The role of multidetector CT in evaluation of calcaneal fractures

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Purpose This study aimed at evaluating the role played by multidetector computed tomography in decision making in the management of extra and intraarticular fractures of the calcaneus. Patients and methods Twenty-eight patients with calcaneal fractures were included. Radiographs and multidetector computed tomography were performed. Sanders classification for intraarticular fractures was used. Results Intraarticular involvement was found in 93.3% and extraarticular involvement in 6.7%. Mean Bohler's angle = 13° ± 12.219. The most common fracture was Sanders type IV (40%). No statistically significant correlation was found between Sanders fractures types I, II and III and Bohler's angle. However, a significant correlation was found concerning type IV (p = 0.013). There was a significant correlation between Sanders classification and calcaneocuboid joint involvement (p = 0.031). Conclusion The study showed that multidetector computed tomography is the best method for assessing and classifying calcaneal fractures, as well as delineating the fracture fragments and helping in making the pre-operative planning.




Moussa, K. M., Hassaan, M. A. E., Moharram, A. N., & Elmahdi, M. D. (2015). The role of multidetector CT in evaluation of calcaneal fractures. Egyptian Journal of Radiology and Nuclear Medicine, 46(2), 413–421.

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