Fetal ultrasound anatomy and morphometric parameters of the fibula

Authors

DOI:

https://doi.org/10.26641/1997-9665.2023.3.60-67

Keywords:

fibula, morphometry, ultrasound anatomy, fetus, human.

Abstract

Objective. Today, it is impossible to imagine the effective work of obstetricians without using ultrasound examinations. The assessment of skeletal parameters is crucial for the early detection of fetal growth retardation, congenital malformations. Biparietal size, head circumference, abdominal circumference, and femur length are measured during a routine ultrasound. However, if there is any suspicion of any skeletal abnormality or intrauterine growth retardation, other long tubular bones should be additionally measured. The purpose of the research was to investigate the morphometric parameters of the length of the right and left fibula bones and to establish correlations between the lengths of the right and left fibula bones and the length of the corresponding lower limb during the fetal period of human development and the parietal-coccygeal length of the fetus. Methods. Ultrasound of the leg bones of 30 human fetuses was performed by the agreement on cooperation between "YUZKO MEDICAL CENTER" and the institution of higher education, Bukovynian State Medical University. A morphometric study was carried out on specimens of the lower extremities of 39 human fetuses of 81.0-375.0 mm parietal-coccygeal length. Statistical calculations were carried out using the built-in capabilities of MS Excel. The results. From the 4th to the 10th month of fetal stage, the length of the right fibula grows 2.66 times (from 23.90±2.29 mm to 63.63±1.04 mm). It is worth noting that the length of the left fibula also increases by 2.66 times - from 24.09±1.58 mm to 64.1±0.87 mm, respectively. Conclusion. Analysis of the obtained data indicates relatively uniform growth of the length of the right and left fibula bones during the fetal period of human ontogenesis. Two periods of intense growth in the length of the right and left fibula bones in human fetuses were found: from the end of the 5th to the end of the 6th month and from the end of the 7th to the middle of the 8th month. The slow increase in the length of the fibula bones occurs in the 4th and 9-10 months of fetal development.

References

  1. Žaliūnas B, Bartkevičienė D, Drąsutienė G, Utkus A, Kurmanavičius J. Fetal biometry: Relevance in obstetrical practice. Medicina (Kaunas). 2017;53(6):357-364. DOI: 10.1016/j.medici.2018. 01.004
  2. Baumgart M, Wiśniewski M, Grzonkowska M, Badura M, Szpinda M, Pawlak-Osińska K. Morphometric study of the primary ossification center of the fibular shaft in the human fetus. Surg Radiol Anat. 2019;41(3):297-305. DOI: 10.1007/s00276-018-2147-5
  3. Georgescu T, Ionescu O, Toader OD, Bacalbasa N, Pop LG. Fibular hemimelia. J Med Life. 2022;15(4):587-588. DOI: 10.25122/jml-2021-0397
  4. Nishimura G, Handa A, Miyazaki O, Tsujioka Y, Murotsuki J, Sawai H, et al. Prenatal diagnosis of bone dysplasias. Br J Radiol. 2023;96(1147):20221025. DOI: 10.1259/bjr. 20221025
  5. Rybak VY, Marinchyna IM. [Prevention of fetal growth retardation]. In: [Proceedings of the 3rd International Scientific and Practical Internet Conference Ways of Science Development in Modern Crisis Conditions; 2022 Jun 2-3; Dnipro, Ukraine]. 2022. Ukrainian.
  6. Baschat AA. Planning management and delivery of the growth-restricted fetus. Best Pract Res Clin Obstet Gynaecol. 2018;49:53-65. DOI: 10.1016/j.bpobgyn.2018.02.009
  7. Broere-Brown ZA, Schalekamp-Timmermans S, Jaddoe VWV, Steegers EAP. Deceleration of fetal growth rate as alternative predictor for childhood outcomes: a birth cohort study. BMC Pregnancy Childbirth. 2019;19(1):216. DOI: 10.1186/s12884-019-2358-8
  8. Aggarwal N, Sharma GL. Fetal ultrasound parameters: Reference values for a local perspective. Indian J Radiol Imaging. 2020;30(2):149-155. DOI: 10.4103/ijri.ijri_287_19
  9. Hryhorieva PV. [Morphometric Characteristics of the Thigh Bone in Human Fetuses]. Ukrainian Journal of Medicine, Biology and Sport. 2018;6(4):38-43. Ukrainian.
  10. Kelly PM, Diméglio A. Lower-limb growth: how predictable are predictions? J Child Orthop. 2008;2(6):407-415. DOI: 10.1007/s11832-008-0119-8
  11. Ohuma EO, Villar J, Feng Y, Xiao L, Salomon L, Barros FC. Fetal growth velocity standards from the Fetal Growth Longitudinal Study of the INTERGROWTH-21st Project. Am J Obstet Gynecol. 2021;224(2):208. DOI: 10.1016/j.ajog.2020.07.054
  12. Papageorghiou AT, Ohuma EO, Altman DG, Tullia Todros, Leila Cheikh Ismail, Ann Lambert. International standards for fetal growth based on serial ultrasound measurements: the Fetal Growth Longitudinal Study of the INTERGROWTH-21st Project. Lancet. 2014;384(9946):869-879. DOI: 10.1016/s0140-6736(14)61490-2
  13. Kelly PM, Diméglio A. Lower-limb growth: how predictable are predictions? J Child Orthop. 2008;2(6):407-415. DOI: 10.1007/s11832-008-0119-8
  14. Merialdi M, Widmer M, Gülmezoglu AM, Abdel-Aleem H, Bega G, Benachi A. WHO multicentre study for the development of growth standards from fetal life to childhood: the fetal component. BMC Pregnancy Childbirth. 2014;14:157. DOI: 10.1186/1471-2393-14-157
  15. Hani S, Chalouhi G, Lakissian Z, Sharara-Chami R. Introduction of Ultrasound Simulation in Medical Education: Exploratory Study. JMIR Med Educ. 2019;5(2):13568. DOI: 10.2196/13568
  16. Shanks A, Darwish A, Cook M, Asencio I, Rouse C. Integration of ultrasound simulation to improve medical student knowledge and satisfaction on the obstetrics and gynecology clerkship. AJOG Glob Rep. 2023;3(3):100228. DOI: 10.1016/ j.xagr.2023.100228.

Published

2023-10-31

How to Cite

Komar , T., Khmara , T., Khodan , A., Halaturnyk , I., & Kovalchuk , P. (2023). Fetal ultrasound anatomy and morphometric parameters of the fibula. Морфологія / Morphologia / Morfologìâ, 17(3), 60–67. https://doi.org/10.26641/1997-9665.2023.3.60-67

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