(4):281. [Google Scholar]
17. Castillo RF, Ruiz M del CL. Assessment of age and sex by means of DXA bone densitometry: application in forensic anthropology. Forensic Sci. Int 2011;209(1-3):53-8. [DOI:10.1016/j.forsciint.2010.12.008] [PMID]
18. Ghorbanzadeh B, Soltani S, Aghakhani K, Sani SR, Esfahani SA. Gender Identification with Knee Bicondylar Width and Vertical Diameter of the Femur Head Based on Radiography Assessment. IJMTFM. 2017:7(4):209-14. [Google Scholar]
19. Brits DM, Bidmos MA, Manger PR. Stature estimation from the femur and tibia in Black South African sub-adults. Forensic Sci. Int 2017;270:277.e1-277.e10. [DOI:10.1016/j.forsciint.2016.10.013] [PMID]
20. Hauser R, Smoliński J, Gos T. The estimation of stature on the basis of measurements of the femur. Forensic Sci Int 2005;147(2-3):185-190. [DOI:10.1016/j.forsciint.2004.09.070] [PMID]
21. Fongkete I, Singsuwan P, Prasitwattanaseree S, Riengrojpitak S, Case DT, Mahakkanukrauh P. Estimation of stature using fragmentary femur and tibia lengths in a Thai population. Aust. J. Forensic Sci 2016;48(3):287-96. [DOI:10.1080/00450618.2015.1052758]
22. Luna LH, Bosio L, García Guraieb S, Aranda C. Adult sex estimation from the minimum supero-inferior femoral neck diameter in a contemporary osteological sample from Buenos Aires, Argentina. Sci. Justice 2021;61(5):528-34. [DOI:10.1016/j.scijus.2021.06.007] [PMID]
23. Maat GJ, Maes A, Aarents MJ, Nagelkerke NJ. Histological Age Prediction from the Femur in a Contemporary Dutch Sample* The decrease of non-remodeled bone in the anterior cortex. J Forensic Sci 2006;51(2):230-237. [DOI:10.1111/j.1556-4029.2006.00062.x] [PMID]
24. Sciulli PW, Pfau RO. A method for estimating weight in children from femoral midshaft diameter and age. J. Forensic Sci 1994;39(5):1280-6. [DOI:10.1520/JFS13714J] [PMID]
25. Adekoya-Cole T, Akinmokun O, Soyebi K, Oguche O. Femoral neck shaft angles: A radiological anthropometry study. Niger. Postgrad. Med. J 2016;23(1):17. [DOI:10.4103/1117-1936.180130] [PMID]
26. Eboh DE, Igbinedion EN. Morphometry of the Distal Femur in a South-South Nigerian Population. MJMHS 2020 Dec 1;16(4). [Google Scholar]
27. Tahir A, Hassan AW, Umar IM. A study of the collodiaphyseal angle of the femur in the North-Eastern Sub-Region of Nigeria. Niger. J. Med. 2001;10(1):34-6. [Google Scholar]
28. Obikili EN, Omotoso DR. Morphological evaluation and clinical significance of proximal femoral dimensions among Southern Nigerian population. Int. J. Res. Med. Sci 2020;8(12):4180. [DOI:10.18203/2320-6012.ijrms20205285]
29. Ogunlade SO, Omololu AB, Alonge TO, Obajimi MO. Femoral head diameter in subcapital fracture of the femur in Ibadan, Nigeria. Afr. J. Med. Med. Sci. 2004;33(3):235-8. [Google Scholar]
30. Agu AU, Anyanwu GE, Ezugworie JO, Esom EA, Ozoemena FN, Adiri CO, Obikili EN. Femoral head diameters and sex differentiation in Igbos of Nigeria. IJDR 2014 27;4:2519-21. [Google Scholar]
31. Anyanwu LC. Variations of finger dermatoglyphics among the Esan ethnic group of Edo State, Nigeria. Int. J. Mod. Anthr 2020;2(14):275-89. [DOI:10.4314/ijma.v2i14.3]
32. Adekunle AA, Olowo AY, Adetona M, James O, Adamson OO, Agbogidi FO, et al. Variations in facial anthropometric measurements among major ethnic groups in Nigeria: A 3-dimentional stereophotogrammetry analysis. FACE (Thousand Oaks) 2021;2(3):236-43. [DOI:10.1177/27325016211029013]
33. Motulsky HJ. GraphPad Statistics Guide. GraphPad Software Inc., 2020. [URL]
34. Pick JW, Stack JK, Anson BJ. Measurements on the human femur-I. lengths, diameters and angles. Q Bull Northwest Univ Med Sch 1941;15(4):281. [Google Scholar]
35. Park K-W, Garcia R-AN, Rejuso CA, Choi J-W, Song H-R. Limb lengthening in patients with achondroplasia. Yonsei Med. J 2015;56(6):1656-62. [DOI:10.3349/ymj.2015.56.6.1656] [PMID] []
36. Auerbach BM, Ruff CB. Limb bone bilateral asymmetry: variability and commonality among modern humans. J. Hum. Evol. 2006;50(2):203-18. [DOI:10.1016/j.jhevol.2005.09.004] [PMID]
37. Morton BE. Brain executive laterality and hemisity. Personal. Neurosci. 2020;3(e10):e10. [DOI:10.1017/pen.2020.6] [PMID] []
38. Corballis MC. Left brain, right brain: facts and fantasies. PLoS Biol 2014;12(1):e1001767 [DOI:10.1371/journal.pbio.1001767] [PMID] []
39. Barnett AJ, Burston BJ, Atwal N, Gillespie G, Omari AM, Squires B. Large diameter femoral head uncemented total hip replacement to treat fractured neck of femur. Injury. 2009 Jul 1;40(7):752-5. [DOI:10.1016/j.injury.2009.01.009] [PMID]
40. Karampinas PK, Evangelopoulos DS, Vlamis J, Nikolopoulos K, Korres DS. Confronting hip resurfacing and big femoral head replacement gait analysis. Orthop. Rev. (Pavia) 2014;6(1):5221. [DOI:10.4081/or.2014.5221]
41. Katchy AU, Njeze NR, Ezeofor S, Nnamani K. Geometrical analysis of the proximal femur and the clinical application in total hip replacement: A study of the Igbo population of south east Nigeria. Niger. J. Clin. Pract 2019;22(12):1728-36. [DOI:10.4103/njcp.njcp_634_18] [PMID]
42. Sidhu GAS, Kaur H, Singh H, Hind J, Ashwood N. Prospective study showing results of large-diameter femoral heads after cementless total hip replacement. Cureus 2021a;13(1):e12610. [DOI:10.7759/cureus.12610]
43. Crooks VA, Cameron K, Chouinard V, Johnston R, Snyder J, Casey V. Use of medical tourism for hip and knee surgery in osteoarthritis: a qualitative examination of distinctive attitudinal characteristics among Canadian patients. BMC Health Serv. Res 2012;12(1):417. [DOI:10.1186/1472-6963-12-417] [PMID] []

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2025 CC BY-NC 4.0 | Journal of Research in Applied and Basic Medical Sciences

Designed & Developed by : Yektaweb