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Semin Musculoskelet Radiol 2022; 26(06): 635-643
DOI: 10.1055/s-0042-1760119
Review Article

Presurgical Perspective and Postsurgical Evaluation of Calcaneal and Talus Fractures

Thibault Willaume
1   MSK Imaging, Strasbourg University Hospital, Strasbourg, France
,
Guillaume Bierry 
1   MSK Imaging, Strasbourg University Hospital, Strasbourg, France
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Abstract

Fractures of the calcaneus and talus are severe injuries that usually result from high-energy trauma. The calcaneus and talus are essential for the transmission of body weight, so an optimal reduction and/or fixation of fractures is required to prevent disabling consequences. These fractures almost always have an articular involvement, and an anatomical reduction is required; any residual step-off would lead to joint incongruity and secondary arthrosis.

The aims of imaging are first, to guide management by describing the fracture characteristics (e.g., location, displacement, fragments, articular involvement, soft tissue compromise), and second, to detect early and late surgical complications (e.g., infection, malunion, nonunion, arthrosis, hardware issues). Although radiographs remain the first-line imaging modality for the screening of ankle and foot trauma, computed tomography is almost always required for the initial management and follow-up of the patient.

Keywords

calcaneus - talus - fracture - trauma - osteosynthesis


Publication History

Article published online:
15 February 2023

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