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Bilateral symmetry of the subtalar joint facets and the relationship between the morphology and osteoarthritic changes

There is a paucity in the literature regarding bilateral symmetry between the facets of the subtalar joint. Often surgeons use the contralateral side as a reference when dealing with a fracture or other joint pathology. Moreover, the presence of osteoarthritic (OA) changes in the subtalar joint is s...

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Autores principales: Kleipool, Roeland P., Vuurberg, Gwendolyn, Stufkens, Sjoerd A.S., van der Merwe, Alie E., Oostra, Roelof‐Jan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons, Inc. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7540665/
https://www.ncbi.nlm.nih.gov/pubmed/31749217
http://dx.doi.org/10.1002/ca.23525
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author Kleipool, Roeland P.
Vuurberg, Gwendolyn
Stufkens, Sjoerd A.S.
van der Merwe, Alie E.
Oostra, Roelof‐Jan
author_facet Kleipool, Roeland P.
Vuurberg, Gwendolyn
Stufkens, Sjoerd A.S.
van der Merwe, Alie E.
Oostra, Roelof‐Jan
author_sort Kleipool, Roeland P.
collection PubMed
description There is a paucity in the literature regarding bilateral symmetry between the facets of the subtalar joint. Often surgeons use the contralateral side as a reference when dealing with a fracture or other joint pathology. Moreover, the presence of osteoarthritic (OA) changes in the subtalar joint is suggested to have a relation with its morphology. In this study, we addressed both these issues. Forty pairs of cadaveric tali and calcanei were analyzed by dissection and measurement. Twenty pairs of asymptomatic calcanei were morphologically analyzed by computer tomography imaging. In the cadaveric feet, the length and width of the facets, the number and interfacet connections, the intersection angle, and the presence of OA changes were registered. In the healthy feet, the orientation and curvature of the posterior facet were analyzed based on cylinder fittings. Bilateral symmetry was tested with paired Student's t tests. Significant associations between morphometric parameters and the presence of OA changes were tested with generalized estimating equation logistic regression models. The morphometric data demonstrated a high degree of bilateral symmetry. The types of tali and calcanei between left and right differed in about one‐fifth of the individuals. No significant interactions were found between morphological parameters and the presence of OA changes. Only age had a significant association. There was a high degree of symmetry in the subtalar joints facets. No significant associations were found between OA changes and morphological features, whereas other studies did. Further research is needed to explore this relationship in further detail. Clin. Anat., 33:997–1006, 2020. © 2019 Wiley Periodicals, Inc.
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spelling pubmed-75406652020-10-15 Bilateral symmetry of the subtalar joint facets and the relationship between the morphology and osteoarthritic changes Kleipool, Roeland P. Vuurberg, Gwendolyn Stufkens, Sjoerd A.S. van der Merwe, Alie E. Oostra, Roelof‐Jan Clin Anat Original Communications There is a paucity in the literature regarding bilateral symmetry between the facets of the subtalar joint. Often surgeons use the contralateral side as a reference when dealing with a fracture or other joint pathology. Moreover, the presence of osteoarthritic (OA) changes in the subtalar joint is suggested to have a relation with its morphology. In this study, we addressed both these issues. Forty pairs of cadaveric tali and calcanei were analyzed by dissection and measurement. Twenty pairs of asymptomatic calcanei were morphologically analyzed by computer tomography imaging. In the cadaveric feet, the length and width of the facets, the number and interfacet connections, the intersection angle, and the presence of OA changes were registered. In the healthy feet, the orientation and curvature of the posterior facet were analyzed based on cylinder fittings. Bilateral symmetry was tested with paired Student's t tests. Significant associations between morphometric parameters and the presence of OA changes were tested with generalized estimating equation logistic regression models. The morphometric data demonstrated a high degree of bilateral symmetry. The types of tali and calcanei between left and right differed in about one‐fifth of the individuals. No significant interactions were found between morphological parameters and the presence of OA changes. Only age had a significant association. There was a high degree of symmetry in the subtalar joints facets. No significant associations were found between OA changes and morphological features, whereas other studies did. Further research is needed to explore this relationship in further detail. Clin. Anat., 33:997–1006, 2020. © 2019 Wiley Periodicals, Inc. John Wiley & Sons, Inc. 2019-12-06 2020-10 /pmc/articles/PMC7540665/ /pubmed/31749217 http://dx.doi.org/10.1002/ca.23525 Text en © 2019 The Authors. Clinical Anatomy published by Wiley Periodicals, Inc. on behalf of American Association of Clinical Anatomists. This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Communications
Kleipool, Roeland P.
Vuurberg, Gwendolyn
Stufkens, Sjoerd A.S.
van der Merwe, Alie E.
Oostra, Roelof‐Jan
Bilateral symmetry of the subtalar joint facets and the relationship between the morphology and osteoarthritic changes
title Bilateral symmetry of the subtalar joint facets and the relationship between the morphology and osteoarthritic changes
title_full Bilateral symmetry of the subtalar joint facets and the relationship between the morphology and osteoarthritic changes
title_fullStr Bilateral symmetry of the subtalar joint facets and the relationship between the morphology and osteoarthritic changes
title_full_unstemmed Bilateral symmetry of the subtalar joint facets and the relationship between the morphology and osteoarthritic changes
title_short Bilateral symmetry of the subtalar joint facets and the relationship between the morphology and osteoarthritic changes
title_sort bilateral symmetry of the subtalar joint facets and the relationship between the morphology and osteoarthritic changes
topic Original Communications
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7540665/
https://www.ncbi.nlm.nih.gov/pubmed/31749217
http://dx.doi.org/10.1002/ca.23525
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