Fractures of the Calcaneus With Displacement of the Thalamic Portion

Soeur, R; Remy, Robert R.

doi:10.1302/0301-620x.57b4.413

Cited by 116 publications

(52 citation statements)

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“…Three precautions have to be taken into account when making these radiographs: the normal side must be used for comparison; true lateral projections must be used; and the X-ray cassette must be placed on the same side of the foot every time [28]. Several other authors concur that comparison with radiographs of the uninjured side is helpful, especially to determine the normal value for the different angles, like that of Böhler [29][30][31][32].…”

Section: Discussionmentioning

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%

“…In 1975, Soeur and Remy stated that the use of CT scanning had not been proven useful and was not recommended [30]. CT became increasingly available in the early 1980s and was used to visualise hindfoot pathology, especially calcaneal fractures.…”

Section: Discussionmentioning

confidence: 99%

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

2007

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“…Calcaneal fractures are associated with spine and pelvic fractures and lower extremity injuries [1,2], however their association with lateral or medial ankle instability has not been reported so far in English literature, which makes this case unique.…”

Section: Discussionmentioning

confidence: 88%

“…During axial loading, depending on the foot position, different fracture line and varying degrees of communition and articular involvement develop [1,3,5].…”

Section: Discussionmentioning

confidence: 99%

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Traumatic Multi Ligament Ankle Injury, Associated with a Displaced Articular Calcaneus Fracture, in the Absence of Ankle Fractures

Tamimi¹,

Ali²

2016

MOJOR

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Bone microarchitecture of the calcaneus and its changes in aging: A histomorphometric analysis of 60 human specimens

Rupprecht¹,

Pogoda²,

Mumme³

et al. 2006

J. Orthop. Res.

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Bone structure and quality are an important parameter in the propensity of bone to fracture. Although the calcaneus is used as diagnostic reference site for osteoporosis by ultrasound, its structure has never been analyzed in detail. The purpose of this study was therefore to histomorphometrically analyze the trabecular microarchitecture of the calcaneus, and to determine whether the calcaneal bone structure is changing with age. Sixty complete human calcanei were harvested from thirty age-and gender-matched patients at autopsy. Each of the three different age groups (group I: 20 to 40, group II: 41 to 60, group III: 61 to 80 years of age) was represented by 20 specimens. The specimens were subjected to radiographic, mCT, and histologic analysis. Bone structure and bone mass of the calcaneus were quantified for three different regions of interest: the anterior ROI, the superior ROI (the subtalar region under the posterior facet), and the posterior ROI. An iliac crest biopsy was obtained from all patients to exclude any metabolic bone disease. Histomorphometric analysis revealed significant differences in bone volume within the calcaneus with highest values in the superior ROI: age group I: 31.3% (27.8-34.8%); II: 25.5% (22.1-28.9%); III: 18.9% (16.6-21.2%) and lowest bone volumes in the anterior ROI; age group I: 6.2% (4.8-7.6%); II: 3.6% (2.1-5.1%); III: 3.9% (2.9-4.9%). There was a significant age-related decrease in bone volume (BV/TV) in aging. Interestingly, this bone loss was most prominent in the superior ROI, with a 39% decrease in BV/TV between age group I and III ( p < 0.001). Qualitative and structural analysis of trabecular number, thickness, and spacing demonstrated that the bone loss in the thalamic portion of the calcaneus was due to the transition of plate-like trabecular elements into a rod-like structure. In conclusion, our study demonstrated that the calcaneus displayed age-related changes in its microarchitecture that are known to reduce the biomechanical stability of trabecular bone, and that the age-related bone loss was most prominent in the region adjacent to the posterior facet (superior ROI). These results suggest that bone mass and structure are risk factors in respect to the occurrence and severity of calcaneal fractures, and indicate that calcaneal fractures are at least in part osteoporotic fractures. ß

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Fractures of the Calcaneus With Displacement of the Thalamic Portion

Cited by 116 publications

References 0 publications

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

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

Traumatic Multi Ligament Ankle Injury, Associated with a Displaced Articular Calcaneus Fracture, in the Absence of Ankle Fractures

Bone microarchitecture of the calcaneus and its changes in aging: A histomorphometric analysis of 60 human specimens

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