Akademik Veri Yönetim Sistemi
23. ULUSAL ANATOMİ KONGRESİ, Ankara, Türkiye, 11 - 15 Ekim 2023, cilt.54, ss.49
Objective: Pain may occur in the back of the ankle due to various reasons. Haglund deformity, which has the potential to be one of these, is defined as an abnormal bone protrusion in the posterosuperior region of the os calcaneus. The aim of this study is to determine the prevalence of Haglund deformity in Turkish society.Methods: This study was conducted on lateral radiographic images of ankle recorded in PACS (Picture Archiving and Communication System) archive system of 420 healthy individuals consisting of 210 male and 210 female between the ages of 18-65, who had applied to Başkent University Adana Dr. Turgut Noyan Teaching and Research Hospital. This is a cross sectional retrospective study. In the study, measurements were made by an expert radiologist and anatomist using electronic calipers. In the study, Fowler-Philip angle, Heneghan-Pavlov parallel pitch lines tests and the X/Y ratio defined by Tourne et al. were performed bilaterally to determine Haglund deformity.Results: According to the Heneghan-Pavlov parallel pitch lines test, the incidence of Haglund deformity was found to be 35.7% among 420 individuals with an average age of 42.41±13.23. In addition, 13.3% was seen unilaterally, while 22.4% was seen bilaterally. The rate of occurrence in the left foot (8.8%) is almost twice as high as in the right foot (4.5%). There was no statistically significant difference between genders (p>0.05). For 420 individuals, the average Fowler-Philip angle was recorded as 64.24±4.72 degrees on the right and 63.86±4.70 degrees on the left. Additionally, a pathological angle value above 74 degrees was recorded in only 6 individuals (1.4%). According to the X/Y ratio defined by Tourne et al., the prevalence of Haglund deformity was found to be 31.9%. Moreover 22.6% were seen unilaterally, while 9.3% were seen bilaterally. Furthermore, the rate of occurrence in the right foot (15.2%) was more than twice as high as the rate in the left foot (7.4%).Conclusion: In our study the prevalence of Haglund deformity was determined as 35.7% according to the Heneghan-Pavlov parallel pitch lines test, 1.4% according to the Fowler-Philip angle and 31.9% according to the X/Y ratio defined by Tourne et al. We believe that the results of the study will constitute reference values for the Turkish society and will also help clinicians in planning possible surgical interventions