Carr J B, Hamilton J J, Bear L S
University of Missouri, Kansas City.
Foot Ankle. 1989 Oct;10(2):81-7. doi: 10.1177/107110078901000206.
Experimental calcaneus fractures were produce by axially loading 18 specimens. Anatomic dissections were performed and documented. Two constant primary fracture lines were identified, dividing the calcaneus in the coronal and sagittal planes. A constant anterolateral fragment was identified, as were three patterns of calcaneocuboid joint fracture involvement. Based on the pathoanatomy and surgical anatomy of the calcaneus, a medial and lateral column classification is proposed. The medial column includes the superomedial fragment. The lateral column includes the calcaneocuboid joint, lateral wall and posterior facet. This concept can help identify fracture displacements and correlate them with a treatment plan.
通过对18个标本进行轴向加载来制造实验性跟骨骨折。进行了解剖并记录下来。确定了两条恒定的主要骨折线，它们在冠状面和矢状面将跟骨分开。确定了一个恒定的前外侧骨折块，以及三种跟骰关节骨折累及模式。基于跟骨的病理解剖和手术解剖，提出了一种内侧柱和外侧柱分类法。内侧柱包括超内侧骨折块。外侧柱包括跟骰关节、外侧壁和后关节面。这一概念有助于识别骨折移位情况，并将其与治疗方案联系起来。
