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“ COMPARISION ANTHROPOMETRIC

MEASUREMENT BETWEEN AUTISM AND NORMAL


HEALTHY CHILD”

Submitted to the Integral Institute of Medical Sciences and Research,


Integral University
In partial fulfillment of the requirements for the degree of

MASTER OF SCIENCE IN
MEDICAL ANATOMY

DEPARTMENT OF ANATOMY
INTEGRAL INSTITUTE OF MEDICAL SCIENCES AND RESEARCH,
INTEGRAL UNIVERSITY, LUCKNOW

Submitted By

Ashok Kumar
M.Sc. Medical Anatomy
Session 2022-22

UNDER THE GUIDANCE OF

Dr. Mahboobul Haque


(Professor & Head)
Department of Anatomy
IIMSR, Integral University
INTRODUCTION
The femur is the largest and strongest bone of the human body.
Morphologically it is a typical long bone. The head of the femur forms the hip
joint with the hip bone and the lower part of the femur forms the knee joint with
the tibia. It form the skeleton of the thigh,so it is called thigh bone, bears body
weight in erect posture, supports movement of legs, provides attachment to
muscles.
In clinical practice dislocation of the hip joint and fracture neck of femur is
very common in elderly people. The knowledge about dimension of the head
and neck of the femur is essential in orthopedic surgery for prosthesis and
implant application.
The femoral normative values are also essential to plastic and reconstructive
surgeons in theirreconstructionand medical rehabilitation. So this type of study
has a vital role in anatomy and orthopedic surgery, reconstructive surgery,
medical rehabilitation, sports science.
Now a day operation on the proximal end of femur are very common in the
practice of the orthopedicsurgeryhemi Total hip Arthroplasty(THA).These
operation aim to restorethe anatomy (alignment) of the proximal part of femur
to as near normal as possible for optimal hip function. Therefor morphometric
data is very useful in hemi and TotalHip Arthroplasty surgery. Selection of type
and dimension hip implant for a patient who is taking hemi or total hip
replacement is not a proven procedure. The surgeons normally take a
radiographic image of the patient’s hip and than estimates the size of the
prosthetic as part of the pre operation planning.
The surgeon then keeps a selection of head at the operating theatre, where
during the procedure,they measure the diameter of the femur head once it is
removed. After using avernier caliper to measure the diameter of the femur
head.The implant is selected in the operating theatre and used in surgery. This
study help surgeons to select the best fit implant option before a hip
Arthroplasty.

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REVIEW OF LITERATURE
Chowdhury MS et al[1] conducted a morphometric study on 199 fully
ossifiedfemurs of which89 were male specimensand 110 were female
specimens. They found that the average femoral diameter of head was 5.84+-
0.42mm and 4.06+-0.18 mm in males and females respectively.

Athapattu M et al[2] measured the diameter of femoral head using ring gauge
vernier caliper, on x ray and CT scan and compared the measurement. They
found out there was no major difference in the diameter measured by different
methods.

Lingamdenne EP et al[3]conducted an anthropometric study on femur in the


region of Hyderabad and Secunderabad. They found that themean vertical
diameter of femoral head was 4.23cm with minimumdiameter 1.14 cm and
maximum 5.02 cm respectively.

Verma M et al [4] conducted a study on morphometry of proximal femur in


Indianpopulation.They found that the average femoral head diameter was
42.32mm and average femoral neck length was 44.75mm. They also concluded
that femoral head diameter had a high correlation with neck thicknessand
length.

SiwachR [5] conductedan anthropometric study of 150 proximal femoral


geometry, in the age group of 20-80 years on cadaver. Hecompared the actual
measurement with values obtained on radiology.He proposed that the various
femoral implants designedfor western populationshould be used judiciously in
Indian population and implants to be designed to match the morphology of
Indian bones.

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Rashid S et al [6] studied femoral head morphometry in 80 dry femur
bones.They found that the mean vertical head diameter of right and left sides
were 43.51mm and 43.16mm respectively.

AIM AND OBJECTIVES


AIM-Measurement of proximal femoral dimension.

OBJECTIVES-
A.Measurement of diameter of head of femur.
B. Measurement of length of Neck of femur.

MATERIAL AND METHOD


The study will be conducted on 30 dry femur bones of unknown age and sex
which will be obtained from the department of anatomy IIMS&R ,Integral
University Lucknow (U.P.) and Hind Institute of Medical Sciences
SafedabadBarabanki (U.P.) All the femurs will be marked for identification.

INCLUSION CRITERIA -fully ossified femur.

EXCLUSION CRITERIA- Damaged femur, femur withsigns of fracture and


deformed femur.

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METHOD

(1) Measurement of diameter of femoral head


The fixed jaw of the digital caliper will be placed on the superior and the sliding
jaw will be placed on the inferior surface of the head of the femur.Three reading
will be taken were taken and the maximum reading will be recorded as vertical
diameter of head of the femur.

(2).Measurement of length of femoral neck:-was taken distance between in


the inferior(lower) region of base line of femoral head to the midpoint of
intertrochanteric line.The fixed jaw of the digital will be placed on inferior
region of base line of femoral head and the sliding jaw will be placed on
midpoint of intertrochantericline.

(3). Upper end of all the femur will be radiographed on an anterio-posterio


plane(AP plane) with their identification mark.
Diameter of head and length of neck of the femur will be measured from the
radiograph.
Measurement obtained from the bone and from the radiographs will the
compared and analyzedstatistically.

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REFERENCES
1.Chowdhury,M. Naushaba, H.chowdhury,A.khan.L.&Ara, J.
(2012).Morphometric study of fully ossified head and neck diameter of the
human left femur.Journal of Dhaka national medical college &Hospital,
2012;18(2)9-13.

2. Athapattu, M. Saveh,A. Kazemi,S.Wang,B, an& Chizari,M.


(2014).Measurement of the Femoral Head Diameter at Hemiarthroplasty of the
Hip.procedia Technology 17(2014) 217-222.

3. Lingamdenne,P,&Marakapa,P.(2016).Examination evaluation and statistical


analysis of human femoral anthropometry in Hyderabad and Secunderabad
region, India .Indian Journal of Clinical Anatomy And Physiology,3(4),427-
432.

4. Verma, M.(2017).Morphometry of Proximal femur in Indian


population.Journal of clinical and diagnostic reserch.2017 feb.vol-11 (2):
AC01-AC04.

5. Siwach,R.(2018). Anthropometric Study of Proximal Femur Geometry and


Its Clinical Application.Annals of the national Academy of medical
Sciences(India),54(04),pp.203-215.

6. Rashid, S,(2019).anatomical study of femoral head dimension .International


Journal of Advanced Research,7 (8),pp.750-753.

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