Articulaiıo Talocruralis Morfometrisinin Anatomik Olarak Normal Eklem Yapısına Sahip Bireylerin Radyografilerinde Değerlendirilmesi

Abstract

The traumas of talocrural joint is very common in population. Therefore; the anatomy and morphometry of this joint has a great importance. The aim of this study was to examine the morphometry of talocrural joint in a large series of patients according to age and sex in order to add some new knowledge to the literature. In the thesis study; the talocrural joint radiographs of 274 anatomically normal patients (134 males, 140 females) were examined. The morphometric measurements of the defined parameters were done and their statistical analysis were performed according to age and sex. From our parameters; measurement of the mediolateral diameter of tibia (TML), measurement of the mediolateral diameter of fibula (FML), surface area measurement of trochlea tali (TTA) and SİGMA angles were firstly defined in this study. Additionally; the innermost distance of talocrural joint (ATİ), the outermost distance of talocrural joint (ATD), the angles in between the medial malleolus and talus (DELTA, GAMA), the angles in between the lateral malleolus and talus (ALFA, BETA) and the sagittal measurement of trochlea tali (TSU) were also measured. In the comparison of TML, FML, TTA, ATİ, ATD measurements and ALFA angle in both sexes; they were found to be higher in males than in females. However; TSU, SİGMA and BETA angles were found to be higher in females, when compared with males. The DELTA and GAMA angles were nearly the same in both sexes. These morphometric analyses were performed in a huge number of anatomically normal patients’ radiographs and therefore; we believe that the study will add a new knowledge to the literature, will help to the clinicians who are dealing with the ankle joint and will be useful for the companies who are working on implant technology.