关键词: anatomy foraminal index morphology talus vascular foramina

来  源:   DOI:10.7759/cureus.59060   PDF(Pubmed)

Abstract:
Background The talus is the second largest tarsal bone and makes the osseous link between the leg and foot region. The branches of the dorsalis pedis, posterior tibial, and peroneal arteries enter vascular foramina (VF) on the various surfaces of the talus and provide intraosseous blood supply. Understanding the morphology and morphometry of VF might be helpful in reducing the risk of vascular injury associated with surgical interventions to the talus.  Aim and objectives The purpose of this study is to contribute reference data for the morphology of VF of talus in a sample from Türkiye. Materials and methods This study was performed on 62 dry talus samples from Türkiye. The number, location, size, and foraminal index of the VF were evaluated on each talus. The total and medial surface lengths, distances of the closest and furthest foramina on the inferior surface, and distances of the closest and furthest foramina on medial surface were measured. Results No VF was detected on articular surfaces and the head of the talus. The majority of VF (1754; 81.17%) were detected on the neck, and 708 (40.36%) were located on the inferior surface of the neck. On the body, VF was mostly detected on the medial surface (233; 57.25%). The mean foraminal indices of the closest and furthest foramina on the inferior surface were 38.85% and 77.89%, respectively. The mean foraminal index of the closest foramina on the medial surface was 33.52%, and the furthest foramina on the medial surface was 63.91%. The total number of VF on 62 tali was determined as 2161. The majority (1521; 70.38%) of the size of VF was ≥0.6 mm. The mean total length was 55.14±4.69 mm, and the medial surface length was 49.18±4.18 mm. Conclusion Knowing the morphologic and morphometric properties of the VF gains importance during surgical interventions to the talus to reduce vascular damage. According to our results, lateral approaches to the talus may be safer than other approaches. To our knowledge, there is no study about the morphology of VF of the talus in Türkiye samples. We believe that the results of this study will provide reference data for morphology and morphometry of VF of talus.
摘要:
背景技术距骨是第二大的骨,并且在腿和足区域之间形成骨连接。背鳍的树枝,胫骨后端,腓骨动脉进入距骨各个表面的血管孔(VF)并提供骨内供血。了解VF的形态和形态计量学可能有助于降低与距骨手术干预相关的血管损伤风险。目的和目的本研究的目的是为来自Türkiye的样品中的距骨的VF形态提供参考数据。材料和方法本研究对来自Türkiye的62个干燥的距骨样品进行。数字,location,尺寸,在每个距骨上评估VF的椎间孔指数。总表面长度和中间表面长度,下表面最近和最远的孔的距离,并测量了内侧表面上最近和最远的孔的距离。结果在关节表面和距骨头部未检测到VF。大部分VF(1754;81.17%)在颈部检测到,708例(40.36%)位于颈部下表面。在尸体上,VF主要在内侧表面检测到(233;57.25%)。下表面最近和最远的孔的平均孔指数分别为38.85%和77.89%,分别。内侧表面最近孔的平均孔指数为33.52%,内侧表面最远的孔占63.91%。在62个塔利上的VF总数被确定为2161。VF大小的大部分(1521;70.38%)≥0.6mm。平均总长度为55.14±4.69毫米,内侧表面长度为49.18±4.18mm。结论了解VF的形态和形态计量学特性在距骨的手术干预中以减少血管损伤的重要性。根据我们的结果,距骨横向入路可能比其他入路更安全。据我们所知,没有关于Türkiye样品中距骨VF形态的研究。我们相信本研究结果将为距骨VF的形态学和形态计量学提供参考数据。
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