Tuesday, 13 September 2016

Diagnostic Value of Imaging Modalities for Suspected Calcaneal Fracture

Calcaneal fractures account as the most common tarsal bones injury. Therefore, definite diagnosis of calcaneal fracture is an important element for proper management. The main signs and symptoms of fractures are swelling and deformity. Diagnosis of fracture is based on X-rays radiological studies. Two main landmark of lateral view X-ray are Böhler’s and Gissane’s angles and the axial view has advantage for evaluation of Varus deformity of the calcaneus andwidening of the heel.

Calcaneal Fracture
Early diagnosis of fracture facilitates treatment of fracture and may reduce complications. In addition, knowing the best way of diagnosis may decrease economic burden and accelerate proper management of patients. Nowadays, CT-scan is the most reliable tool for diagnosis of calcaneus fracture and CT-scan is more accurate for assessment of fracture. Detecting stress fractures of the calcaneus can be made by Technetium scans and MRI, but it is not appropriate to apply them in the acute setting.

We conducted a systematic review based on PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) protocol. To retrieve all relevant literatures, a sensitive search queryconsisted of terms related to calcaneus combined with specific terms for fracture, Evaluation Studies as Topic"[Mesh]) and diagnosis  was used.

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