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Is joe biden still a senator. Patient standing on x ray plate with knees in slight flexion central ray angles varies from 350 to 450 aimed posteriorly 5cm from prominence of posterior calcaneus for visualisation of middle and posterior subtalar joint facets. The harris projection also called the penetrated axial projection is a special radiographic view that is used for assessment of talocalcaneal coalition. The talocalcaneal joint is exposed with the posterior facet laterally and the sustentacular facet medially.
Harris and beath view. Ap view of the foot exhibits secondary fracture lines into the anterior process and incongruity of the calcaneocuboid joint. 40 years experience podiatry.
Excellent view of posterior subtalar joint given by these views helps in intraoperative monitoring of calcaneus fracture reduction and assessment of postoperative fusion status of subtalar joint figs. A 48 year old member asked. 5 an axial view of the calcaneus is obtained with the x ray source posterior to the heel and tilted caudally 450 with respect to the long axis of the foot.
If talocalcaneal coalition is suspected a harris view of the calcaneus may also be obtained to better assess the subtalar joint. To obtain the harris penetrated axial view the patient stands on the cassette and the x ray beam is angled between 350 and 450 to the cassette. Yet there remain many institutions especially in rural areas where ct is not readily available.
Bilateral calcaneal fractures are seen in 5 9. 28 harris axial view of heel. Otherwise it may need surgery to realign the bone.
If the fracture is not misaligned and no gap in the bone it can be treated with a cast. Note the fracture line divides the calcaneus into anteromedial and posterolateral fragments. The calcaneus axial view is part of the two view calcaneus series assessing the talocalcaneal joint and plantar aspects of the calcaneus.
How do you fix a broken calcaneus. As technology advances computed tomography ct has widely been used 1 to better visualize and characterize calcaneum fragment displacements and fracture lines. Axial harris views of both calcanei show a left calcaneal fracture.
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