Radiographic analysis of the Canale view for displaced talar neck fractures

Fractures of the talar neck comprise almost 50% of fractures of the talus and may result in significant long-term morbidity. It is of paramount importance to ensure anatomic reduction of the fracture not only for fracture healing but also for minimizing future posttraumatic arthritic sequelae. In addition to conventional radiographs and computed tomography scans, the Canale view has proven to be beneficial, especially when evaluating for varus displacement. This study investigated whether the original method of performing the Canale view could be modified for improved evaluation for varus displacement. Simulated talar neck fractures were created in 6 cadaveric specimens. These were placed into varying amounts of varus displacement; the Canale view was performed with progressive degrees of eversion, from 0° to 25°, resulting in 108 total views. Blinded evaluation was performed, and a ranking system was used to determine the most beneficial degree(s) of eversion for evaluating varus malalignment. Multiple statistical analyses were performed. A significant difference was seen between the high and low range of values of eversion. A significantly lower ranking was achieved with 10° of eversion. As opposed to a single view taken at 15° of eversion, a range of angles may be most beneficial in evaluating varus displacement in talar neck fractures.