Fractures of the anterior process of the calcaneum; a review and proposed treatment algorithm
| Autor: | Sam Singh, Baljinder S. Dhinsa, R. Walker, Ali Abbasian, Diane Back, A.M.H. Latif |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Intra-Articular Fractures Computed tomography 030218 nuclear medicine & medical imaging Avulsion Fractures Bone 03 medical and health sciences 0302 clinical medicine medicine Humans Orthopedics and Sports Medicine 030222 orthopedics medicine.diagnostic_test business.industry Magnetic resonance imaging Level iv Evidence-based medicine Magnetic Resonance Imaging Radiography Calcaneus Inclusion and exclusion criteria Female Plain radiographs Tomography X-Ray Computed business Algorithm Algorithms |
| Zdroj: | Foot and Ankle Surgery. 25:258-263 |
| ISSN: | 1268-7731 |
| Popis: | Background There remains a lack of recognition of these fractures, which leads to a delay in diagnosis and appropriate management. Methods A comprehensive literature search was performed. Following inclusion and exclusion criteria, 23 studies were available for analysis. Results Delay in diagnosis is common and has a negative impact on outcome. If an APC fracture is suspected; anteroposterior, lateral and oblique plain radiographs should be requested. Further investigation with computed tomography or magnetic resonance imaging is indicated if plain radiographs are inconclusive and patient remains symptomatic. Non-operative measures are usually adequate for most undisplaced fractures, however surgical intervention maybe required for large, intra-articular fractures in the acute setting and for non-union. Conclusions A treatment algorithm is suggested that may help with the diagnosis and management of these injuries. Level of evidence Level IV. |
| Databáze: | OpenAIRE |
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