The Role of Multi Detector Computerized Tomography (MDCT) In Evaluation of Ankle Joint Fractures

Document Type : Original Article

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Department of Diagnostic Radiology, Faculty of Medicine –El Minia University

Abstract

Fractures of the ankle joint are among the commonest fractures in adults. For a good long-term 
functional outcome to be achieved, reliable early evaluation is crucial. CT is the modality of choice for 
ankle joint fracture, axial and coronal views are essential for diagnosis. MDCT has revolutionized 
our understanding and characterization of these fractures and their management. Fracture 
characterization is essential to guide the management of these injuries. The use of MDCT with MPR 
and 3D reformatted images allow better visualization of fracture lines, dislocation and comminuted 
fractures and optimal evaluation of the injury .Ankle fractures are classified according to the part 
affected. If the fibular part affected it is classified according to the Weber classification, which is the 
most common and the simplest. If the calcaneal part is affected, it is classified in to extra articular 
fractures and intra articular fractures which also further classified according to Sander's classification.
If the tibial part is affected it is classified according to the “ - ” classification.
Associated soft tissue injury and tendon injury and muscle injury are important to be evaluated 
before treatment of the fracture.

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