Ishino Y, Oono M, Uchino A, Satou Y, Nakata H
Nihon Igaku Hoshasen Gakkai Zasshi. 1989 Mar 25;49(3):281-5.
Computed tomography (CT) and conventional radiography were compared in 52 calcaneal fractures. As for CT, direct coronal imagings were performed in all and direct axial imagings were added in 27 of them. Conventional radiography included lateral, axial, and Anthonsen (oblique) views. Overall CT detected 7 more of the incongruity of the posterior facet, 9 more of the bulging of the lateral wall, and 6 more of the fracture of the sustentaculum tali than conventional radiography. In addition the entrapment of the peroneal tendons between the calcaneal body and the fibular malleolus could be evaluated only with CT. These informations are indispensable for the proper treatment of the fractures and we conclude that CT is useful in evaluating calcaneal fractures.
对52例跟骨骨折患者的计算机断层扫描（CT）和传统X线摄影进行了比较。对于CT检查，所有患者均进行了直接冠状位成像，其中27例还增加了直接轴位成像。传统X线摄影包括侧位、轴位和安东尼森（斜位）视图。总体而言，与传统X线摄影相比，CT多发现7例后关节面不平整、9例侧壁膨出和6例载距突骨折。此外，只有CT才能评估跟骨体与腓骨外踝之间腓骨肌腱的卡压情况。这些信息对于骨折的正确治疗必不可少，我们得出结论，CT在评估跟骨骨折方面很有用。
