Classification of calcaneal fractures by spiral computed tomography: implications for surgical treatment

Linsenmaier, Ulrich; Brunner, U.; Schöning, Alexander; Rieger, Johannes; Krötz, M.; Mutschler, Wolf; Pfeifer, K. J.; Reiser, Maximilian

doi:10.1007/s00330-003-1888-6

Cited by 19 publications

(12 citation statements)

References 24 publications

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“…In cases of injury, the calcaneus is initially visualized with medio-lateral and axial XR. However, CT imaging is also used in the diagnosis (22). CT displays the characteristics of fracture lines and displacement of fractures better than XR (23).…”

Section: Discussionmentioning

confidence: 99%

Comparison of radiography and computed tomography in emergency department evaluation of ankle trauma

Avcı¹,

Kozacı²,

Yüksel³

et al. 2019

Ann Med Res

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The aim of this study was to compare computed tomography (CT) and radiography (XR) images of patients presented to the emergency department with ankle trauma and undergone CT imaging, and to describe the fractures for which XR is insufficient and the characteristics of these fractures. Material and Methods: This retrospectively designed study included patients presented to the emergency department with ankle trauma between January 2016 and December 2017. Patients who had ankle trauma, who performed XR and CT imaging were included in the study. The XR and CT images were reinterpreted by a radiologist. Results: Three hundred and sixteen patients were enrolled in the study. Of the patients, 137 (43.4%) had fracture on XR and 168 (53.2%) had fracture on CT. The most common bone fractures were detected lateral malleolus and distal tibia fractures. The sensitivity and specificity of XR in detecting fracture compared to CT were 75% and 93%, respectively. Sixty-three (20%) of the patients had two simultaneous fractures. The sensitivity and specificity of XR in detecting two simultaneous fractures were 56% and 94%, respectively. Twelve (3.8%) of the patients had distal tibial, medial malleolus and lateral malleolus fractures (trimalleolar fracture). The sensitivity and specificity of XR in detecting trimalleolar fracture were 17% and 100%, respectively. Conclusion: XR has a low sensitivity in identifying ankle fractures. The sensitivity is much lower in cases of two simultaneous fractures and trimalleolar fractures. Therefore, CT imaging should be preferred in patients with complex ankle injuries.

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Section: Discussionmentioning

confidence: 99%

Comparison of radiography and computed tomography in emergency department evaluation of ankle trauma

Avcı¹,

Kozacı²,

Yüksel³

et al. 2019

Ann Med Res

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“…The inappropriate surgical scar healing may lead to wound breakdown in calcaneum fractures [6][7][8][9][10][11][12][13][14][15][16][22][23][24] [26]. Their results showed that locking plates could In this study, we have followed Sanders classifi cation, which is CT, based.…”

Section: Discussionmentioning

confidence: 99%

“…Calcaneal fractures are divided into two major categories, intraarticular and extraarticular. Accurate description of calcaneal fractures, including the position and displacement of fracture fragments, is extremely useful to surgeons, with signifi cant implications for the management of these fractures [10].…”

Section: Mechanism Of Injury Fracture Type and Classifi Cationmentioning

confidence: 99%

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Outcome of Treatment of Displaced Intrartcular Fracture Calcaneus by Plate and Screws

Mustafa¹,

Hwaizi²

2018

Open J Orthop Rheumatol

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012Citation: Mustafa SM, hwaizi LJ (2018) Outcome of Treatment of Displaced Intrartcular Fracture Calcaneus by Plate and Screws. Open J Orthop Rheumatol 3(1): 012-019. DOI: http://dx. AbstractBackground: Management of calcaneal fractures has always been in controversy. Many treatment techniques have been described. In this prospective study, we studied the functional outcome of surgically treated intra-articular calcaneal fracture. Aim of study:To study the functional outcomes and complication in the surgically managed calcaneal fracture. Patient and Methods:A total of 24 Patients with 26 calcaneal fractures operated in west emergency and Erbil teaching hospital over a period of 18 months (January 01, 2016 to August 01, 2017) were included in the study, Pre-operative computed tomography (CT) scans carried out in all patients. Maryland foot score was used to evaluate to assess the functional outcome and study complication.Results: Twenty-four patients (22 unilateral and 2 bilateral), mean follow up 18 month, the mean age being 35.41 years (range 18-60 years), consisting of 3(12.5%) female and 21(87.5%) male were included in the study. Most common mode of injury was fall from height in 23(95.8%) patients, while road traffi c accident was in 1(4.16%) patients. Three patients had associated spinal injuries. Results according to Maryland foot score were excellent in 25%, good in 62.5%, and none of the patients had poor results. Complications include synovitis, broadening and superfi cial infection. Conclusion:ORIF with restoring the articular congruity with low profi le locking plate is the ideal treatment for joint depression type and Sanders Type II/III and IV. Even Sanders Type IV (which was thought to be associated with poor results) had a good outcome in short-term follow-up. Use of proper surgical timing/technique/under aseptic precaution can lead to good or excellent results in more than 90% of patients and avoiding the majority of the complications. Thus ORIF in these patients should be encouraged.

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“…Initial imaging typically consists of a 3-view study, with the possibility of additional views as indicated by the clinical setting [11]. CT is commonly used in evaluating the true extent of osseous injury in complex fractures, and at times is used as the initial medical imaging study in polytrauma patients, and in complex regions, such as the midfoot [12][13][14]. In polytrauma patients, approximately 25% of foot fractures identified on CT are overlooked on radiographs [12].…”

Section: Overview Of Imaging Modalitiesmentioning

confidence: 99%

ACR Appropriateness Criteria Acute Trauma to the Foot

Bancroft¹,

Kransdorf

Adler³

et al. 2015

Journal of the American College of Radiology

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This ACR Appropriateness Criteria article offers imaging triage guidance for several variants of patients presenting with acute foot trauma. Patients meeting inclusion criteria for the Ottawa Rules should undergo a 3-view radiographic series. Diabetic patients with peripheral neuropathy should undergo radiography, even though they do not meet the Ottawa Rules inclusion criteria. Patients with suspected midfoot and/or Lisfranc injury should undergo 3-view radiographs with weight bearing on at least the anterior-posterior view. Patients with suspected Lisfranc injury and normal radiographs should be considered for MRI and CT on a case-by-case basis. MRI or ultrasound could confirm cases of suspected acute tendon rupture. Radiography is the initial imaging modality for suspected plantar plate injury after metatarsal-phalangeal joint injury. Weight-bearing anterior-posterior, lateral, and sesamoid axial views may detect proximal migration of the hallux sesamoids. Ultrasound or MRI can directly evaluate the capsuloligamentous complex, specifically the plantar plate. Radiography can detect radiopaque penetrating foreign bodies, and ultrasound can be helpful in detecting those that are nonradiopaque. The ACR Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed every 3 years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer-reviewed journals and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures, by the panel. In instances in which evidence is lacking or is not definitive, expert opinion may be used to recommend imaging and treatment.

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Classification of calcaneal fractures by spiral computed tomography: implications for surgical treatment

Cited by 19 publications

References 24 publications

Comparison of radiography and computed tomography in emergency department evaluation of ankle trauma

Comparison of radiography and computed tomography in emergency department evaluation of ankle trauma

Outcome of Treatment of Displaced Intrartcular Fracture Calcaneus by Plate and Screws

ACR Appropriateness Criteria Acute Trauma to the Foot

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