Computed tomography of calcaneal fractures: anatomy, pathology, dosimetry, and clinical relevance

Guyer, BH; Levinsohn, E. Mark; Fredrickson, BE; Bailey, GL; Formikell, M

doi:10.2214/ajr.145.5.911

Cited by 63 publications

(19 citation statements)

References 13 publications

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“…CT became increasingly available in the early 1980s and was used to visualise hindfoot pathology, especially calcaneal fractures. This brought about important change in the understanding of complex intraarticular calcaneal fractures [4]. Nowadays, fast multislice CT scanning with multiplanar reconstructions, is considered the preoperative imaging modality of choice.…”

Section: Discussionmentioning

confidence: 99%

“…Less well known are the oblique views by Brodén [1], Isherwood [2] and Anthonsen [3]. These have proved useful in visualising the extent of the fracture lines in the posterior facet after trauma, but almost all have been replaced by computed tomography (CT) in the last two decades [4]. After the implementation of CT scanning the usefulness of the standard radiographic projections was questioned, for example the need for an axial view [5].…”

Section: Introductionmentioning

confidence: 99%

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Radiographic evaluation of calcaneal fractures: to measure or not to measure

2007

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Objective The aim of this study was to correlate the functional outcome after treatment for displaced intraarticular calcaneal fracture with plain radiography. Design The design was a prognostic study of a retrospective cohort with concurrent follow-up. Patients A total of 33 patients with a unilateral calcaneal fracture and a minimum follow-up of 13 months participated. Patients filled in three disease-specific questionnaires, graded their satisfaction and the indication for an arthrodesis was noted. Standardised radiographs were made of the previously injured side and the normal (control) side. Different angles and distances were measured on these radiographs and compared with values described in the literature. The differences in values in angles and distances between the injured and uninjured (control) foot were correlated with the outcome of the questionnaires, and the indication for an arthrodesis. Results None of the angles correlated with the diseasespecific outcome scores. Of the angles only the tibiotalar angle correlated with the VAS (r=0.35, p=0.045) and only the absolute foot height correlated with the indication for an arthrodesis (odds=0.70, CI=0.50-0.99). Conclusion In this study the radiographic evaluation correlated poorly with the final outcome. Measurements on plain radiographs seem not to be useful in determining outcome after intra-articular calcaneal fractures.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Radiographic evaluation of calcaneal fractures: to measure or not to measure

2007

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“…종골 골절은 전체골절의 1-2%를 차지하고 족부 골절 중 약 60%를 차지하는 흔한 골절로 이 중 관절 내 골절이 73%를 차지한다 12,16) . 주로 고에너지에 의한 손상으로 발생 하며, 해부학적으로 얇은 골피질과 내부의 해면골로 이루 어져 있어 분쇄 골절이 흔하고 3차원의 해부학적인 구조를 파악하기가 힘들어 치료법에 대하여 많은 논란이 있었 다 2,8,22,27) .…”

Section: 고 찰unclassified

The Result Treated by Open Reduction and Internal Fixation with Minimally Invasive Technique in Joint Depressive Calcaneal Fracture

Lee

et al. 2013

J Korean Fract Soc

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Purpose: To evaluate the short term follow-up results of minimally invasive technique in the management of Sanders type II, III, and IV joint depressive calcaneal fracture. Materials and Methods: Between May 2008 and May 2011, we studied 17 cases undergoing treatment with minimally invasive technique with modified sinus tarsi approach for Sanders II, III, and IV joint depressive intra-articular calcaneal fracture and were followed up for more than 1 year. We evaluated the treatment result by assessing the radiologic parameters (Böhler angle, Gissane angle, and calcaneal height/width/length) and clinical outcomes (American Orthopaedic Foot and Ankle Society [AOFAS] score and visual analog scale [VAS]) and investigating the complication. Results: Radiological results improved from 7.9 o to 19.8 o in the Böhler angle after the operation. Satisfactory results were obtained in clinical assessment with average AOFAS score of 82.45 and the average VAS score of 3.94. We experienced 3 cases of complications, 1 case of superficial wound infection and radiologic findings of subtalar arthritis in 2 cases. Conclusion: Minimally invasive technique may be a useful alternative surgical method in the management of Sanders type II, III, and IV joint depressive calcaneal fracture that cannot adopt extensile approach, which enable to obtain good radiological and clinical results.

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“…Eine überlagerungsfreie Darstellung der medialen Gelenkfacette sowie des Sustentaculum tali ist allein aus diesem Grund unverzichtbar. Die exakte Einschätzung gelingt am besten mit den koronaren CT-Schichten [15,19,20]. In dem hier untersuchten Kollektiv strahlte die Fraktur in ca.…”

Section: Introductionunclassified