Journal List > J Korean Foot Ankle Soc > v.20(4) > 1043396

Ha, Gwak, Kim, Kim, Lee, Kim, Lee, Ha, and Kim: The Measurement of Normal Talus in Korean Cadaver

Abstract

Purpose:

To investigate the measured values of the talus in Koreans.

Materials and Methods:

We measured 88 tali from 44 cadavers that have been donated between December 2012 and December 2015. Of the cadavers, 27 were male and 17 were female. Their mean age was 73 years. The length and width of the talus were measured using a digital goniometer and vernier caliper.

Results:

The values of cadaveric measurement, mean maximal width and length, width and length of the dome anterior, width and length of the posterior facet, height and length of the trochlear medial facet, and height and length of the trochlear lateral facet were 43.6±2.6 mm, 56.5±3.3 mm, 32.5±2.0 mm, 42.2±2.7 mm, 22.2±2.2 mm, 34.7±2.0 mm, 15.3±1.3 mm, 33.3±2.9 mm, 25.3±3.3 mm, and 30.8±2.4 mm for men and 38.9±1.6 mm, 53.6±2.4 mm, 27.9±2.1 mm, 37.4±3.2 mm, 20.6±0.8 mm, 31.9±1.2 mm, 13.6±2.6 mm, 28.4±2.5 mm, 24.9±2.1 mm, and 28.9±1.4 mm for women, respectively. The size of the talus showed an accuracy of 86% when anteroposterior diameter was greater than 59 mm. A difference in the size of the right and left talus was not observed. The mean inclination and declination angles were 24.4°±4.2° and 28.2°±5.4° for men, and 24.6°±3.6° and 24.7°±6.7° for women (p=0.980, p=0.018), respectively, at least 15°, which showed a big difference for every object up to 37°.

Conclusion:

This paper, to the best of our knowledge, is the first study to measure the talus in Koreans. There were differences by gender and ethnicity in the in measured talus values. The measurements were smaller than European-Americans and greater than Japanese.

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Figure 1.
Actual measurement of total width (longitudinal length from lateral process to talus head) and total length (longitudinal length from talus head to lateral tubercle) of talus in cadaver.
jkfas-20-163f1.tif
Figure 2.
Actual measurement of anterior width (longitudinal length from medial edge of talar dome to lateral edge of talar dome surface at the highest) and length (longitudinal length from anterior edge of talar dome to posterior edge of talar dome surface) of talus in cadaver.
jkfas-20-163f2.tif
Figure 3.
Actual measurement of posterior facet width (longitudinal length from medial edge to lateral edge of posterior facet at posterior calcaneal articular facet surface) and length (longitudinal length from anterior edge to posterior edge of posterior facet at posterior calcaneal articular facet surface) of talus in cadaver.
jkfas-20-163f3.tif
Figure 4.
(A, B) Actual measurement of head for navicular width (longitudinal length from medial edge of talar head to lateral edge of talar head) and length (longitudinal length from superior edge of talar head to inferior edge of talar head) of talus in cadaver.
jkfas-20-163f4.tif
Figure 5.
Actual measurement of anterior facet width (longitudinal length from anterior edge of anterior calcaneal articular facet to posterior edge of anterior calcaneal articular facet) and length (longitudinal length from anterior edge of anterior calcaneal articular facet to posterior edge of anterior calcaneal articular facet) of talus in cadaver.
jkfas-20-163f5.tif
Figure 6.
Actual measurement of middle facet width (longitudinal length from medial edge of middle calcaneal articular facet to lateral edge of middle calcaneal articular facet) and length (longitudinal length from anterior edge of middle calcaneal articular facet to posterior edge of middle calcaneal articular facet) of talus in cadaver.
jkfas-20-163f6.tif
Figure 7.
Actual measurement of trochlear medial facet height (longitudinal length from inferior edge of trochlear for medial malleolus to superior edge of trochlear for medial malleolus) and length (longitudinal length from anterior edge of trochlear for medial malleolus to posterior edge of trochlear for medial malleolus) of talus in cadaver.
jkfas-20-163f7.tif
Figure 8.
Actual measurement of trochlear lateral facet height (longitudinal length from inferior edge of trochlear for lateral malleolus to superior edge of trochlear for lateral malleolus) and length (longitudinal length from anterior edge of trochlear for lateral malleolus to posterior edge of trochlear for lateral malleolus) of talus in cadaver.
jkfas-20-163f8.tif
Figure 9.
Actual measurement of inclination angle (γ; angle of between longitudinal line [α] of medial trochlear and perpendicular line of talar head [β]) of talus in cadaver.
jkfas-20-163f9.tif
Figure 10.
Actual measurement of declination angle (γ; angle of between longitudinal line of superior trochlear [α] and longitudinal line of talar neck [β]) of talus in cadaver.
jkfas-20-163f10.tif
Figure 11.
(A) Actual measurements of talus were done in cadaver by vernier calipers (Mitutoyo Philosophy, Kawasaki, Japan). (B) Actual measurements of talus were done in cadaver by digital goniometer (Bluebird, Seoul, Korea).
jkfas-20-163f11.tif
Table 1.
Comparison Measurements between Male and Female
Index Male (n=27) Female (n=17) p-value
Age (yr) 72.7±8.6 71.1±9.1 0.623
Total width (mm) 43.6±2.6 38.9±1.6 0.02
Total length (mm) 56.5±3.3 53.6±2.4 0.001
Dome anterior width (mm) 32.5±2.0 27.9±2.1 0.001
Dome length (mm) 42.2±2.7 37.4±3.2 0.001
Anterior facet width (mm) 13.6±2.0 13.8±1.4 0.127
Anterior facet length (mm) 33.7±1.9 29.3±3.9 0.001
Head width (mm) 13.5±1.7 13.7±0.7 0.245
Head length (mm) 20.4±2.3 21.0±1.4 0.372
Posterior facet width (mm) 22.2±2.2 20.6±0.8 0.006
Posterior facet length (mm) 34.7±2.0 31.9±1.2 0.001
Middle facet width (mm) 13.8±0.9 13.9±1.0 0.245
Middle facet length (mm) 22.0±2.1 21.8±1.1 0.039
Trochlear medial facet height (mm) 15.3±1.3 13.6±2.6 0.001
Trochlear medial facet length (mm) 33.3±2.9 28.4±2.5 0.001
Trochlear lateral facet height (mm) 25.3±3.3 24.9±2.1 0.383
Trochlear lateral facet length (mm) 30.8±2.4 28.9±1.4 0.229
Inclination angle (°) 24.4±4.2 24.6±3.6 0.980
Declination angle (°) 28.2±5.4 24.7±6.7 0.018

Values are presented as mean±standard deviation.

Table 2.
Comparison Measurements in Males between Left Talus and Right Talus
Index Right Left p-value
Age (yr) 72.5±8.3 72.9±9.1 0.648
Total width (mm) 43.5±2.6 43.8±2.5 0.399
Total length (mm) 56.6±3.5 56.5±3.1 0.684
Dome anterior width (mm) 32.5±2.1 32.6±1.9 0.599
Dome length (mm) 42.5±2.6 41.9±2.8 0.003
Anterior facet width (mm) 13.4±2.0 13.9±2.0 0.676
Anterior facet length (mm) 13.4±2.0 13.9±2.0 0.499
Head width (mm) 13.5±1.8 13.7±1.6 0.883
Head length (mm) 20.4±2.4 21.0±2.4 0.773
Posterior facet width (mm) 22.2±2.4 22.1±2.0 0.865
Posterior facet length (mm) 34.7±2.1 34.7±2.0 0.995
Middle facet width (mm) 13.9±1.0 13.8±0.9 0.839
Middle facet length (mm) 22.0±2.7 22.3±1.1 0.901
Trochlear medial facet height (mm) 15.4±1.3 15.2±1.2 0.803
Trochlear medial facet length (mm) 33.3±3.1 33.2±2.9 0.782
Trochlear lateral facet height (mm) 25.2±3.4 25.5±3.3 0.801
Trochlear lateral facet length (mm) 30.4±2.5 31.2±2.2 0.796
Inclination angle (°) 23.5±4.4 25.3±3.9 0.005
Declination angle (°) 27.3±5.2 28.9±5.6 0.037

Values are presented as mean±standard deviation.

Table 3.
Comparison Measurements in Females between Left Talus and Right Talus
Index Right Left p-value
Age (yr) 71.8±9.2 71.8±9.2 0.648
Total width (mm) 38.8±1.4 39.1±1.9 0.854
Total length (mm) 53.7±2.6 53.4±2.3 0.991
Dome anterior width (mm) 28.0±2.1 27.9±2.1 0.982
Dome length (mm) 37.2±3.1 37.5±3.4 0.743
Anterior facet width (mm) 13.6±1.6 14.1±1.3 0.231
Anterior facet length (mm) 29.7±3.7 28.9±4.1 0.119
Head width (mm) 13.7±0.8 13.7±0.7 0.994
Head length (mm) 21.2±1.2 20.8±1.8 0.873
Posterior facet width (mm) 20.7±1.0 20.4±0.6 0.981
Posterior facet length (mm) 32.0±1.4 31.9±1.1 0.803
Middle facet width (mm) 13.9±1.0 13.9±1.0 0.907
Middle facet length (mm) 21.8±2.7 22.3±1.1 0.839
Trochlear medial facet height (mm) 13.8±3.0 13.4±2.2 0.882
Trochlear medial facet length (mm) 28.4±2.8 28.3±2.3 0.831
Trochlear lateral facet height (mm) 25.1±2.1 24.9±2.1 0.781
Trochlear lateral facet length (mm) 28.8±1.6 28.9±1.2 0.897
Inclination angle (°) 24.8±3.5 24.3±3.8 0.115
Declination angle (°) 22.0±6.7 27.4±5.7 0.018

Values are presented as mean±standard deviation.

Table 4.
Interclass and Intracla Measurements
Index Inter-observer Inter-observer
Total width 0.98 (0.97∼0.99) 0.99 (0.97∼1.00)
Total length 0.97 (0.95∼0.98) 0.99 (0.96∼1.00)
Dome anterior width 0.98 (0.96∼1.00) 0.98 (0.96∼0.99)
Dome length 0.96 (0.94∼0.97) 0.97 (0.95∼0.98)
Anterior facet width 0.99 (0.98∼1.00) 0.99 (0.97∼0.99)
Anterior facet length 0.98 (0.96∼0.99) 0.96 (0.94∼0.99)
Head width 0.96 (0.95∼0.99) 0.98 (0.95∼0.98)
Head length 0.98 (0.97∼0.99) 0.96 (0.94∼0.98)
Posterior facet width 0.97 (0.96∼0.99) 0.99 (0.97∼1.00)
Posterior facet length 0.98 (0.98∼0.99) 0.99 (0.96∼0.99)
Middle facet width 0.96 (0.95∼0.98) 0.96 (0.95∼0.98)
Middle facet length 0.99 (0.98∼1.00) 0.97 (0.95∼0.99)
Trochlear medial facet height 0.99 (0.98∼1.00) 0.98 (0.94∼1.00)
Trochlear medial facet length 0.97 (0.95∼0.98) 0.97 (0.96∼0.98)
Trochlear lateral facet height 0.98 (0.94∼0.98) 0.98 (0.97∼1.00)
Trochlear lateral facet length 0.98 (0.96∼0.99) 0.99 (0.98∼1.00)
Inclination angle 0.99 (0.97∼1.00) 0.98 (0.95∼0.98)
Declination angle 0.95 (0.94∼0.98) 0.95 (0.93∼0.97)

Values are presented as agreement ICC (95% confidence interval).

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