Computerized Tomographic Analysis of Acute Calcaneal Fractures

Abstract

Computerized tomography (CT) of the hindfoot is introduced as an effective technique in the evaluation of acute, intra-articular calcaneal fractures. Thirty-two fractures in 30 patients have been reviewed, and common fracture characteristics identified. These included (1) the presence of a sustentacular fragment, (2) displacement and comminution of the lateral weightbearing surface, and (3) lateral spread with loss of calcaneal height. Based on the improved understanding of fracture anatomy provided by the CT scan, treatment often can be determined more accurately.