A measuremental approach to calcaneal fractures

Arslan, Gözde; Yırgın, İnci Kızıldağ; Tasguzen, A.

doi:10.1007/s00068-013-0359-2

Cited by 9 publications

(7 citation statements)

References 8 publications

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“…The practical application of the angle of Gissane has also been questioned in the literature. Despite being an angle that determines the degree of collapse between the calcaneal facets, it is difficult to reproduce when the bone is fractured (1) .…”

Section: Discussionmentioning

confidence: 99%

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Inter-rater reliability of Böhler and Gissane angles in different calcaneal fracture according to the Essex-Lopresti and Sanders classifications

et al. 2021

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Objective: To evaluate the inter-rater reliability and intra-class correlation coefficients (ICC) of Böhler’s angle and the critical angle of Gissane in calcaneal fractures, stratified by severity and by the Essex-Lopresti and Sanders classifications. Methods: Retrospective study of radiographs obtained from 97 patients: 67 with calcaneal fractures and 30 with normal lateral radiographs (used as a control group). Böhler’s angle and the angle of Gissane were measured by six raters: two orthopedic surgery residents, two musculoskeletal radiologists, a foot and ankle surgery fellow, and a senior consultant in foot surgery. Statistical analysis of inter-rater reliability was performed for the two angles, in the sample overall and stratified by the different radiographic and CT subtypes of calcaneal fractures. Results: For the angle of Gissane, the ICC was at best 0.400 (95% CI: 0.250 to 0.581) for normal radiographs, with poor agreement across all classifications and severity stratifications. For Böhler’s angle, the ICC values indicated weak to moderate agreement, with the best reproducibility obtained for the overall sample (0.740; 95% CI: 0.673 to 0.801). In Sanders type 1 fractures, the ICC was 0.704 (95% CI: 0.397 to 0.940), and in Sanders type 2 fractures, 0.762 (95% CI: 0.634 to 0.870). Conclusion: Böhler’s angle is more reproducible than the critical angle of Gissane, with greater inter-rater reliability among fractures deemed less severe on the Sanders classification, although the overall ICC ranged from weak to moderate at best. Level of Evidence III; Case Control Study; Diagnostic Studies.

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Section: Discussionmentioning

confidence: 99%

“…The diagnosis and prognosis of calcaneal fractures are related to their location and to the extent of joint involvement (1) . Some classification systems for these fractures use radiographs to determine their patterns, but this approach is limited by the difficulty in clearly defining the fragments (2) .…”

Section: Introductionmentioning

confidence: 99%

Inter-rater reliability of Böhler and Gissane angles in different calcaneal fracture according to the Essex-Lopresti and Sanders classifications

et al. 2021

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“…So its possibe to estimate the prognosis and proper clinical management of intraarticular fractures by observing the digital X-ray radiographs alone. [3] CT has changed the evaluation of calcaneal fractures because it allows better visualization of subtlar joint [4]. Through MPR and VR reconstruction is possible to assess accurately the fracture lines, dislocation, crushing, the morphology and the involvement of the articular surfaces, allowing to choose the appropriate treatment and have a better prognostic evaluation.…”

Section: Introductionmentioning

confidence: 99%

Digital imaging versus computed tomography for evaluation of calcaneal fractures

Montaser

Abdelsatar

Abdelkhalik

2022

Benha Journal of Applied Sciences

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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 threedimensional 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 noninvasive common technique and has gained use in identifying the diagnosis, classification, and treatment planning of extraarticular and intra-articular calcaneal fractures

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“…Displaced intra-articular calcaneal fractures (DIACFs) account for approximately 75% of adult calcaneal fractures [1]. DIACF causes a loss of calcaneal height and subtalar joint disruption.…”

Section: Introductionmentioning

confidence: 99%

A new reference to evaluate the collapse of the posterior facet in displaced intra-articular calcaneal fractures

Wei

Zhao

Cui

et al. 2020

Preprint

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BackgroundWe proposed a new method to evaluate the height of the posterior articular surface in displaced intra-articular calcaneal fractures (DIACFs) by drawing two lines on the lateral radiograph of hindfoot: one line was drawn from the apex of the posterior facet to the apex of the posterior tuberosity (the apex line), and the other line was drawn from the apex of the anterior process to the posterior process (the anterior posterior process line). The aim of this study was to analyze the relationship between these two lines in normal calcanei and their changes in DIACFs.MethodsLateral radiographs of normal calcanei and DIACFs between January 2018 and February 2020 were collected. We draw two lines on the lateral radiograph, one line was the apex line and the other line was the anterior posterior process line. The value of the angle formed by these two lines was recorded, if these two lines were parallel to each other, the angle was recorded as 0°. if these two lines formed an angle anteriorly this was recorded as positive, and if these two lines formed an angle behind the calcaneum this was recorded as negative.ResultsIn 135 normal calcanei lateral radiographs, the minimum angle was − 8°, and the maximum angle was 6°, with an average angle of -1 ± 3°. In 145 DIACFs, the minimum angle was 6°; the maximum angle was 37°, and the average angle was 17°±6°. The difference between normal calcanei and DIACFs was statistically significant (P༜.001).ConclusionThe relationship between the apex line and the anterior posterior process line on lateral radiograph can evaluate the height of the calcaneal posterior facet simply and accurately. The two lines are approximately parallel or angulated backward in the normal calcanei, in DIACFs, these two lines angulated forward.Level of Evidence: Level III-retrospective comparative study.

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A measuremental approach to calcaneal fractures

Abstract: These findings suggest that measurements obtained from lateral X-rays coincide with the Sanders classification and, therefore, might indicate the prognosis.

Cited by 9 publications

References 8 publications

Inter-rater reliability of Böhler and Gissane angles in different calcaneal fracture according to the Essex-Lopresti and Sanders classifications

Inter-rater reliability of Böhler and Gissane angles in different calcaneal fracture according to the Essex-Lopresti and Sanders classifications

Digital imaging versus computed tomography for evaluation of calcaneal fractures

A new reference to evaluate the collapse of the posterior facet in displaced intra-articular calcaneal fractures

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