Calcaneal fracture maps and their determinants
Abstract Background Calcaneal fractures are associated with numerous complications and a poor prognosis with significant long-term quality-of-life issues, regardless of treatment. Therefore, in-depth research into the underlying mechanism of calcaneal fracture is still of great interest, with the go...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2022-01-01
|
| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13018-022-02930-y |
| _version_ | 1818039856646848512 |
|---|---|
| author | Qingwen Yu Zhirui Li Jiantao Li Qinghua Yu Licheng Zhang Daohong Liu Mingzhu Zhang Peifu Tang |
| author_facet | Qingwen Yu Zhirui Li Jiantao Li Qinghua Yu Licheng Zhang Daohong Liu Mingzhu Zhang Peifu Tang |
| author_sort | Qingwen Yu |
| collection | DOAJ |
| description | Abstract Background Calcaneal fractures are associated with numerous complications and a poor prognosis with significant long-term quality-of-life issues, regardless of treatment. Therefore, in-depth research into the underlying mechanism of calcaneal fracture is still of great interest, with the goal of improving treatment for patients suffering from this condition. This study aimed to investigate the relationship between the distribution of calcaneal fracture lines and their determinants, especially those related to the internal structure of the calcaneus. This goal was achieved by fracture maps created by copying and stacking fracture lines as viewed from six surfaces of the calcaneus. Methods A total of 210 consecutive patients with 226 calcaneal fractures were retrospectively analyzed. Fracture lines were copied from a reduced 3D calcaneal fracture model and stacked on calcaneal templates to generate fracture maps. The stacked images of six calcaneus surfaces were also converted into spectrograms with MATLAB to highlight the fracture frequency at specific locations. Results There were four concentrated bands of fracture lines and two fracture hot spots on the superior surface. Three dense bands of fractures were observed on the medial surface, and four fracture bands were observed lateral to the calcaneus. Vertical fracture lines dominated the anterior calcaneal fracture map. On the posterior surface, the fracture lines appeared to be centered superiorly. All fracture locations coincided with the interfaces between the trabecular groups. Conclusions The fracture maps showed fracture patterns and recurrent fracture zones on all calcaneal surfaces. The shape of the talus and calcaneus and the architecture within the calcaneus, especially the arrangement of the trabeculae, are essential factors for calcaneal fractures. |
| first_indexed | 2024-12-10T08:05:17Z |
| format | Article |
| id | doaj.art-3cbcabb06a974e208028aa71a6b5fcc6 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-12-10T08:05:17Z |
| publishDate | 2022-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-3cbcabb06a974e208028aa71a6b5fcc62022-12-22T01:56:41ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2022-01-011711910.1186/s13018-022-02930-yCalcaneal fracture maps and their determinantsQingwen Yu0Zhirui Li1Jiantao Li2Qinghua Yu3Licheng Zhang4Daohong Liu5Mingzhu Zhang6Peifu Tang7Medical School of Chinese People’s Liberation ArmyDepartment of Orthopedics, Chinese PLA General Hospital and Hainan BranchDepartment of Orthopedics, Fourth Medical Centre of PLA General HospitalSchool of Basic Medicine, Air Force Medical UniversityMedical School of Chinese People’s Liberation ArmyDepartment of Orthopedics, Fourth Medical Centre of PLA General HospitalCenter of Foot and Ankle Surgery, Beijing Tongren Hospital, Capital Medical UniversityMedical School of Chinese People’s Liberation ArmyAbstract Background Calcaneal fractures are associated with numerous complications and a poor prognosis with significant long-term quality-of-life issues, regardless of treatment. Therefore, in-depth research into the underlying mechanism of calcaneal fracture is still of great interest, with the goal of improving treatment for patients suffering from this condition. This study aimed to investigate the relationship between the distribution of calcaneal fracture lines and their determinants, especially those related to the internal structure of the calcaneus. This goal was achieved by fracture maps created by copying and stacking fracture lines as viewed from six surfaces of the calcaneus. Methods A total of 210 consecutive patients with 226 calcaneal fractures were retrospectively analyzed. Fracture lines were copied from a reduced 3D calcaneal fracture model and stacked on calcaneal templates to generate fracture maps. The stacked images of six calcaneus surfaces were also converted into spectrograms with MATLAB to highlight the fracture frequency at specific locations. Results There were four concentrated bands of fracture lines and two fracture hot spots on the superior surface. Three dense bands of fractures were observed on the medial surface, and four fracture bands were observed lateral to the calcaneus. Vertical fracture lines dominated the anterior calcaneal fracture map. On the posterior surface, the fracture lines appeared to be centered superiorly. All fracture locations coincided with the interfaces between the trabecular groups. Conclusions The fracture maps showed fracture patterns and recurrent fracture zones on all calcaneal surfaces. The shape of the talus and calcaneus and the architecture within the calcaneus, especially the arrangement of the trabeculae, are essential factors for calcaneal fractures.https://doi.org/10.1186/s13018-022-02930-yCalcaneal fractureFracture mapsFracture spectrogramsFracture mappingFracture frequency spectrum |
| spellingShingle | Qingwen Yu Zhirui Li Jiantao Li Qinghua Yu Licheng Zhang Daohong Liu Mingzhu Zhang Peifu Tang Calcaneal fracture maps and their determinants Journal of Orthopaedic Surgery and Research Calcaneal fracture Fracture maps Fracture spectrograms Fracture mapping Fracture frequency spectrum |
| title | Calcaneal fracture maps and their determinants |
| title_full | Calcaneal fracture maps and their determinants |
| title_fullStr | Calcaneal fracture maps and their determinants |
| title_full_unstemmed | Calcaneal fracture maps and their determinants |
| title_short | Calcaneal fracture maps and their determinants |
| title_sort | calcaneal fracture maps and their determinants |
| topic | Calcaneal fracture Fracture maps Fracture spectrograms Fracture mapping Fracture frequency spectrum |
| url | https://doi.org/10.1186/s13018-022-02930-y |
| work_keys_str_mv | AT qingwenyu calcanealfracturemapsandtheirdeterminants AT zhiruili calcanealfracturemapsandtheirdeterminants AT jiantaoli calcanealfracturemapsandtheirdeterminants AT qinghuayu calcanealfracturemapsandtheirdeterminants AT lichengzhang calcanealfracturemapsandtheirdeterminants AT daohongliu calcanealfracturemapsandtheirdeterminants AT mingzhuzhang calcanealfracturemapsandtheirdeterminants AT peifutang calcanealfracturemapsandtheirdeterminants |