Radiologic morphology of the calcaneus: a study of radiologic angles in a pediatric population.

Abstract:

BACKGROUND:The Fowler-Philip, calcaneal pitch, and total calcaneal angles define the radiologic morphology of the rearfoot. We studied these angles in healthy adolescents. METHODS:We studied 141 feet. Patients with inflammatory or traumatic injuries were excluded. The mean participant age was 11.5 years. The Fowler-Philip, calcaneal pitch, and total calcaneal angles were measured on lateral weightbearing radiographs. The statistics included descriptive, sample size (α=0.05 and β=0.20), the Student t test, and analysis of variance; P < .05 was considered significant. RESULTS:The samples were 141 and 35 radiographs for the Fowler-Philip and calcaneal pitch angles, respectively. Ninety percent, 25.1%, and 97.4% of the adolescents had normal Fowler-Philip, calcaneal pitch, and total calcaneal angles, respectively. In addition, 9.9%, 74.9%, and 2.6% of the values were outside the reference ranges, respectively. The Fowler-Philip angle decreased and the calcaneal pitch angle increased significantly with age (P = .0005). The total calcaneal angle did not change with age (P = .65). CONCLUSIONS:The mean angle values in a pediatric population did not differ from those in adults. We found a high percentage of calcaneal pitch angles outside the reference range. Age influenced the Fowler-Philip and calcaneal pitch angles but not the total calcaneal angle.

journal_name

J Am Podiatr Med Assoc

authors

Gutierrez P,Navarro M,Ojeda M

doi

10.7547/1030032

subject

Has Abstract

pub_date

2013-01-01 00:00:00

pages

32-5

issue

1

eissn

8750-7315

issn

1930-8264

pii

103/1/32

journal_volume

103

pub_type

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