Talus Kemiğinin Bazı Morfolojik ve Morfometrik Özelliklerinin Değerlendirilmesi

Öz

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.

Anahtar Kelimeler

• Talus
• Morfometri
• Caput tali
• Sulcus tali
• Trochlea tali

Evaluation of Some Morphological and Morphometric Properties of Talus

Öz

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.

Anahtar Kelimeler

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

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