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Ankle and Foot Injuries: Analysis of MDCT Findings

Ville V. Haapamaki1, Martti J. Kiuru1,2 and Seppo K. Koskinen1

1 Department of Radiology, Helsinki University Central Hospital, Töölö Trauma Center, Topeliuksenkatu 5, Helsinki FIN-00029, Finland.
2 Research Institute of Military Medicine, Mannerheimintie 164, Helsinki FIN-00300, Finland.



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Fig. 1A. —66-year-old woman with right ankle injury due to simple fall. Conventional radiographs in anteroposterior (A), mortise (B), and lateral (C) views show bimalleolar fracture (arrows, A).

 


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Fig. 1B. —66-year-old woman with right ankle injury due to simple fall. Conventional radiographs in anteroposterior (A), mortise (B), and lateral (C) views show bimalleolar fracture (arrows, A).

 


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Fig. 1C. —66-year-old woman with right ankle injury due to simple fall. Conventional radiographs in anteroposterior (A), mortise (B), and lateral (C) views show bimalleolar fracture (arrows, A).

 


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Fig. 1D. —66-year-old woman with right ankle injury due to simple fall. Coronal and sagittal multiplanar reconstructions from MDCT images reveal bimalleolar fracture (arrows, D and E) and occult posterior malleolus fracture (arrow, F) that involves more than one third of articular surface. Also, occult Chaput-Tillaux fracture (arrowhead, E) is shown in anterolateral part of tibia. Note significant tibial metaphyseal osteoporosis.

 


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Fig. 1E. —66-year-old woman with right ankle injury due to simple fall. Coronal and sagittal multiplanar reconstructions from MDCT images reveal bimalleolar fracture (arrows, D and E) and occult posterior malleolus fracture (arrow, F) that involves more than one third of articular surface. Also, occult Chaput-Tillaux fracture (arrowhead, E) is shown in anterolateral part of tibia. Note significant tibial metaphyseal osteoporosis.

 


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Fig. 1F. —66-year-old woman with right ankle injury due to simple fall. Coronal and sagittal multiplanar reconstructions from MDCT images reveal bimalleolar fracture (arrows, D and E) and occult posterior malleolus fracture (arrow, F) that involves more than one third of articular surface. Also, occult Chaput-Tillaux fracture (arrowhead, E) is shown in anterolateral part of tibia. Note significant tibial metaphyseal osteoporosis.

 


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Fig. 2A. —50-year-old woman with distortion injury in ankle due to simple fall. Conventional radiographs in anteroposterior (A), mortise (B), and lateral (C) views show no fractures.

 


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Fig. 2B. —50-year-old woman with distortion injury in ankle due to simple fall. Conventional radiographs in anteroposterior (A), mortise (B), and lateral (C) views show no fractures.

 


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Fig. 2C. —50-year-old woman with distortion injury in ankle due to simple fall. Conventional radiographs in anteroposterior (A), mortise (B), and lateral (C) views show no fractures.

 


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Fig. 2D. —50-year-old woman with distortion injury in ankle due to simple fall. Coronal multiplanar reconstruction from MDCT images shows dislocated Chaput–Tillaux fracture (arrow) in anterolateral part of tibia.

 


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Fig. 3A. —45-year-old man with calcaneal fracture due to fall from height. Conventional radiographs in anteroposterior (A) and lateral (B) views from ankle and calcaneal view (C) reveal fracture line through calcaneal body and lateral malleolus avulsion fracture.

 


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Fig. 3B. —45-year-old man with calcaneal fracture due to fall from height. Conventional radiographs in anteroposterior (A) and lateral (B) views from ankle and calcaneal view (C) reveal fracture line through calcaneal body and lateral malleolus avulsion fracture.

 


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Fig. 3C. —45-year-old man with calcaneal fracture due to fall from height. Conventional radiographs in anteroposterior (A) and lateral (B) views from ankle and calcaneal view (C) reveal fracture line through calcaneal body and lateral malleolus avulsion fracture.

 


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Fig. 3D. —45-year-old man with calcaneal fracture due to fall from height. Sagittal and coronal multiplanar reconstructions from MDCT images show large defect in posterior calcaneal facet (arrows, E and G) and that comminuted fracture also involves anterolateral facet and calcaneocuboid joint (arrowheads, D and H).

 


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Fig. 3E. —45-year-old man with calcaneal fracture due to fall from height. Sagittal and coronal multiplanar reconstructions from MDCT images show large defect in posterior calcaneal facet (arrows, E and G) and that comminuted fracture also involves anterolateral facet and calcaneocuboid joint (arrowheads, D and H).

 


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Fig. 3F. —45-year-old man with calcaneal fracture due to fall from height. Sagittal and coronal multiplanar reconstructions from MDCT images show large defect in posterior calcaneal facet (arrows, E and G) and that comminuted fracture also involves anterolateral facet and calcaneocuboid joint (arrowheads, D and H).

 


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Fig. 3G. —45-year-old man with calcaneal fracture due to fall from height. Sagittal and coronal multiplanar reconstructions from MDCT images show large defect in posterior calcaneal facet (arrows, E and G) and that comminuted fracture also involves anterolateral facet and calcaneocuboid joint (arrowheads, D and H).

 


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Fig. 3H. —45-year-old man with calcaneal fracture due to fall from height. Sagittal and coronal multiplanar reconstructions from MDCT images show large defect in posterior calcaneal facet (arrows, E and G) and that comminuted fracture also involves anterolateral facet and calcaneocuboid joint (arrowheads, D and H).

 


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Fig. 4A. —20-year-old man with foot injury due to fall from height. Anteroposterior (A) and lateral (B) radiographs show comminuted calcaneal fracture and cuboid bone fracture (arrow, A).

 


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Fig. 4B. —20-year-old man with foot injury due to fall from height. Anteroposterior (A) and lateral (B) radiographs show comminuted calcaneal fracture and cuboid bone fracture (arrow, A).

 


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Fig. 4C. —20-year-old man with foot injury due to fall from height. Coronal (C) and sagittal (D) multiplanar reconstruction images from MDCT images show tonguelike calcaneal fracture that involves posterior talocalcaneal facet (arrow, D) and Lisfranc fracture–dislocation between fourth metatarsal base and cuboid bone (arrowheads, C and D). Note fractured lateral aspect of cuboid bone (arrow, C).

 


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Fig. 4D. —20-year-old man with foot injury due to fall from height. Coronal (C) and sagittal (D) multiplanar reconstruction images from MDCT images show tonguelike calcaneal fracture that involves posterior talocalcaneal facet (arrow, D) and Lisfranc fracture–dislocation between fourth metatarsal base and cuboid bone (arrowheads, C and D). Note fractured lateral aspect of cuboid bone (arrow, C).

 

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