Lateral view relationships

Lateral view relationships:
Calcaneal inclination angle:
Angle formed by the intersection of the calcaneal inclination axis and the plane of support. Normally 15 to 25 degrees.

Talar declination angle:
Angle formed by the intersection of the plane of support and the collum tali axis. Normally about 21 degrees.

First metatarsal declination angle:
Angle formed by the intersection of the bisection of the first metatarsal and the plane of support.

Cyma line:
Appears as a ‘lazy’ S shape formed by the articulations of the talonavicular and calcaneocuboid joints – should appear smooth and unbroken. ‘Breaks” anteriorly in a pronated foot.

Sinus tarsi:
Appears oval shaped in normal foot. Appears obliterated in pronated foot. Appears as a “bullet hole” in the supinated foot.

Fowler-Philip angle:
• relationship between line representing posterior aspect of calcaneus and calcaneal inclination line
• normally 44-64 degrees
• useful in evaluation of Haglund’s deformity

Bohler’s angle:
• relationship between two lines on lateral x-ray:
1)
2)
• normally 25-40 degrees
• used to assess the degree of intra-articular depression in calcaneal fractures
• 20 degrees is accepted as the lower limit cut off point to reduce the number of false positives

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