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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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Bones of the Lower Limb: Tibia and Fibula01:10

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The tibia is the main weight-bearing bone of the lower leg. It is larger than the fibula with which it is paired. The tibia is also the second longest bone in the body and is located right below the skin. The proximal end of the tibia forms the medial and the lateral condyle, which articulates with the condyles of the femur to form the knee joint. Between the articulating surfaces is the irregular elevated area known as the intercondylar eminence that serves as the inferior attachment point for...
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Ankle Joint01:10

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The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
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The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the...
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Muscles of the Leg that Move the Foot and Toes01:28

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The human leg comprises an intricate system of muscles that facilitate the movement of feet and toes. Within this system, the muscles are categorized into the anterior, lateral, and posterior compartments, each with a unique set of muscles carrying out specific functions.
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Pulse assessment sites are crucial in evaluating a patient's cardiovascular health. By assessing the pulsations of arteries at specific anatomical locations, healthcare professionals can gather valuable information about blood flow, heart rate, and peripheral circulation. Understanding these pulse assessment sites is essential for conducting comprehensive cardiovascular evaluations and monitoring patients' overall health. These sites are strategically chosen due to the accessibility and...
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Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects
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Overlooked hindfoot fractures.

Fnu Jeevika1, Akash Ganguly2, Snehansh Roy Chaudhary1

  • 1University of Pennsylvania Department of Radiology, 3400 Spruce Street, Philadelphia, USA.

Current Problems in Diagnostic Radiology
|April 16, 2026
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Summary

Missed hindfoot fractures are common due to plain film limitations. Early Computed Tomography (CT) or Magnetic Resonance Imaging (MRI) and awareness of high-risk areas can improve diagnosis and reduce patient harm.

Keywords:
FootFracturesHindfootMissed diagnosis

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Area of Science:

  • Radiology
  • Orthopedic Surgery
  • Emergency Medicine

Background:

  • Foot and ankle injuries are frequent in emergency departments.
  • Plain radiographs are standard but have limitations, leading to missed fractures.
  • Missed fractures can have significant patient and staff impact.

Purpose of the Study:

  • To highlight clinically and medicolegally relevant hindfoot fractures often overlooked.
  • To provide imaging interpreters with knowledge to reduce missed diagnoses.
  • To discuss anatomy, injury mechanisms, and implications of missed hindfoot fractures.

Main Methods:

  • Focus on talus and calcaneum fractures.
  • Review avulsion fractures of the distal tibiofibular joint.
  • Discuss anatomy, injury mechanisms, and implications of missed injuries.

Main Results:

  • Plain film limitations contribute to missed hindfoot fractures.
  • Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) play a role in diagnosis.
  • Increased awareness of high-risk areas is crucial for interpretation.

Conclusions:

  • Understanding plain film limitations is critical.
  • Early CT/MRI can mitigate risks of missed diagnoses.
  • Awareness of high-incidence, overlooked hindfoot fractures aids in minimizing diagnostic errors.