Ankle and Foot 47 - Department of Radiology - University of ...

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2272 VII Imaging of the Musculoskeletal System Böhler’s angle CCJ N M Figure 47-80, cont’d M, Axial image through the calcaneocuboid joint (CCJ) shows that this joint is not involved in this patient. N, After ORIF of the calcaneal fracture, Böhler’s angle is restored (compare with B). Ch047-A05375.indd 2272 9/9/2008 5:35:17 PM
47 Ankle and Foot 2273 47 LPT N APC A B LM M-STJ ST C D E CCJ Figure 47-81. Calcaneal fracture in a 40-year-old who fell from a 4-foot ladder, landing on the heel. A, Lateral radiograph shows a calcaneal fracture. B, CT scan in the sagittal plane shows where the lateral process of the talus (LPT; black arrow) drove into the calcaneus, causing wide separation of the posterior facet of the subtalar joint (bidirectional arrow). Incidentally seen is a nonosseous tarsal coalition (arrowheads) between the anterior process of the calcaneus (APC) and the navicular (N). C, CT scan in the coronal oblique plane through the posterior facet of the subtalar joint demonstrates the typical inferomedial direction of the fracture (dashed arrow). There are often laterally displaced fragments (black arrow). Normally, none of the calcaneus should be below the lateral malleolus (LM). D, CT scan in the coronal oblique plane through the middle facet (arrow) shows that in this patient the sustentaculum tali (ST) is in one large piece and that the fracture does not extend into the middle facet. E, Axial CT scan through the calcaneocuboid joint (CCJ) shows involvement of this joint (arrowhead). Ch047-A05375.indd 2273 9/9/2008 5:35:19 PM
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Ankle and Foot 47 - Department of Radiology - University of ...

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