Talus Kemiğinin Bazı Morfolojik ve Morfometrik Özelliklerinin Değerlendirilmesi

Year 2022, Volume: 8 Issue: 2, 134 - 138, 31.05.2022

Hasan Barış Ilgaz Mehmet Ülkir

https://doi.org/10.30934/kusbed.1020790

Cited By: 1

Abstract

Amaç: Talus, bacak bölgesi ve ayak bölgesi arasındaki kemik bağlantıyı kuran, vücut ağırlığını destekleyen ve distale doğru dağıtılmasını sağlayan tarsal kemiklerin en proksimalde olanıdır. Bu çalışmada talus’un morfometrik özelliklerini ortaya koymak hedeflenmiştir.
Yöntem: Çalışmada, cinsiyeti ve yaşı bilinmeyen Anadolu erişkin popülasyonundan toplam 87 kuru talus (51 sol, 36 sağ) incelenmiştir. Eklem yüzlerinin tiplendirilmesi yapılmıştır. Ayrıca talusa ait anterior-posterior uzunluk (APU), transvers genişlik (TG), sulcus tali uzunluğu (STU), sulcus tali genişliği (STG), sulcus tali derinliği (STD), trochlea tali uzunluğu (TTU), trochlea tali genişliği (TTG), medial eklem yüzü genişliği (MEYG), medial eklem yüzü yüksekliği (MEYY), lateral eklem yüzü genişliği (LEYG), lateral eklem yüzü yüksekliği (LEYY), sulcus tendinis musculi flexor hallucis longi genişliği (FHG), sulcus tendinis musculi flexor hallucis longi derinliği (FHD), caput tali yüksekliği (CTY), caput tali genişliği (CTG) ve talus yüksekliği (TY) olmak üzere 16 parametre ölçülmüştür.
Bulgular: En çok tip B2 (%75,9) eklem yüzüne sahip talus tespit edilmiştir. APU 54,46±4,81 mm, TG 40,54±3,35 mm, STU 19,44±2,58 mm, STG 5,98±1,20 mm, STD 5,96±1,55 mm, TTU 32,91±3,01 mm, TTG 28,25±3,11 mm, MEYG 29,62±3,37 mm, MEYY 13,53±1,64 mm, LEYG 27,61±3,35 mm, LEYY 25,70±2,57 mm, FHG 7,26±1,66 mm, FHD 3,35±1,00 mm, CTY 26,22±3,10 mm, CTG 24,96±3,47 mm ve TY 30,70±3,14 mm olarak saptanmıştır.
Sonuç: Talus’un normal anatomik yapısının ve morfometrik ölçülerinin bilinmesi, bu bölgeye uygulanan cerrahi girişimler sırasında gelişmesi muhtemel komplikasyonların önlenmesinde önemlidir.

Keywords

Talus, Morfometri, Caput tali, Sulcus tali, Trochlea tali

Evaluation of Some Morphological and Morphometric Properties of Talus

Abstract

Objective: The talus is the most proximal of the tarsal bones that establish the connection between the leg and foot, supporting the body weight and allowing it to be distributed distally. In this study, it is aimed to reveal the morphometric measurements of talus.
Methods: A total of 87 dry talus (51 left, 36 right) were examined. We have classified the tali according to their facets. In addition 16 parameters were measured including, anterior-posterior length (APL), transverse width (TW), sulcus tali length (STL), sulcus tali width (STW), sulcus tali depth (STD), trochlea length (TTL), trochlea width (TTW), medial articular facet width (MAFW), medial articular facet height (MAFH), lateral articular facet width (LAFW), lateral articular facet height (LAFH), sulcus for flexor hallucis longus muscle width (FHW), sulcus depth (FHD), talar head height (THH), talar head width (THW) and talus height (TH).
Results: Most of the tali were in type B2 (75.9%). We have measured APL 54.46±4.81 mm, TW 40.54±3.35 mm, STL 19.44±2.58 mm, STW 5.98±1.20 mm, STD 5.96±1.55 mm, TTL 32.91±3.01 mm, TTW 28.25±3.11 mm, MAFW 29.62±3.37 mm, MAFH 13.53±1.64 mm, LAFW 27.61±3.35 mm, LAFH 25.70±2.57 mm, FHW 7.26±1.66 mm, FHD 3.35±1.00 mm, THH 26.22±3.10 mm, THW 24.96±3.47 mm and TH 30.70±3.14 mm.
Conclusion: Knowing the normal anatomy of the talus is important in preventing possible complications during surgical interventions applied to this area.

Keywords

Talus, Morphometrics, Head of talus, Sulcus tali, Trochlea of talus

References

• Standring S. Gray's anatomy e-book: the anatomical basis of clinical practice. Elsevier Health Sciences; 2015.
• Chan CW, Rudins A. Foot biomechanics during walking and running. Elsevier; 1994:448-461.
• Keith L, Arthur F, Anne M. Moore Clinically Oriented Anatomy. Bioscience. 2013:525-542,756.
• McMinn RM. Last's anatomy-regional and applied. London: Churchill Livingstone, 1994; 1994.
• Arıncı K, Elhan A. Anatomi: kemikler, eklemler, kaslar, iç organlar. Güneş Tıp Kitabevleri; 2014.
• Bruckner J. Variations in the human subtalar joint. Journal of Orthopaedic & Sports Physical Therapy. 1987;8(10):489-494.
• Boyan N, Ozsahin E, Kizilkanat E, Soames R, Oguz O. Morphometric measurement and types of articular facets on the talus and calcaneus in an Anatolian population. 2016;
• Prasad SA, Rajasekhar S. Morphometric analysis of talus and calcaneus. Surgical and Radiologic Anatomy. 2019;41(1):9-24.
• Uygur M, Atamaz F, Celik S, Pinar Y. The types of talar articular facets and morphometric measurements of the human calcaneus bone on Turkish race. Archives of orthopaedic and trauma surgery. 2009;129(7):909.
• Jung MH, Choi BY, Lee JY, et al. Types of subtalar joint facets. Surg Radiol Anat. Aug 2015;37(6):629-38. doi:10.1007/s00276-015-1472-1
• Byers SN. Introduction to forensic anthropology. Taylor & Francis; 2016.
• Lee JY, Jung MH, Lee JS, Choi BY, Cho BP. Types of calcaneal articular facets of the talus in Korean. Korean journal of physical anthropology. 2012;25(4):185-192.
• Garg R, Babuta S, Mogra K, Parashar R, Shekhawat S. Study of Variations in Pattern of Calcaneal Articular Facets in Human Tali in the Population of Rajasthan (India). 2013;
• Azra M, Abhaya Prabhu, and N. Balachandra. "An anatomical study on types of calcaneal facets on talus and co relation between squatting facets and angles of neck.". Indian Journal of Clinical Anatomy and Physiology 5.4 (2020): 434-438.
• Mahato NK, Murthy SN. Articular and angular dimensions of the talus: Inter-relationship and biomechanical significance. The foot. 2012;22(2):85-89.
• Motagi MV, Kottapurath SR, Dharwadkar K. Morphometric analyses of human dry tali of South Indian origin. Int J Med Sci Public Health. 2014;4:237.
• Kavya SKL PM. Morphometry of talus - for an anatomically compatible prosthesis. Indian J Clin Anat Physiol. 2019;6(4):438-441.
• Gautham K, Clarista M, Sheela N, Vidyashambhava P. Morphometric analysis of the human tali. CIBTech J Surg. 2013;2(2):64-8.
• Veenatai J. VJ, 2017, Morphometry of Articular Facets of The Body of Talus, IOSR Journal of Dental and Medical Sciences, Volume 16, Issue 5 Ver. III (May. 2017), PP 19-21.
• Shishirkumar DSN, Arunachalam K, Girish VP, "Morphometric Analysis of Superior Articulating Surface of Talus", International Journal of Science and Research (IJSR), Volume 3 Issue 6, June 2014, 2387 - 2391.
• Koshy S, Vettivel S, Selvaraj K. Estimation of length of calcaneum and talus from their bony markers. Forensic science international. 2002;129(3):200-204.
• Tran US, Voracek M. Footedness Is Associated with Self-reported Sporting Performance and Motor Abilities in the General Population. Original Research. Frontiers in Psychology.2016-August-10 2016;7 doi:10.3389/fpsyg.2016.01199