Validity of the Anteroposterior Talocalcaneal Angle to Assess Congenital Clubfoot Correction
E. Ippolito1,
L. Fraracci2,
P. Farsetti1 and
F. De Maio1
1 Department of Orthopaedic Surgery, University of Rome "Tor
Vergata," Via Montpellier 1, Roma 00133, Italy.
2 Department of Radiology, IRCCS Santa Lucia Institute, Via Ardeatina 306, Roma
00179, Italy.

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Fig. 1A. 25-year-old man with unilateral right clubfoot. Standing
anteroposterior radiograph of both feet shows anteroposterior talocalcaneal
angle measured 25° on left and 15° on right.
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Fig. 1B. 25-year-old man with unilateral right clubfoot.
Three-dimensional CT scan reconstruction in cephalad view of feet at level of
talar trochlea shows declination angle of neck of talus (dashed
lines) measured 16° on left and 42° on right; increased medial
angulation of neck of talus caused false radiographic projection instead of
real anatomic relationship of talus and calcaneus. In fact, anteroposterior
talocalcaneal angle (solid lines) measured 0° on right and
25° on left.
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Fig. 1C. 25-year-old man with unilateral right clubfoot.
Three-dimensional CT scan reconstruction in coronal plane shows sustentaculum
tali (arrows). Medial talar offset is absent in right clubfoot.
Anatomic axes of talus and calcaneus ( ) are coincident in right
clubfoot and divergent in left normal foot.
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Fig. 1D. 25-year-old man with unilateral right clubfoot.
Three-dimensional CT scan reconstruction in cephalad view obtained at level of
sinus tarsi (ST) shows long axis of posterior facet of subtalar joint (PF) and
longitudinal axis of calcaneus form angle of 42° on left normal foot and
angle of 90° on right clubfoot.
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Copyright © 2004 by the American Roentgen Ray Society.