ASSESSMENT OF BOHLER’S AND GISSANE’S ANGLES OF THE CALCANEUM IN A GROUP OF SOUTH INDIAN POPULATION – A RADIOLOGICAL STUDY

ASSESSMENT OF BOHLER’S AND GISSANE’S ANGLES OF THE CALCANEUM IN A GROUP OF SOUTH INDIAN POPULATION – A RADIOLOGICAL STUDY
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对一组南印度人口的跟骨 BOHLER 和 GISSANE 角度的评估 – 一项放射学研究

DOI:
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发表时间:
2015
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通讯作者:
S. Shetty
S. Shetty
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作者:
Rahe Ramachandran;S. Shetty

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跟骨是最大的跗骨,旨在承受日常负重压力。 Bohler 角和 Gissane 角由跟骨所对,这些角度用于评估跟骨骨折。目的:通过计算踝关节 X 线照片测量 Bohler 角和 Gissane 角,并将结果与​​之前的研究进行比较。材料和方法:这项研究是在硕士期间完成的。拉迈亚教学医院和 M.S.印度班加罗尔拉迈亚纪念医院。研究对象是 92 名 17 岁以上的患者。测量了角度并将范围的变化与之前的研究进行了比较。观察和结果:从这项研究中观察到,玻勒角的范围在 18.7 – 46.2 度之间。 Gissane 的角度范围在 87.5 – 137.8 度之间。正常的国际参考值为: Bohler 角为 280 至 400,Gissane 角为 1200 至 1400。与其他少数研究一样,我们研究组的 Bohler 角下限远小于用于诊断跟骨骨折的参考值。结论:与标准参考值相比,印度人群的 Bohler 角和 Gissane 角范围要小得多,表明不同人群的角度范围存在差异。因此,了解特定人群的确切角度范围有助于准确诊断和细致治疗跟骨骨折。
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.