Anthropometric characterisation of elbow angles and lines among Tibetan children (3–13 years) seeking refugee in India: A comparison survey

Background: Various radiological criteria based on anthropometric parameters are used to understand injuries on paediatric elbow and for checking the degree of reduction after manipulation. The anthropometric parameters of Caucasians are different from European and mongoloids, their parameters cannot be applied across different population groups living in India. Hence, there is a need to characterise anthropometric parameters of elbow among children of different ethnicity living in Indian. Materials and Methods: The study population comprised of all cases of injury to the elbow joint between 3 and 13 years of age reporting to the Department of Orthopaedics during the study and belonging to Tibetan population seeking refuge in India. The X-rays films were preserved and the angles and lines (as anthropometric parameters) were drawn on the radiographs. Results: The mean value for Baumann angle in males was 72° with standard deviation (SD) of 2.75 and in girls was 73° with SD of 1.41. The mean lateral capitellohumeral angle in children from 3 to 13 years of age was 45.33° ± 3.97°. The anterior humeral line passed through middle one-third of capitellum in 86.6%. The radiocapitellar intersection occurred in 100% of the cases with radiocapitellar bisection reported on 86.6% of the X-rays films. Conclusion: As the values of two population; Indian and Tibetan differ, establishing comparisons can significantly affect the outcome while managing elbow injuries.

[1]  Vipin Sharma,et al.  Anthropometric characterisation of elbow angles and lines among Indian children , 2017 .

[2]  T. Wren,et al.  A Line Drawn Along the Radial Shaft Misses the Capitellum in 16% of Radiographs of Normal Elbows , 2014, Journal of pediatric orthopedics.

[3]  Thomas M. Jinguji,et al.  The Lateral Capitellohumeral Angle in Normal Children: Mean, Variation, and Reliability in Comparison to Baumann's Angle , 2011, Journal of pediatric orthopedics.

[4]  P. Majumder The Human Genetic History of South Asia , 2010, Current Biology.

[5]  M. Herman,et al.  Relationship of the anterior humeral line to the capitellar ossific nucleus: variability with age. , 2009, The Journal of bone and joint surgery. American volume.

[6]  R. Mosheiff,et al.  Underreduced Supracondylar Fracture of the Humerus in Children: Clinical Significance at Skeletal Maturity , 2007, Journal of pediatric orthopedics.

[7]  R. Duncan,et al.  Closed reduction and percutaneous fixation of displaced paediatric supracondylar fractures of the elbow , 2004 .

[8]  M. Macnicol,et al.  Guidelines and pitfalls in the management of supracondylar humerus fractures in children , 2001 .

[9]  Leung Kk Characteristics of the Baumann's angle in Hong Kong Chinese children. , 1997 .

[10]  W. Cole,et al.  Normal characteristics of the Baumann (humerocapitellar) angle: an aid in assessment of supracondylar fractures. , 1992, Journal of pediatric orthopedics.

[11]  G. W. Woods,et al.  Elbow instability and medial epicondyle fractures , 1977, The American journal of sports medicine.