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Calcaneal fractures: radiological and CT evaluation and classification systems
Michele Galluzzo1, Federico Greco, Michele Pietragalla
1. vmiele@sirm.org.
Acta Bio-Medica : Atenei Parmensis
|January 20, 2018
Summary
This study reviews imaging for calcaneal fractures, focusing on preoperative diagnostics and classification systems. Understanding these features aids in selecting optimal treatment and predicting surgical outcomes for heel bone fractures.
Area of Science:
- Orthopedic surgery
- Radiology
- Traumatology
Background:
- The calcaneus (heel bone) supports body weight, and calcaneal fractures are common, particularly involving tarsal bones.
- Articular involvement in calcaneal fractures often leads to poor functional outcomes.
Purpose of the Study:
- To detail the radiologic evaluation and classification of calcaneal fractures.
- To describe preoperative diagnostic imaging features and their correlation with treatment choice and surgical outcomes.
Main Methods:
- A PubMed search was conducted for "Imaging calcaneus fracture" in English, focusing on articles from the last two years.
- Included studies described preoperative diagnostic imaging of calcaneus fractures, excluding case reports.
Main Results:
- New classification systems, such as Harnroongroj et al.'s, are valuable for preoperative evaluation.
- Associations between calcaneal fractures and other bone/soft tissue injuries are important considerations.
- The calcaneotalar ratio is useful for assessing heel length.
Conclusions:
- Preoperative imaging data are crucial for guiding treatment decisions in calcaneal fractures.
- Tailored treatment approaches based on imaging findings can improve patient outcomes.
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