Letters to the Editor

Allon, Steven; Lowery, Robert B.W.; Stephens, Michael M.

doi:10.1177/107110079601701115

Cited by 5 publications

(1 citation statement)

References 3 publications

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“…However, comparison of some of the demographic data of the patients with the data reported in other publications suggests that the selection bias was low. In this study, the distribution of fractures between men (75.6%) and women (24.4%), as well as the peak of the fractures between those aged 28 and 64 years old, is consistent with the literature 5,28). Second, the accuracy and validity of the reconstructed Broden's views are uncertain.…”

Section: Discussionsupporting

confidence: 81%

Revisit of Broden's View for Intraarticular Calcaneal Fracture

et al. 2012

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BackgroundThis study was performed to investigate the relationship between coronal computed tomography (CT) and Broden's view in terms of location of the fracture line and fracture pattern.MethodsForty-five feet of 45 patients with intraarticular calcaneal fractures were evaluated. The mean age of the patients was 46.3 years (standard deviation, 18.1; range, 15 to 80 years), and there were 34 men and 11 women. The Broden's views were acquired using the ray sum projection, reviewed, and correlated with the coronal CT image to determine the location of the fracture on the posterior facet and fracture pattern described by the Sanders classification. The quantified location of the fracture line was defined as the distance between the medial margin of posterior facet and the fracture line divided by the whole length of the posterior facet, which was expressed as a percentage.ResultsThe fracture line on the Broden's view was positioned at 22.3% (standard deviation, 29.6) laterally compared to that on coronal CT (p < 0.01). Although all cases showed posterior facet involvement on the CT scan, the fracture line was positioned lateral to the posterior facet in 6 cases (13.3%) in the Broden's view. The coronal CT and Broden's view showed a low level of agreement in the fracture pattern according to the Sanders classification, with kappa values of 0.23.ConclusionsSurgeons should consider that the fracture line on the Broden's view shows positioning laterally compared to coronal CT and they should consider that the fracture line at the lateral to posterior facet on the Broden's view might be an intraarticular fracture line. There are some limitations when applying the Sanders classification with the Broden's view.

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Section: Discussionsupporting

confidence: 81%

Revisit of Broden's View for Intraarticular Calcaneal Fracture

et al. 2012

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Classification of calcaneal fractures by spiral computed tomography: implications for surgical treatment

et al. 2003

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The purpose of this study was to evaluate spiral computed tomography and multislice CT (SCT/MSCT) with multiplanar reconstructions (MPR) in the classification of calcaneal fractures according to a modified CT classification and to quantify fragment displacement to guide surgical treatment. Forty-eight calcaneal fractures were examined by spiral CT (1- to 2-mm slice thickness, pitch=1.5) with multiplanar reconstructions (MPR). Fractures were grouped according to a modified Munich classification scheme, differentiating six categories of fractures by joint involvement, number of fragments in the posterior facet, and the presence and extent of displacement. A qualitative and quantitative statement was made for the presence of clinical relevant displacement of the posterior articular facet (A: >2 mm), widening of the heel (B: crossing fibular reference line), reduction in calcaneal height (C: >10%), and axis shift of the calcaneocuboid angle (D: >10 degrees ). Treatment recommendations resulting from the CT classification were retrospectively compared with the treatment given by examining the patients' files. There were 10 extra-articular and 38 intra-articular fractures; 8 were in class I (extra-articular, nondisplaced), 2 in class II (extra-articular, displaced), 1 in class III (intra-articular, nondisplaced), 20 in class IV (two fragments), 9 in class V (three fragments), and 8 in class VI (>4 fragments), one of the latter being uncertain; 34 showed displacement of the articular facet, 35 widening of the heel, 35 reduction in calcaneal height, and 20 a shift of the axis. In 94% of the cases the procedure recommended by the Munich system of classification was followed; there was disagreement in 1 case in class I and 1 in class IV. Spiral CT allowed fracture classification and quantification of relevant displacement of fragments by radiologists. The implemented recommendations for treatment were adopted by surgeons in most cases.

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Assessing the AIR classification reliability for estimating pronation of the first metatarsal

Sun,

Wang,

et al. 2024

BMC Musculoskelet Disord

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Letters to the Editor

Cited by 5 publications

References 3 publications

Revisit of Broden's View for Intraarticular Calcaneal Fracture

Revisit of Broden's View for Intraarticular Calcaneal Fracture

Classification of calcaneal fractures by spiral computed tomography: implications for surgical treatment

Assessing the AIR classification reliability for estimating pronation of the first metatarsal

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