Learning objectives
·To discuss the role of conventional radiography and multidetector Computed Tomography (CT) for the evaluation of calcaneal fractures
·To identify the appearances of intra and extraarticular calcaneal fractures
·To illustrate the use of Sanders and Regazzoni classifications systems for calcaneal fractures.
·To list the complications of calcaneal fractures.
Background
The calcaneus bone is the most commonly fractured tarsal bone and accounts for about 2% of all fractures and account for 60% of all tarsal fractures. Also known as “lover’s” fractures or “Don Juan” fractures,
60% of cases are associated with axial load mechanisms,
usually car accidents or with falls from a height,
with bilateral injuries in less than 10%.
Ten percent of patients with calcaneal fractures have associated spine fractures,
and 26% have other extremity injuries.
Approximately 90% of calcaneal fractures occur in young...
Imaging findings OR Procedure Details
All patients who underwent a CT study of the foot for a suspected/known acute trauma injury during a period of 3 years (January 2013 to December 2016 inclusive) at our Hospital were identified by inspecting the digital database of our Picture Archiving and Communication ystem.
Over the stated period,
33 had evidence of a calcaneal fracture.
Of these,
illustrative cases were selected to discuss the value of multidetector CT and the use of Sanders and Regazzoni classification systems for the evaluation of calcaneal fractures.
Type...
Conclusion
Multidetector CT plays a pivotal role in the assessment of calcaneal fractures.
To answer clinicians needs adequately,
radiologists should be familiar with Sanders and Regazonni classifications as these are the most commonly used and have proved to be clinically useful.
References
1.
Daftary A,
Haims AH,
Baumgaertner MR.
Fractures of the calcaneus: a review with emphasis on CT.
Radiographics.
2005 Sep-Oct;25(5):1215-26.
2.Badillo K,
Pacheco JA,
Padua SO,
Gomez AA,
Colon E,
Vidal JA.
Multidetector CT evaluation of calcaneal fractures.
Radiographics.
2011 Jan-Feb;31(1):81-92
3.Maskill JD,
Bohay DR,
Anderson JG.Calcaneus fractures: a review article.Foot Ankle Clin.
2005 Sep;10(3):463-89,
vi.
4.
Rubino R,
Valderrabano V,
Sutter PM,
Regazzoni P.
Prognostic value of four classifications of calcaneal fractures.
Foot Ankle Int.
2009 Mar;30(3):229-38.
5.Heger L,
Wulff K,
Seddiqi MS.Computed tomography...