3D mapping of intra-articular calcaneal fractures.
Journal
Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288
Informations de publication
Date de publication:
31 05 2023
31 05 2023
Historique:
received:
16
10
2022
accepted:
05
05
2023
medline:
2
6
2023
pubmed:
1
6
2023
entrez:
31
5
2023
Statut:
epublish
Résumé
To determine the pattern of intra-articular calcaneal fractures (ICFs) by a three-dimensional (3D) mapping and determine whether there were consistent fracture patterns and comminution zones. In this study, 67 patients with ICFS by CT scan were included. The calcaneal fractures fragments in CT were multiplanar reconstructed and virtual reduced. 3D heat mapping was subsequently created by graphically superimposing all fracture lines onto a standard calcaneal template. The cohort included 26 (38.8%) left calcaneal fractures, 27 (40.30%) right calcaneal fractures, and 14 (20.9%) cases with bilateral fractures. Comminuted fractures accounted for 92.5%. Sagittal 3D mapping shows that the fracture line is mainly concentrated at the critical angle of Gissane and extending rear to the posterior of the tuberosity of the lateral wall and the anterior of the medial process of the calcaneus tuberosity but with more significant variation in the medial wall. The average angle of fracture lines concerning the long calcaneal axis (LCA) was 29.1° and 19.2° in the lateral and medial walls. Axial 3D mapping shows that fracture lines were primarily concentrated in the anterior area to the posterior joint facet and extending along the rear joint facet and calcaneus sulcus to the posteriorly of the tuberosity. The mean angle of fracture lines concerning the LAC was 11° in the axial wall. Our data provided elucidated that ICFs have consistent characteristic fracture patterns and comminution zones. This study provides visual guidelines for understanding fracture morphology, which may assist with fracture classification, preoperative planning, development of fixation concepts.
Identifiants
pubmed: 37258588
doi: 10.1038/s41598-023-34711-w
pii: 10.1038/s41598-023-34711-w
pmc: PMC10232523
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
8827Informations de copyright
© 2023. The Author(s).
Références
J Foot Ankle Surg. 2003 Jan-Feb;42(1):21-3
pubmed: 12567363
J Bone Joint Surg Am. 2009 Sep;91(9):2222-8
pubmed: 19724000
Clin Orthop Relat Res. 2019 Feb;477(2):467-471
pubmed: 30664605
Surg Radiol Anat. 2010 Feb;32(2):115-22
pubmed: 19777154
J Foot Ankle Surg. 2020 Nov - Dec;59(6):1162-1166
pubmed: 32828628
J Bone Joint Surg Am. 1998 Feb;80(2):207-12
pubmed: 9486726
J Orthop Trauma. 2013 Jul;27(7):e152-6
pubmed: 23360909
Med Biol Eng Comput. 2017 Oct;55(10):1799-1807
pubmed: 28224272
Int Orthop. 2015 Jan;39(1):111-7
pubmed: 25315027
Eur Radiol. 2003 Oct;13(10):2315-22
pubmed: 12728332
Int J Surg. 2013;11(10):1087-91
pubmed: 24103451
BMJ. 2014 Jul 24;349:g4483
pubmed: 25059747
J Bone Joint Surg Am. 2013 Jun 5;95(11):995-1000
pubmed: 23780537
J Shoulder Elbow Surg. 2016 Sep;25(9):1509-16
pubmed: 27052270
Foot Ankle Int. 1997 Nov;18(11):685-92
pubmed: 9391812
AJR Am J Roentgenol. 1985 Jul;145(1):131-7
pubmed: 3873833
Med Sci Monit. 2019 Apr 16;25:2802-2810
pubmed: 30990799
J Bone Joint Surg Br. 1953 Feb;35-B(1):33-45
pubmed: 13034868
Clin Orthop Relat Res. 1993 May;(290):87-95
pubmed: 8472475
Clin Orthop Relat Res. 1983 Jul-Aug;(177):87-103
pubmed: 6861412
Foot Ankle Int. 2009 Nov;30(11):1037-41
pubmed: 19912711
Bone Joint Res. 2020 Jul 23;9(6):258-267
pubmed: 32728424
Int Orthop. 2008 Oct;32(5):711-5
pubmed: 17564705
Med Biol Eng Comput. 2019 Mar;57(3):633-642
pubmed: 30311066
Clin Orthop Relat Res. 1993 May;(290):96-107
pubmed: 8472476
Injury. 2019 Oct;50(10):1781-1786
pubmed: 31178146
Foot Ankle Int. 2011 Sep;32(9):861-6
pubmed: 22097161
World J Clin Cases. 2020 Jan 6;8(1):29-37
pubmed: 31970167
Foot Ankle. 1989 Oct;10(2):81-7
pubmed: 2807110
J Foot Ankle Surg. 2006 Jul-Aug;45(4):211-9
pubmed: 16818147
Ann Transl Med. 2021 Feb;9(4):333
pubmed: 33708960
PLoS One. 2016 Apr 27;11(4):e0154435
pubmed: 27119740
Foot Ankle Int. 2000 Feb;21(2):114-8
pubmed: 10694022
Comput Methods Biomech Biomed Engin. 2016 Oct;19(13):1363-70
pubmed: 26813403
Foot Ankle Int. 1996 Sep;17(9):563-5
pubmed: 8886785
J Foot Ankle Surg. 2009 Mar-Apr;48(2):156-62
pubmed: 19232967
Comput Methods Biomech Biomed Engin. 2017 Sep;20(12):1339-1349
pubmed: 28768423
Clin Orthop Relat Res. 1993 May;(290):36-40
pubmed: 8472468
Curr Probl Diagn Radiol. 2007 Jan-Feb;36(1):1-10
pubmed: 17198887
J Foot Ankle Surg. 2017 Mar - Apr;56(2):319-326
pubmed: 28231965
AJR Am J Roentgenol. 1992 Jun;158(6):1271-4
pubmed: 1590122
J Bone Joint Surg Am. 1987 Jan;69(1):115-30
pubmed: 3805058
Radiographics. 2011 Jan-Feb;31(1):81-92
pubmed: 21257934