CT of the heel and midfoot.

The authors stress the importance of CT examination in certain pathologic conditions of the heel and midfoot. In this region the bone structures form complicated articulations which can be affected by a number of disorders. This study (43 cases) includes the normal CT images of the heel and midfoot and an illustration of the various pathologic conditions encountered in this region: heel traumata (18 cases), bone tumors (4 cases), congenital coalitions (5 cases), and some inflammatory and soft tissue disorders (12 cases). Depending on the clinical aspect a coronal and/or axial incidence with fine slice technique and adapted bone or soft tissue algorithm was chosen. Especially traumatic lesions and congenital coalitions can benefit from better therapy if a good visualisation is obtained. In uneasy instances, CT provides additional information.