IJAR.2020.124

Type of Article:  Original Research

Volume 8; Issue 3.2 (August 2020)

Page No.: 7633-7638

DOI: https://dx.doi.org/10.16965/ijar.2020.124

DEGREE OF SEPARATION BETWEEN ARTICULAR FACETS (ANTERIOR AND MIDDLE) ON ANTERIOR THIRD OF SUPERIOR SURFACE OF THE CALCANEUM IN H.K.E REGION

S. S. Imran 1, Humaira Zainab *2.

1 Associate Professor, Department of Anatomy, M R Medical College, Kalaburgi, Karnataka, India.

*2 Assistant Professor, Department of Anatomy, Khaja Banda Nawaz Institute of Medical Sciences, Faculty of Medicine, Khaja Banda Nawaz University, Kalaburgi, Karnataka, India.

Corresponding Author: Dr. Humaira Zainab, M.D Anatomy, Assistant Professor, Department of Anatomy, Khaja Banda Nawaz Institute of Medical Sciences, Faculty of Medicine, Khaja Banda Nawaz University, Kalaburgi, Karnataka, India. Mobile no- 9502759823
E-Mail: zainabhumaira@gmail.com

ABSTRACT

Background: Calcaneus is  the largest and strongest of tarsal bones of the foot and presents six surfaces out of which, superior surface  shows 3 facets for articulation with the talus namely anterior, middle and posterior talar facets. Anterior two thirds of the calcaneus’s superior surface articulates with the talus. Alignment of these two bones i.e calcaneus and talus is responsible to maintain  the arches of foot and also formation of subtalar joint takes place thus alignment is equally important to maintain joint stability.

Objective: Aim of the present work is to study different patterns of talar articular facets on the calcaneum in order to know degree of separation of facets on anterior third of the calcaneum i.e.,between anterior and middle articular facet and to correlate findings of the present study with other authors study.

Material and methods: The pattern of talar articular facets with reference to their  interfacet distance was studied in 150 dry adult human calcanei of unknown sex and age obtained from H.K.E  region in the year 2017-2019.The data was  statistically analysed.

Results: In Type I, IA was found with a higher percentage(40%) in comparison to IB. In type II, subtype II A was found with highest percentage (14%) and subtype II C was with least percentage ( 0.66%). Out of 110 calcanei in type I, subtype IA were 60 (54.5%) and subtype    IB were 50 (45.4%) . In type II out of 35 calcanei, subtype IIA was found with higher percentage of 60% (21),subtype IIB  was found in 37.1%(13) and subtype IIC was found with least percentage of about 2.85%(1).

Conclusion:  Calcaneal morphology is of clinical significance so as to maintain normal function of the hind foot, stress conduction for weight bearing and joint mobility. During calcaneal osteotomy, care is taken not to damage middle articular facet. So this facetal study is helpful for treatment and surgical point of view.

Key words: Calcaneus, Talus, Articular Facets, Surfaces, Degree, Separation.

REFERENCES

  1. Susan Standring. Gray’s Anatomy, The Anatomical Basis of Clinical Practice. 40th edn. London, UK: Chrchill Livingstone, Elsevier; 2008.
  2. Gupta SC, Gupta CD, Arora AK. Pattern of talar articular facets in Indian calcanei. J. Anat. 1977; 124(3): 651-655.
  3. Mosier KM, Asher M. Tarsal coalitions and peroneal spastic flatfoot. Journal of Bone and Joint surgery. 1984; 7: 976-984. https://doi.org/10.2106/00004623-198466070-00002
  4. Bunning and Barnett. Variations in the talocalcaneal articulations. J.Anat.London.1963;97:643. https://doi.org/10.1007/978-3-642-49684-4_10
  5. Jha and singh. Variations in the articular facets on the superior surface of calcaneus. J.Anat. Soc. India.1972;21(1):40-44.
  6. Bruckner J. Variations in the human subtalar joint. Journal of Orthopaedic and sports physical therapy.1987;8:489-494. https://doi.org/10.2519/jospt.1987.8.10.489 PMid:18797028
  7. Boyan N et al. Morphometric measurement and types of articular facets on the talus and calcaneus in an Antolian population. Int. J. Morphol. 2016; 34(4): 1378-1385. https://doi.org/10.4067/S0717-95022016000400033
  8. Bhanu Sudha Parimala et al. A study of morphology and types of talar articular facets in adult human calcanei of Andhra region.Int J Anat Res. 2016; 4(4): 3209-14. https://doi.org/10.16965/ijar.2016.440
  9. Anjaneyulu K, Philips C, Tamang B K, Kumar A. Patterns of talar articular facets in adult human calcanei from North-East India and their clinical correlation. Asian J. Med. Sci.2014; 5(4): 89-93. https://doi.org/10.3126/ajms.v5i4.9486
  10. Rohin Garg, Neha Dagal, Santosh Kumar, Sushila Shekhawat. Study of patterns of talar articular facets of human calcanei and their clinical implications in population of Rajasthan. Indian Journal of Basis and Applied Medical Research. 2013; 7(2): 643-650.
  11. Nagar SK, Malukar Ojaswini , Kubawat Dharati et al. Types of talar articular facets and morphometric measurements of the human calcaneus bone. National journal of medical research. 2012; 2(2): 128-132.
  12. Uygur M, Atamaz F, Celik S, Pinar Y. The types of talar articular facets and morphometric measurements of the calcaneus bone on Turkish race. Arch orthop trauma surg. 2009; 129: 909-914. https://doi.org/10.1007/s00402-008-0729-0 PMid:18810474
  13. Smith SD, Millar EA. Arthrosis by means of a subtalar polyethelene peg implant for correction of hindfoot pronation in children. Clin Orthop Relat Res. 1983; 181: 15-23. https://doi.org/10.1097/00003086-198312000-00004
  14. Wilde PH, Torode IP, Dickens DR, Cole WG. Resection for symptomatic talocalcaneal coalition. J Bone Joint Surg Br. 1994; 76(5): 797-801. https://doi.org/10.1302/0301-620X.76B5.8083272 PMid:8083272
  15. Anathakrishnan D, Ching R, Tencer A, Hansen ST, Sangeorzan BJ. Subluxation of the talocalcaneal joint in adults who have symptomatic flat foot. J Bone Joint Surg. 1999; 81(8): 1147-54. https://doi.org/10.2106/00004623-199908000-00010 PMid:10466647
  16. Giannini S, Ceccarelli F, Vannini F, Baldi E. Operative treatment of flat foot with talocalcaneal coalition. Clin Orthop Related Res. 2003; 411:178-87. https://doi.org/10.1097/01.blo.0000069897.31220.7a PMid:12782874
  17. Dagan A, Albayrak M, Akman YE, Zorer G. The results of calcaneal lengthening osteotomy for the treatment of flexible pes planovalgus and evaluation of alignment of the foot. Acta Ortop Traumatol Turc. 2006; 40(5): 356-366.

Cite this article: S. S. Imran, Humaira Zainab. DEGREE OF SEPARATION BETWEEN ARTICULAR FACETS (ANTERIOR AND MIDDLE) ON ANTERIOR THIRD OF SUPERIOR SURFACE OF THE CALCANEUM IN H.K.E REGION. Int J Anat Res 2020;8(3.2):7633-7638. DOI: 10.16965/ijar.2020.124