IJCRR - 7(15), August, 2015
Pages: 17-20
ASSESSMENT OF BOHLER'S AND GISSANE’S ANGLES OF THE CALCANEUM IN A GROUP OF SOUTH INDIAN POPULATION - A RADIOLOGICAL STUDY
Author: Rahe Ramachandran, Shailaja Shetty
Category: Healthcare
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Abstract:
Calcaneus is the largest tarsal bone designed to withstand the daily stresses of weight bearing. Bohler’s and Gissane’s angles are subtended by the Calcaneus, these angles are used in the assessment of Calcaneal fractures.
Objective: Measuring the Bohler’s and Gissane’s angles from computed ankle radiographs and comparing the results with previous studies.
Materials and Methods: This study was done in M.S. Ramaiah teaching hospital and M.S. Ramaiah memorial hospitals, Bangalore, India. Study was conducted on 92 patients older than 17 years. The angles were measured and the variation in range was compared with that of the previous studies.
Observation and Results: From this study it was observed that the Bohler’s angle ranges between 18.7 – 46.2 degrees. Gissane’s angle ranges between 87.5 – 137.8 degrees. The normal international reference values are; Bohler’s angle 280 to 400 and Gissane’s angle 1200 to 1400. The lower limit of Bohler’s angle in our study group, like few other studies is found to be much less than the reference values which is used to diagnose Calcaneal fractures.
Conclusion: The range of Bohler’s and Gissane’s angles in the Indian population is much less when compared to the standard reference values, indicating that range of the angles is variable in different population groups. Hence knowledge of the exact range of the angles in a specific population group aids in accurate diagnosis and meticulous treatment of Calcaneal fractures.
Keywords: Calcaneal angle, Measurement, Ankle fractures
Citation:
Rahe Ramachandran, Shailaja Shetty. ASSESSMENT OF BOHLER'S AND GISSANE’S ANGLES OF THE CALCANEUM IN A GROUP OF SOUTH INDIAN POPULATION - A RADIOLOGICAL STUDY International Journal of Current Research and Review. 7(15), August, 17-20
References:
1. Sonin AH, Boles CA, Roger LF. Skeletal Trauma. In: Grainger RG, Alleson DJ, Adam A, Dixon AK, editors. Diagnostic Radiology. 4th ed. Vol 3. London, UK: Elsevier Churchill Livingstone; 2001. p. 1813.
2. Yochum TR, Rowe LJ. Essentials Of Skeletal Radiology. 3rd ed. Vol 1. Philadelphia: Lippincott Williams And Wilkins; 1996. p. 241.
3. Didia BC, Dimkpa JN. The calcaneal angle in Nigerians. Relationship to sex, age, and side of the body. J Am Podiatr Med Assoc 1999;89:472-4.
4. Igbigbi PS, Mutesasira AN. Calcaneal angle in Ugandans. Clin Anat 2003;16:328-30.
5. Shoukry FA, Aref YK, Sabry AE. Evaluation of the normal calcaneal angl
6. Chen MY, Bohrer SP, Kelley TF. Boehler’s angle: a reappraisal. Ann Emerg Med 1991;20:122-4.
7. Khoshhal KI, Ibrahim AF, Al-Nakshabandi NA, Zamzam MM, Al-Boukai AA, Zamzami MM. Bohler’s and Gissane’s angles of the calcaneus in the Saudi population. Saudi Med J 2004;25:1967-70.
8. Seyahi A, Uludag S, Koyuncu LO, Atalar AC, Demerhan M. The calcaneal angles in the Turkish population. Acta Orthop Traumatol Turc 2009;43:406-11.
9. Boyle MJ, Walker CG, Crawford HA. The paediatric Bohler’s angle and crucial angle of Gissane: a case series. Journal of Orthopaedic Surgery and Research 2011;6:2-5.
10. Daftary A, Haims AH, Baumgaertner MR. Fractures of the calcaneus: a review with emphasis on CT. Radiographics. 2005;25(5):1215–26.
11. Sanders R. Displaced intra-articular fractures of the calcaneus. The Journal Of Bone And Joint Surgery 2000;82a:225-50.
12. Schepers T, Ginai AZ, Mulder PG, Patka P. Radiographic evaluation of calcaneal fractures; To measure or not to measure. Skeletal Radiol 2007;36(9):847-52.
13. Canale ST. Campbell’s operative orthopaedics, 10th edition. Fractures and dislocations of foot. Murphy GA. Philadelphia, Pennsylvania: Mosby, Elsevier; 2003: 4231- 47.
14. Gupta MK. An outcome evaluation of operative compared with non operative management of intra-articular Calcaneum fractures [unpublished dissertation]. M.S.Ramaiah medical college: Rajiv Gandhi University Of Health Sciences; 2011.
15. Schepers T, Patka P. Intra-articular calcaneal fractures; A review of the literature. Ned Tijdschr Trauma 2008;16(2):40-7.
16. Meraj A, Zahid M, Ahmad S. Management of intra-articular calcaneal fractures by minimally invasive sinus tarsi approachearly results. Malay Orthop J 2012;6:13–17.
17. Bakker B, Halm JA, Van Lieshout EM, Schepers T. The fate of Böhler’s angle in conservatively treated displaced intra-articular calcaneal fractures. Int Orthop 2012 Dec;36(12):2495-9.
18. Schepers T, Vogels LMM, Schipper IB, Patka P. Percutaneous reduction and fixation of intra-articular calcaneal fractures. Oper Orthop Traumatol 2008;20(2):168-175.
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