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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Determination of the umbilicus position in Japanese children
Isamu Saeki1, Sho Kurihara1, Masato Kojima1
1Department of Pediatric Surgery, Hiroshima University Hospital, Hiroshima, Japan.
Insights
The anterior superior iliac spine to umbilicus (AU) angle, measured via CT scans, is a reliable indicator for determining umbilical position in children. This method offers greater accuracy than surface measurements.
Area of Science:
- Anatomy
- Medical Imaging
- Pediatrics
Background:
- Traditional umbilical position measurements rely on external landmarks, potentially lacking precision.
- Accurate anatomical reference points are crucial for pediatric assessments and surgical planning.
Purpose of the Study:
- To establish a precise method for determining the normal umbilical position in children using computed tomography (CT).
- To evaluate specific angular measurements as predictors of umbilical location.
Main Methods:
- Retrospective analysis of CT scans from 120 Japanese children (60 boys, 60 girls).
- Measurement of the anterior superior iliac spine to umbilicus (AU) angle, iliac crest to umbilicus (IU) angle, and umbilical-pubic symphysis length ratios.
- Statistical analysis to identify significant differences and variations.
Main Results:
- The AU angle demonstrated the least data variation (mean 33.7° ± 5.1°).
- A statistically significant difference in AU angle was observed between boys and girls (p=0.04).
- Defining the umbilicus position by AU angle (33° for boys, 35° for girls) accurately located 95.8% of children within ±10°.
Conclusions:
- The AU angle is identified as the most reliable predictor for the normal umbilical position in children.
- CT-based AU angle measurements provide a more accurate and consistent assessment compared to surface-based methods.
Background:
Although there have been many reports concerning the normal position of the umbilicus, the measurements were performed from the surface of the body in all cases. We examined computed tomography (CT) images to determine the accurate position of the umbilicus in children.
Methods:
We retrospectively examined the CT data of 120 Japanese children (60 boys, 60 girls). The angle between both iliac crests to the umbilicus (IU angle), the angle between both anterior superior iliac spines and the umbilicus (AU angle), and the ratio of the length from the xiphoid process to the umbilicus and length from the umbilicus to the pubic symphysis were measured.
Results:
The mean AU angle was 33.7° ± 5.1°, showing the least data variations. A significant difference was noted in the AU angle between boys and girls (32.7° ± 4.6° and 34.6° ± 5.4° respectively; p = 0.04). When we defined the position of the umbilicus as an AU angle of 33° in boys and 35° in girls, 115 children (95.8%) fell within ±10°.
Conclusions:
The AU angle is the preferable predictor of the umbilicus position in children.
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