Harris View Calcaneus Fracture, Extensile Open Reduction And Internal Fixation Of Intra Articular Joint Calcaneus Fractures Musculoskeletal Key

Bilateral calcaneal fractures are seen in 5 9.

Joe biden press. A lateral and axial view of the contralateral foot should be obtained for comparison. The right image has been annotated to show bohler. Fractures of the calcaneus are common and account for approximately 60 of tarsal injuries.

Axial harris views of both calcanei show a left calcaneal fracture. All patients with calcaneus fractures should undergo axial computed tomography ct scan of the foot. Angle between line along lateral margin of posterior facet line anterior to beak of calcaneus.

Dislocated peroneal tendons are usually treated surgically when they occur with a calcaneus fracture. Yet there remain many institutions especially in rural areas where ct is not readily available. Ap view of the foot exhibits secondary fracture lines into the anterior process and incongruity of the calcaneocuboid joint.

Standard imaging of the ankle and foot may also be indicated if you suspect associated injuries to these structures. As technology advances computed tomography ct has widely been used 1 to better visualize and characterize calcaneum fragment displacements and fracture lines. The calcaneus is the most commonly fractured tarsal bone and accounts for about 2 of all fractures.

A 55 year old male sustained a sanders iv intra articular calcaneus fracture two years ago that was treated nonoperatively. They result from an axial load and may demonstrate varying severity and location of fracture type. Calcaneal fractures can be divided broadly into two types depending on whether there is articular involvement of the subtalar joint 278.

The calcaneus axial view is part of the two view calcaneus series assessing the talocalcaneal joint and plantar aspects of the calcaneus. The calcaneus is the most commonly fractured tarsal bone and accounts for about 2 of all fractures 2 and 60 of all tarsal fractures 3. Note the fracture line divides the calcaneus into anteromedial and posterolateral fragments.

Normal lateral calcaneal xrs. The harris view is obtained with the foot in maximal dorsiflexion and the x ray beam angled 450 cephalad. Axial view harris beath visualizes tuberosity position varus valgus primary fracture line calcaneal height loss calcaneal widening and a portion of the posterior facet.

Obtain plain radiographs initially. Typically a lateral x ray demonstrating the foot from the side figure 4 as well as an axillary heel view harris view showing an end on view of the heel are taken. Measured on lateral view.

Visualizes tuberosity fragment widening shortening and varus positioning. Advances in cross sectional imaging particularly in computed tomography ct have given this modality an important role in identifying and characterizing calcaneal fractures.