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N.Bhanu
Sudha
Parimala,
D.
Suma
Devi,
S.
Muralidhar
Reddy.
A
STUDY
OF
MORPHOLOGY
AND
TYPES
OF
TALAR
ARTICULAR
FACETS
IN
ADULT
HUMAN
CALCANEII
OF
ANDHRA
REGION.
Int
J
Anatomy
Res
2016;4(4):3209-3214.
DOI:
10.16965/ijar.2016.440.
Type of Article: Original Research
DOI: http://dx.doi.org/10.16965/ijar.2016.440
Page No.: 3209-3214
A
STUDY
OF
MORPHOLOGY
AND
TYPES
OF
TALAR
ARTICULAR
FACETS
IN
ADULT
HUMAN
CALCANEII
OF
ANDHRA
REGION
N.Bhanu Sudha Parimala *
1
, D. Suma Devi
2
, S. Muralidhar Reddy
3
.
1
Associate Professor, Department of Anatomy, N.R.I Medical College, Chinakakani, Guntur District,Andhra Pradesh, India.
2
Assistant Professor, Department of Anatomy, N.R.I Medical College, Chinakakani, Guntur District,Andhra Pradesh, India.
3
Professor & HOD, Department of Anatomy, N.R.I Medical College, Chinakakani, Guntur District,Andhra Pradesh, India.
Address
of
Corresponding
Author:
Dr.
N.
B.
S.
Parimala,
MBBS,
M.
D.
(Anatomy),
Associate
Professor,
Department
of
Anatomy,
N.R.I
Medical
College,
Chinakakani, Guntur District,Andhra Pradesh, INDIA. Mob: +919440791896
E-Mail:
nbsparimala @gmail .com
ABSTRACT
Introduction:
The
calcaneum
articulates
with
talus
by
three
facets.
They
are
anterior,
middle
or
sustentacular
and
posterior
facets.
There
is
good
number
of
studies
conducted
on
these
facets
all
over
the
world
and
in
different
regions
of
India
but
not
in
Andhra
region.
Owing
to
its
morphological,
functional
and
surgical importance in relation to maintenance of stability of sub talar joint the study was under taken.
Materials
and
Methods:
88
dry
calcaneii
available
in
the
Department
of
Anatomy,
NRI
Medical
College
were
taken
for
the
present
study.
The
specimens
included
both
right
and
left
sided
calcaneii
of
both
sexes
.The
study
was
conducted
on
type
of
arrangement,
surface
area(S)
and
distances
(D)
between
the
facets.
Observations:
The
present
study
followed
recent
classification
of
calcaneal
facets
into
5
types.
TYPE
1
-53/88
(60.2%),
TYPE
2-27/88(30.7%),
TYPE
3-
5/88(5.7%),
TYPE
4
-2/88
(2.3%),
TYPE
5
-1/88(1.1%).
All
5
types
were
seen
on
left
side
whereas
type
4
&
5
were
not
seen
on
right
side.
Subtypes
of
Type
2
were done based on distance between anterior & middle facets (DAM) and sub type A with, 2mm separation was the commonest.
Discussion:
Incidence
of
facets
was
compared
with
other
studies.
In
European
studies
the
approximate
ratio
of
Type
I:
Type
2
is
1:2
whereas
in
Indian
studies
it
is
2:1.
In
Type2,
Subtype
A
less
than
2mm
separation
was
commonest
in
the
present
study
but
Subtype
B:
with
2-5mm
separation
was
reported
to
be
common
in
previous
studies.
Morphological
variability
of
the
calcaneal
facets
could
result
from
differences
in
gait
or
other
habits
influencing
these
articular
areas
post-natally
or
it
could
be
indicative
of
genetically
determined
variations.
Facet
morphology
influences
the
stability
of
sub
talar
joint,
accordingly type 2 with osseous tripod was considered to be highly stable.
Conclusion:
The
management
of
intra
articular
calcaneal
fractures
remains
controversial
&
treatment
depends
heavily
on
imaging
findings.
Radiographs
have a limited role and thus MDCT becomes mandatory in clinical evaluation and management of injuries in this region.
KEY WORDS: Sub talar joint, Intra articular fractures, MDCT.
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