The role of multidetector CT in evaluation of calcaneal fractures

Abstract

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.

Keywords

• Computed tomography
• Calcaneal fracture
• Sanders classification