Research Article
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Yaş ve cinsiyete göre Türk populasyonunda Gissane kritik açısı ve Boehler tuber eklem açısının değerlendirilmesi

Year 2022, Volume: 8 Issue: 2, 116 - 122, 30.08.2022
https://doi.org/10.30569/adiyamansaglik.970010

Abstract

Amaç: Yaşları 18-79 arasında değişen Türk populasyonunda Boehler açısını ve Gissane açısını belirlemek amaçlandı.
Gereç ve Yöntem: Bu çalışma retrospektif bir çalışmadır. Boehler açısı ve Gissane açısı ölçümleri 236 sağlıklı kişiye ait lateral ayak bileği ve ayak radyografilerinden elde edildi.
Bulgular: Cinsiyet arasında her iki açı parametrelerinde anlamlı farklılık bulunmadı (p=0,283, Boehler açısı için; p=0,485, Gissane açısı için). Ayrıca, yaş gruplarına göre 1.dekattan 7.dekata kadar Boehler açısında bir azalma vardı ve Boehler açısı 7.dekatta tekrar artış gösterdi. Ayrıca, Gissane açısı 2.dekatta en düşük değerine ulaşırken, 7.dekatta maksimum seviyeye ulaştı.
Sonuç: Kalkaneal açı referans değerleri cinsiyet, ırk ve yaş açısından farklılık gösterdi. Kalkaneal açı (Boehler and Gissane açıları) referans değerlerinin bilinmesi klinisyenler, radyologlar ve ortopedistler için sağlıklı populasyonla ilgili referans ve normal değerlerin ortaya konmasını sağlayabilir.   

References

  • Bonnel F, Bonnin M, Canovas M, Chamoun M, Bouyyset M. Bone and joint disorders of foot and ankle: a rheumatological approach (1th. Ed) Springer Berlin Heidelberg 2016; pp 357-366.
  • Arıncı K, Elhan A. Anatomi Kemikler, Eklemler, Kaslar, İç Organlar (6th ed) Güneş Tıp Kitabevleri, Ankara 2016.
  • Koshhal KI, Ibrahim AF, Al-Nikshabandi NA, et al. Böhler's and Gissane's angles of the calcaneus in the Saudi population. Saudi Med J 2004; 25:1967-1970.
  • Udoaka AI, Didia BC. The Calcaneal Bohler’s Angle in Nigerians: A radiologic study. Jour of Med Sc & Tech 2013;2(2):81-83.
  • Ramachandran R, Shetty S. Assessment of Bohler’s and Gissane’s angles of the calcaneum in a group of South Indian population. A radiological study. Int J Cur Res Rev 2015; 7(15):17-20.
  • Labronici PJ, Pinheiro de Faria GG, et al. Böhler’s angle comparison between the pre and postoperative in displaced ıntra-articular calcaneal fractures. Rev Bras Ortop 2019;54:156-164.
  • Sengodan VC, Amruth KH, Kandasamy K. Bohler's and Gissane Angles in the Indian Population. J Clin Imaging Sci 2012:2(77):1-3.
  • Pawar E, Gavhale S, Sharma A, et al. Correlation of Bohler’s angle and role of bone graft in the functional outcome of displaced intra-articular calcaneal fractures. Int J Orthop Sci 2018;4(1):753-758.
  • Mallya S, Kamath R, Hegde A, Annappa R. Can Bohler’s angle predict the functional results of ıntra-articular displaced calcaneal fractures. J Clin and Diagn Res 2018;12(11): RC05-RC07.
  • Bohler L. Diagnosis, pathology and treatment of fractures of the os calcis. J Bone Joint Surg Am 1931;13:75-89.
  • Seyahi A, Uludag S, Koyuncu LO, et al. The calcaneal angles in the Turkish population. Acta Orthop Traumatol Turc 2009;43:406-411.
  • Loucks C, Buckley R. Bohler's angle: correlation with outcome in displaced intraarticular calcaneal fractures. J Orthop Trauma 1999;13:554-558.
  • Chen MY, Bohrer SP, Kelly TF. Bohler’s angle: a reappraisal. Ann Emerg Med 1991;20(2): 122 -124.
  • Didia BC, Dimkpa JN. The calcaneal angle in Nigerians. Relationship to sex, age, and side of the body. J Am Podiatr Med Assoc 1999; 89:472-474.
  • Igbigbi PS, Mutesasira AN. Calcaneal angle in Ugandans. Clin Anat 2003; 16:328-330.
  • Hauser ML, Kroeker RO. Boehler’s angle: a review and study. J Am Podiatry Assoc 1975; 65:517-521.
  • Knight JR, Gross EA, Bradley GH, et al. Boehler’s angle and critical angle of Gissane are of limited use in diagnosing calcaneus fractures in the ED. Am J Emerg Med 2006; 24:423-427.
  • Sanders R. Displaced Intra-Articular Fractures of the Calcaneus. J Bone Joint Surg Am 2000; 82:225-250.
  • Bakker B, Halm JA, Van Lieshout EM, Schepers T. The fate of Böhler’s angle in conservatively treated displaced intra-articular calcaneal fractures. Int Orthop 2012; 36(12):2495-2499.
  • Schepers T, Vogels LMM, Schipper IB, Patka P. Percutaneous reduction and fixation of intra-articular calcaneal fractures. Oper Orthop Traumatol 2008; 20(2):168-175.
  • Shoukry FA, Aref YK, Sabry AA. Evaluation of the normal calcaneal angles in Egyptian population. Alexandria J Med 2012;48:91-97.
  • Simunovic M, Nizić M, Potočki MPDK, Rados M, Zagreb HR. The Boehler angle in the adult Croatian population. European Society of Radiology 2017;1:13.
  • Yang Y, Cheng HW, Xiong ZR, et al. Classification and morphological parameters of the calcaneal talar facet: Which type is more likely to cause osteoarthritis in Chinese Population?. Hindawi BioMed Research International 2019:1-6.
  • Boyle MJ, Walker CG, Crawford HA. The paediatric Bohler's angle and crucial angle of Gissane: a case series. J Orthop Surg Res. 2011 Jan 10;6:2

The determination of the Boehler tuber joint angle and Gissane critical angle in Turkish population according to age and gender

Year 2022, Volume: 8 Issue: 2, 116 - 122, 30.08.2022
https://doi.org/10.30569/adiyamansaglik.970010

Abstract

Aim: Boehler angle and Gissane angle was aimed to determine in Turkish population aged between 18-79 years.
Materials and Methods: It is a retrospective study Boehler angle and the Gissane angle measurements were obtained from lateral ankle-foot radiographs taken from 236 healthy population.
Results: The significance wasn’t found in both two angle parameters between gender (p=0.283 for the Boehler angle; p=0.485 for the Gissane angle). Additionally, according to age groups, there was a decrease in Boehler angle from decade 1 to the decade 7, the Boehler’s angle increased again. Also, the Gissane angle reached a maximum degree in the decade 7, whereas the lowest value obtained in the decade 2.
Conclusion: There were a difference in calcaneal angle reference values in terms of gender, race and age. The knowledge of the calcaneal angles reference values can provide an important data for clinicians, radiologist and orthopedists with reference and normal values for healthy population.

References

  • Bonnel F, Bonnin M, Canovas M, Chamoun M, Bouyyset M. Bone and joint disorders of foot and ankle: a rheumatological approach (1th. Ed) Springer Berlin Heidelberg 2016; pp 357-366.
  • Arıncı K, Elhan A. Anatomi Kemikler, Eklemler, Kaslar, İç Organlar (6th ed) Güneş Tıp Kitabevleri, Ankara 2016.
  • Koshhal KI, Ibrahim AF, Al-Nikshabandi NA, et al. Böhler's and Gissane's angles of the calcaneus in the Saudi population. Saudi Med J 2004; 25:1967-1970.
  • Udoaka AI, Didia BC. The Calcaneal Bohler’s Angle in Nigerians: A radiologic study. Jour of Med Sc & Tech 2013;2(2):81-83.
  • Ramachandran R, Shetty S. Assessment of Bohler’s and Gissane’s angles of the calcaneum in a group of South Indian population. A radiological study. Int J Cur Res Rev 2015; 7(15):17-20.
  • Labronici PJ, Pinheiro de Faria GG, et al. Böhler’s angle comparison between the pre and postoperative in displaced ıntra-articular calcaneal fractures. Rev Bras Ortop 2019;54:156-164.
  • Sengodan VC, Amruth KH, Kandasamy K. Bohler's and Gissane Angles in the Indian Population. J Clin Imaging Sci 2012:2(77):1-3.
  • Pawar E, Gavhale S, Sharma A, et al. Correlation of Bohler’s angle and role of bone graft in the functional outcome of displaced intra-articular calcaneal fractures. Int J Orthop Sci 2018;4(1):753-758.
  • Mallya S, Kamath R, Hegde A, Annappa R. Can Bohler’s angle predict the functional results of ıntra-articular displaced calcaneal fractures. J Clin and Diagn Res 2018;12(11): RC05-RC07.
  • Bohler L. Diagnosis, pathology and treatment of fractures of the os calcis. J Bone Joint Surg Am 1931;13:75-89.
  • Seyahi A, Uludag S, Koyuncu LO, et al. The calcaneal angles in the Turkish population. Acta Orthop Traumatol Turc 2009;43:406-411.
  • Loucks C, Buckley R. Bohler's angle: correlation with outcome in displaced intraarticular calcaneal fractures. J Orthop Trauma 1999;13:554-558.
  • Chen MY, Bohrer SP, Kelly TF. Bohler’s angle: a reappraisal. Ann Emerg Med 1991;20(2): 122 -124.
  • Didia BC, Dimkpa JN. The calcaneal angle in Nigerians. Relationship to sex, age, and side of the body. J Am Podiatr Med Assoc 1999; 89:472-474.
  • Igbigbi PS, Mutesasira AN. Calcaneal angle in Ugandans. Clin Anat 2003; 16:328-330.
  • Hauser ML, Kroeker RO. Boehler’s angle: a review and study. J Am Podiatry Assoc 1975; 65:517-521.
  • Knight JR, Gross EA, Bradley GH, et al. Boehler’s angle and critical angle of Gissane are of limited use in diagnosing calcaneus fractures in the ED. Am J Emerg Med 2006; 24:423-427.
  • Sanders R. Displaced Intra-Articular Fractures of the Calcaneus. J Bone Joint Surg Am 2000; 82:225-250.
  • Bakker B, Halm JA, Van Lieshout EM, Schepers T. The fate of Böhler’s angle in conservatively treated displaced intra-articular calcaneal fractures. Int Orthop 2012; 36(12):2495-2499.
  • Schepers T, Vogels LMM, Schipper IB, Patka P. Percutaneous reduction and fixation of intra-articular calcaneal fractures. Oper Orthop Traumatol 2008; 20(2):168-175.
  • Shoukry FA, Aref YK, Sabry AA. Evaluation of the normal calcaneal angles in Egyptian population. Alexandria J Med 2012;48:91-97.
  • Simunovic M, Nizić M, Potočki MPDK, Rados M, Zagreb HR. The Boehler angle in the adult Croatian population. European Society of Radiology 2017;1:13.
  • Yang Y, Cheng HW, Xiong ZR, et al. Classification and morphological parameters of the calcaneal talar facet: Which type is more likely to cause osteoarthritis in Chinese Population?. Hindawi BioMed Research International 2019:1-6.
  • Boyle MJ, Walker CG, Crawford HA. The paediatric Bohler's angle and crucial angle of Gissane: a case series. J Orthop Surg Res. 2011 Jan 10;6:2
There are 24 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research Article
Authors

Mahmut Oksüzler 0000-0002-3730-5487

Sema Özandaç Polat 0000-0001-7330-4919

Ayşe Gül Kabakcı 0000-0001-7144-8759

Fatma Yasemin Öksüzler 0000-0001-5152-5542

Publication Date August 30, 2022
Submission Date July 12, 2021
Acceptance Date February 28, 2022
Published in Issue Year 2022 Volume: 8 Issue: 2

Cite

AMA Oksüzler M, Özandaç Polat S, Kabakcı AG, Öksüzler FY. The determination of the Boehler tuber joint angle and Gissane critical angle in Turkish population according to age and gender. ADYÜ Sağlık Bilimleri Derg. August 2022;8(2):116-122. doi:10.30569/adiyamansaglik.970010