Digital imaging versus computed tomography for evaluation of calcaneal fractures

Document Type : Original Research Papers

Authors

1 Orthopedic surgery Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

2 Radiology, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

Abstract

Background: The first assessment of the calcaneus suspected fractures is performed with conventional radiography. Modern calcaneal fracture classification systems depend mainly on computed tomography (CT) because of its three-dimensional nature, rather than on two-dimensional plain radiography as was used previously. The aim of this study was to assess Digital X ray imaging versus computed tomography for evaluation of calcaneal fractures. Patients and methods: This study was conducted Benha University Hospitals on 30 patients with isolated calcaneal trauma and was diagnosed radiologically by plain x ray and CT to have calcaneal fractures. lateral view images was obtained to measure the Böhler’s angle, the angle of Gissane, the inclination angle and the facet height. Each angle was measured by two different interpreters (a senior radiologist and a resident) in order to verify accuracy Results: there was a  statistically significant difference between Digital X-ray and CT images finding in Intraarticular Fractures and  total fructures. there was a a  statistically significant difference in (The Bo¨hler’s angle , The angle of Gissane and The facet height The angle of Gissane) and no statistically significant difference in (The inclination angle) Conclusion: CT scanning is a valuable non-invasive common technique and has gained use in identifying the diagnosis, classification, and treatment planning of extra-articular and intra-articular calcaneal fractures

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