Bohler’s angle is decreased in fracture of –
Now, the options aren't provided, but the correct answer is supposed to be about a specific fracture type. Since the question is about Bohler's angle being decreased, I need to think about what causes that. A fracture of the calcaneus, particularly a calcaneal fracture, can lead to a decrease in Bohler's angle. This is because the fracture disrupts the normal anatomy, causing the angle to become more obtuse. Wait, no, wait—if the angle is formed by the posterior and anterior processes, a fracture might collapse the posterior part, making the angle more acute. Wait, no, maybe I'm mixing up. Let me think again.
Bohler's angle is measured between the posterior and anterior processes. In a normal foot, the angle is about 20-40 degrees. If there's a fracture that causes the posterior part to sink, like in a calcaneus fracture, the angle would decrease. So, Bohler's angle is decreased in calcaneal fractures. So the correct answer would be a calcaneal fracture. Therefore, if one of the options is calcaneus, that's the right answer. The other options might be fractures of other bones like talus, tibia, or fibula, which wouldn't affect Bohler's angle. So the answer is C. Fracture of the calcaneus.
Wait, but I need to make sure. Let me verify. Yes, Bohler's angle is specifically used for calcaneus fractures. A decreased angle indicates a fracture where the posterior facet is compressed, leading to a more acute angle. So the correct answer is calcaneus. The other options, like tibia or fibula fractures, wouldn't affect this angle. Therefore, the correct answer is C. Fracture of the calcaneus.
**Core Concept**
Bohler's angle is a radiographic measurement of the calcaneus (heel bone) used to assess calcaneal fractures. It is formed by two lines: one along the posterior calcaneal facet and another along the anterior process. A normal angle ranges from 20–40°, and its decrease indicates a **calcaneal fracture** due to posterior facet collapse.
**Why the Correct Answer is Right**
A calcaneal fracture, particularly a **compressive injury** (e.g., from axial loading), causes the posterior calcaneus to collapse inward. This flattens the posterior facet, reducing Bohler's angle below 20°. The angle is measured on axial CT scans or lateral radiographs and is critical for diagnosing and classifying calcaneal fractures. This anatomical change directly correlates with the severity of the fracture and guides treatment decisions (surgical vs. conservative management).
**Why Each Wrong Option is Incorrect