Correlation between facial asymmetry, shoulder imbalance, and adolescent idiopathic scoliosis.

Jae Young Hong, Seung Woo Suh, Hitesh N. Modi, Jae Hyuk Yang, Young Chul Hwang, Dong Yul Lee, Chang Yong Hur, Young Hwan Park

Research output: Contribution to journalArticle

Abstract

We conducted a prospective cross-sectional study to examine the correlation between facial asymmetry, shoulder imbalance, and adolescent idiopathic scoliosis. Sixty-nine adolescent idiopathic scoliosis patients and 29 healthy volunteers were enrolled in this study. All patients underwent whole-spine standing anteroposterior radiographs and frontal cephalograms. Patients were divided into mild, moderate, and severe groups depending on Cobb angle (10°-25°, 25°-40°, and >40°, respectively). Facial measurements included maxilla height difference, ramus length difference, and anterior nasal spine-menton angle. Shoulder measurements included coracoid height difference, clavicular angle, clavicle-rib intersection difference, and radiographic shoulder height.The anterior nasal spine-menton angle in the severe group (>40°) was higher than in the other groups (P<.05), as was the clavicle-rib intersection difference (P<.05). In addition, the magnitude of the curve showed a possible correlation with the anterior nasal spine-menton angle and clavicle-rib intersection difference in scoliosis patients (r=0.433 and r=0.511, respectively). According to different curve patterns, the anterior nasal spine-menton angle and clavicle-rib intersection difference were significantly higher in the double thoracic group than in the other groups (P<.05). In the correlation analysis, the ramus length difference and anterior nasal spine-menton angle had a possible correlation with the coracoid height difference, clavicular angle, radiographic shoulder height, and clavicle-rib intersection difference (P<.05).

Original languageEnglish
JournalOrthopedics
Volume34
Issue number6
Publication statusPublished - 2011 Jun 1

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Facial Asymmetry
Scoliosis
Clavicle
Ribs
Nose
Spine
Maxilla
Healthy Volunteers
Thorax
Cross-Sectional Studies

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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Correlation between facial asymmetry, shoulder imbalance, and adolescent idiopathic scoliosis. / Hong, Jae Young; Suh, Seung Woo; Modi, Hitesh N.; Yang, Jae Hyuk; Hwang, Young Chul; Lee, Dong Yul; Hur, Chang Yong; Park, Young Hwan.

In: Orthopedics, Vol. 34, No. 6, 01.06.2011.

Research output: Contribution to journalArticle

Hong, Jae Young ; Suh, Seung Woo ; Modi, Hitesh N. ; Yang, Jae Hyuk ; Hwang, Young Chul ; Lee, Dong Yul ; Hur, Chang Yong ; Park, Young Hwan. / Correlation between facial asymmetry, shoulder imbalance, and adolescent idiopathic scoliosis. In: Orthopedics. 2011 ; Vol. 34, No. 6.
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