Os calcaneus secundarius, a relevant differential diagnosis to fracture or pseudarthrosis of processus anterior of the calcaneus: a CT morphologic ... View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2019-09-28

AUTHORS

Robert Hennings, Peter Voigt, Thomas Kahn, Christoph Josten, Annette B. Ahrberg

ABSTRACT

PurposeA fracture or a pseudarthrosis of the processus anterior calcanei (PAC) as well as a traumatized Os calcaneus secundarius (OCS) is often overlooked. A clinical or conventional radiological differentiation of these is uncertain. Therefore, a CT scan is recommended. The aim of the study was to identify CT morphological differentiators between OCS and pathologies of PAC.MethodsAll CT scans at our trauma center level I from 2010 to 2014, which imaged the entire foot, performed after acute trauma or postoperative control were retrospectively re-examined for OCS, other accessory ossicles (oAOS), fracture or pseudarthrosis of PAC and analyzed for specifiers.ResultsIn 611 CT examinations, 14 (2.3%) accessory ossicles (AOS) at the PAC were detected. 12 (86%) were identified as typical OCS and 2 (14%) as oAOS. 56 (9.2%) pathologies were detected. Of these, 44 (79%) were declared as fractures and 12 (21%) as pseudarthrosis. 7 OCS (58%) and 25 (46%) of the pathologies were not mentioned in the initial CT reports. The main differentiators of OCS to fracture of PAC were the anteromedial localization into a concave notch at the calcaneal facet at PAC and the continuous corticalization. With increasing size, radiological osteoarthritic signs at the OCS were frequent (p ≤ 0.05).ConclusionsThe study confirms that AOS or pathologies at the PAC often are not exactly described in CT report. In the context of foot trauma, attention should be paid to this region. Based on the presented differentiation criteria, a precise distinction can be made with the help of a CT. More... »

PAGES

1425-1432

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00276-019-02348-y

DOI

http://dx.doi.org/10.1007/s00276-019-02348-y

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1121371086

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/31563970


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