Femoral varus angle
Femoral varus angle
- Acronym: FVA
Definition
The femoral varus angle (FVA) is a measurement used to assess angular deformities of the femur and provide guidance for corrections. It is determined from a ventrodorsal radiograph of the hips or multiplanar reconstructed CT images of the femur.
For radiographic acquisition, the dog is positioned in dorsal recumbency, pelvic limbs extended caudally, femurs parallel to each other. Positioning is considered satisfactory if :
the pelvis is symmetrical: the iliums and obturator foramina are symmetrical.
the femur cortex pass through the middle of the sesamoid bones of the gastrocnemius muscle
the patellas are centred on the trochlea of the femur.
The femoral varus angle is measured as the angle between the anatomic femoral axis in the frontal plane and the line perpendicular to the distal femoral joint orientation line.
The following values have been published for the femoral varus angle in healthy dogs:
Small breeds: 5.5° (min 3–max 23) (Radiography) Garnoeva et al. 2018
Medium to large breeds: 9.4 +/- 2.3° (Radiography) Dudley et al. 2006
Pomeranian: 5.85 +/- 3.18° (Radiography) Soparat et al. 2012
Toy Poodle: 4.4 +/- 4.1° (Radiography) Yasukawa et al. 2016
Yorkshire terrier: 5.63 +/- 2.11° (Radiography) Žilinčík et al. 2018
Toy Poodle: 0.3 +/- 2.8 (CT) Yasukawa et al. 2016
Medium to large breeds: 8.8 +/- 3.3 (CT) Dudley et al. 2006
References
Garnoeva, R, Roydev, R, Paskalev, M et al. Radiographic measures of pelvic limb malalignment in small breed dogs with various grades of medial patellar luxation. Comp Clin Pathol 2018;27, 1551–1555. doi.org/10.1007/s00580-018-2772-8
Dudley RM, Kowaleski MP, Drost WT, Dyce J. Radiographic and computed tomographic determination of femoral varus and torsion in the dog. Vet Radiol Ultrasound. 2006 Oct-Nov;47(6):546-52. doi: 10.1111/j.1740-8261.2006.00184.x.
Soparat C, Wangdee C, Chuthatep S, Kalpravidh M. Radiographic measurement for femoral varus in Pomeranian dogs with and without medial patellar luxation. Vet Comp Orthop Traumatol. 2012;25(3):197-201. doi: 10.3415/VCOT-11-04-0057. Epub 2012 Jan 27.
Žilinčík M, Hluchý M, Takáč L, Ledecký V. Comparison of Radiographic Measurements of the Femur in Yorkshire Terriers with and without Medial Patellar Luxation. Vet Comp Orthop Traumatol. 2018 Jan;31(1):17-22. doi: 10.3415/VCOT-17-01-0018. Epub 2018 Jan 11.
Yasukawa S, Edamura K, Tanegashima K, Seki M, Teshima K, Asano K, Nakayama T, Hayashi K. Evaluation of bone deformities of the femur, tibia, and patella in Toy Poodles with medial patellar luxation using computed tomography. Vet Comp Orthop Traumatol. 2016;29(1):29-38. doi: 10.3415/VCOT-15-05-0089. Epub 2015 Dec 7.