The role of multidetector CT in evaluation of calcaneal fractures

PurposeThis 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 methodsTwenty-eight patients with calcaneal fractures were included. Radiographs and multidetector computed tomography were performed. Sanders classification for intraarticular fractures was used.ResultsIntraarticular 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).ConclusionThe 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.