The relationship between osteochondral lesion of the talus and the foot arch angles in adults: A retrospective study

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dc.contributor.authorboz, mehmet
dc.contributor.authorŞahin, Abdullah Alper
dc.contributor.authorAkçiçek, Mehmet
dc.date.accessioned2025-10-24T18:04:10Z
dc.date.available2025-10-24T18:04:10Z
dc.date.issued2023
dc.departmentMalatya Turgut Özal Üniversitesi
dc.description.abstractAim: The current study aimed to compare the arch angles of the foot, Achilles tendinopa- thy, subcutaneous fat tissue thickness of the heel, and epin calcanei (EC) in patients with osteochondral lesion of the talus (OLT). Materials and Methods: The magnetic resonance images (MRI) of the ankle performed by the radiology clinic between March 2020 and October 2021 were examined. Based on the MRI findings, the patients diagnosed with OLT were included in the study group (n = 55) and those not diagnosed with OLT formed the control group (n = 118). All the patients included in the study were investigated for their demographic characteristics and presence of EC. Weight-bearing lateral X-ray images were used to measure the lateral talus- first metatarsal angle (Meary’s angle), lateral talocalcaneal angle (LTCA), and calcaneal inclination angle (also known as the calcaneal pitch). Results: The study and control groups had no significant difference in terms of gender distribution (P = 0.575). The patients in the study group had a significantly higher mean age than the control group (P < 0.001). Evaluation of the arch angles of the foot showed the patients with OLT to have higher LTCA and calcaneal pitch angles and greater sub- cutaneous fat thicknesses (p < 0.001, p < 0.001, and p = 0.004, respectively). In addition, the study group showed higher rates of patients with EC and Achilles tendinopathy (p = 0.076 and p = 0.019, respectively). According to the binary logistic regression analysis model, each unit of increase in the patients’ age increases the presence of osteochondritis dissecans (OCD) of the talus by 1.063 times (95% confidence interval (CI): 1.012-1.116; P = 0.015). Each unit of increase in LTCA increases the presence of OCD of the talus by 1.360 times (95% CI: 1.219-1.516; P < 0.001). Conclusion: Our study demonstrated that sex had no effect on OLT incidence, whereas changes in the LTCA and pitch angles elevated the risk of OLT. Furthermore, increased age was found to be associated with a higher risk of OLT formation. We also showed that Achilles tendinopathy and EC were significantly higher in patients with OLT. A considerable number of future studies are needed to establish whether this significant relationship is causal.
dc.identifier.doi10.5455/annalsmedres.2022.10.300
dc.identifier.endpage142
dc.identifier.issn2636-7688
dc.identifier.issue1
dc.identifier.startpage138
dc.identifier.trdizinid1162069
dc.identifier.urihttps://doi.org/10.5455/annalsmedres.2022.10.300
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1162069
dc.identifier.urihttps://hdl.handle.net/20.500.12899/2691
dc.identifier.volume30
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.relation.ispartofAnnals of Medical Research
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzTR-Dizin_20251023
dc.subjectBiyoloji
dc.subjectKulak
dc.subjectBurun
dc.subjectBoğaz
dc.subjectGöz Hastalıkları
dc.subjectAnatomi ve Morfoloji
dc.subjectZooloji
dc.subjectCerrahi
dc.subjectOrtopedi
dc.subjectTendinopathy
dc.subjectCalcaneal spur
dc.subjectOsteochondritis dissecans
dc.subjectTalocalcaneal joint
dc.subjectCavus foot
dc.subjectFlat foot
dc.titleThe relationship between osteochondral lesion of the talus and the foot arch angles in adults: A retrospective study
dc.typeArticle

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