Os Calcis Fractures

Thorén, O.

doi:10.3109/ort.1964.35.suppl-70.01

Cited by 26 publications

(12 citation statements)

References 31 publications

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“…However, comparison of some of the demographic data of the patients with the data reported in other publications suggests that the selection bias was low. In this study, the distribution of fractures between men (75.6%) and women (24.4%), as well as the peak of the fractures between those aged 28 and 64 years old, is consistent with the literature 5,28). Second, the accuracy and validity of the reconstructed Broden's views are uncertain.…”

Section: Discussionsupporting

confidence: 80%

“…A fracture of the calcaneus often results from high energy axial loading mechanisms 2). Displaced intraarticular fractures are associated with several architectural deformities, including a loss of calcaneal width, height, length, and incongruity of the posterior facet 3-5). These often result in some form of significant permanent functional disability, regardless of the treatment 6).…”

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confidence: 99%

“…2) Displaced intraarticular fractures are associated with several architectural deformities, including a loss of calcaneal width, height, length, and incongruity of the posterior facet. 3 - 5) These often result in some form of significant permanent functional disability, regardless of the treatment. 6) Recently published, randomized control trials, comparing operative and nonoperative management, show slightly better outcomes in certain groups of patients treated operatively.…”

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confidence: 99%

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Revisit of Broden's View for Intraarticular Calcaneal Fracture

et al. 2012

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BackgroundThis study was performed to investigate the relationship between coronal computed tomography (CT) and Broden's view in terms of location of the fracture line and fracture pattern.MethodsForty-five feet of 45 patients with intraarticular calcaneal fractures were evaluated. The mean age of the patients was 46.3 years (standard deviation, 18.1; range, 15 to 80 years), and there were 34 men and 11 women. The Broden's views were acquired using the ray sum projection, reviewed, and correlated with the coronal CT image to determine the location of the fracture on the posterior facet and fracture pattern described by the Sanders classification. The quantified location of the fracture line was defined as the distance between the medial margin of posterior facet and the fracture line divided by the whole length of the posterior facet, which was expressed as a percentage.ResultsThe fracture line on the Broden's view was positioned at 22.3% (standard deviation, 29.6) laterally compared to that on coronal CT (p < 0.01). Although all cases showed posterior facet involvement on the CT scan, the fracture line was positioned lateral to the posterior facet in 6 cases (13.3%) in the Broden's view. The coronal CT and Broden's view showed a low level of agreement in the fracture pattern according to the Sanders classification, with kappa values of 0.23.ConclusionsSurgeons should consider that the fracture line on the Broden's view shows positioning laterally compared to coronal CT and they should consider that the fracture line at the lateral to posterior facet on the Broden's view might be an intraarticular fracture line. There are some limitations when applying the Sanders classification with the Broden's view.

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Section: Discussionsupporting

confidence: 80%

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confidence: 99%

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confidence: 99%

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Revisit of Broden's View for Intraarticular Calcaneal Fracture

et al. 2012

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“…The reduction is then performed according to the method of Tornetta [44]. While holding the dorsum of the foot with the palm of one hand and one of the guide pins with the other hand, both thumbs are placed on the plantar foot roughly at the midportion of the calcaneus.…”

Section: Treatment N Non-operative Treatmentmentioning

confidence: 99%

Calcaneal fractures

Clare

Sanders

2007

Fuß & Sprunggelenk

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Kalkaneusfrakturen" Zusammenfassung Kalkaneusfrakturen treten häufig bei Hochrasanztraumen auf und beinhalten komplexe dreidimensional orientierte Frakturtypen. Das operative Management ist bei verschobenen intraartikulären Frakturen generell indiziert, da nur damit eine Wiederherstellung der Knochenmorphologie (z. B. Höhe und Breite) und eine anatomische Wiederherstellung der Gelenkflächen möglich ist. Durch diese operative Intervention werden auch bessere Vorraussetzungen für eventuell später notwendige Operationen wie Korrekturarthrodesen geschaffen. Das frühe und späte Management der Kalkaneusfrakturen wird in dieser Arbeit beschrieben." Schlüsselwörter Kalkaneusfraktur -fehlverheilte Kalkaneusfraktur -ArthroseSubtalargelenk " Abstract Fractures of the calcaneus generally occur in the event of high-energy trauma, resulting in complex, three-dimensionally oriented fracture patterns. Surgical management is generally indicated for displaced intra-articular fractures, which allows restoration of calcaneal height, width and overall morphology, in addition to the posterior facet articular surface where possible, and allows for a late in situ arthrodesis as a means of salvage in the event of posttraumatic arthritis. What follows is a brief discussion of our preferred methods in the diagnosis and management of calcaneal fractures.

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“…Calcaneal fractures account for 60% of tarsal bone injuries [1] and the incidence of subtalar joint involvement has been reported at between 48% and 88% [2–9]. These series have described the demographic features of patients who have sustained fractures of the os calcis but have relied largely on plain radiographs for the classification of fractures although such radiographs do not adequately demonstrate the fracture or the extent of subtalar joint disruption [8–13].…”

Section: Introductionmentioning

confidence: 99%