Research Article
Diagnostic Value of Imaging Modalities for Suspected Calcaneal Fracture: A Systematic Review of Literatures
Firooz Madadi1, Firoozeh Madadi2 and Ali Sanjari Moghaddam2*
1Department of Orthopedic Surgery, Akhtar Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
- *Corresponding Author:
- Ali Sanjari Moghaddam
School of Medicine, Shahid Beheshti University of Medical Sciences
Tehran, Iran
Tel: +98 9197564219
E-mail: alisanjarimoghaddam@yahoo.com
Received Date: April 23, 2016; Accepted Date: June 09, 2016; Published Date: June 16, 2016
Citation: Madadi F, Madadi F, Moghaddam AS (2016) Diagnostic Value of Imaging Modalities for Suspected Calcaneal Fracture: A Systematic Review of Literatures. Clin Res Foot Ankle 4:186. doi: 10.4172/2329-910X.1000186
Copyright: © 2016 Madadi F, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Background: Calcaneal fracture account as the most common tarsal bones injury. Diagnosis of fracture is based on X-rays radiological studies, but CT-scan is the most reliable tool for diagnosis of calcaneus fracture. In this study, we conducted a systematic review, which will help readers to get a better view of usefulness of different imaging modality in diagnosis of calcaneal fracture.
Methods: We conducted a systematic review based on PRISMA protocol. To find all citations, PubMed /Medline, ISI web of knowledge, EMBASE and Cochrane library databases were searched from their beginning to June 2015. Two authors, applying the inclusion and exclusion criteria, screened all citations and abstracts and extracted all needed information from included literatures, independently. In order to assess the quality of included studies, QUADAS was used.
Results: Ten literatures included in this systematic review. Sensitivity of different conventional radiographs ranged from 0% for Foot posteroanterior to 100% for Foot reversed oblique and Combined Lateral and axial calcaneal X-ray. Specificity of conventional radiographs ranged from 72% for lateral calcaneal X-ray to 100% for Lateral foot or ankle radiograph. For the CT-scan, three-dimensional (3D) shaded radiographs had highest sensitivity (90.7%) and specificity (93.9%). Four studies tried to show value of angle’s measures in diagnosis of calcaneal fracture that had different results. Conclusions: We concluded that there are few literatures evaluating different imaging modality in diagnosis of calcaneal fracture and results are not enough to prove advantage of one modality to others. So, one study with a large population sample is needed to compare diagnostic value of different modalities.
