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© 2006 by the American Institute of Ultrasound in Medicine
J Ultrasound Med 25:381-385 • 0278-4297

Case Series

Ultrasonography of Anterosuperior Calcaneal Process Fracture

Report of 2 Cases

Nathalie Boutry, MD, Antoine Vanderhofstadt, MD and Philippe Peetrons, MD

Department of Musculoskeletal Radiology, Hôpital Roger Salengro, Centre Hospitalier Régional Universitaire de Lille, Lille, France (N.B.); Department of Radiology, Hôpital Molière-Longchamp, Hôpitaux Iris Sud, Brussels, Belgium (A.V., P.P.); and Groupement des Échographistes de l’Appareil Locomoteur, Paris, France (N.B., A.V., P.P.).

Address correspondence to Nathalie Boutry, MD, Department of Musculoskeletal Radiology, Hôpital Roger Salengro, Centre Hospitalier Régional Universitaire de Lille, Boulevard du Prof J. Leclercq, 59037 Lille Cedex, France. E-mail: nboutry{at}chru-lille.fr

Objective. The purpose of this series is to describe the ultrasonographic findings of anterosuperior calcaneal process (ASCP) fracture. Methods. Two patients with ASCP fractures were examined with ultrasonography. Both of them had pain over the lateral aspect of the ankle 10 to 13 months after an injury. Initial radiographs had shown no evidence of bone fracture or bone avulsion. Results. In both cases, ultrasonography revealed the presence of a bone fragment adjacent to the ASCP suggestive of a misdiagnosed fracture. The latter was confirmed by radiographs. In 1 case, a hypoechoic thickening of the calcaneocuboid component of the bifurcate ligament was also identified on ultrasonographic scans. Conclusions. Ultrasonography is potentially valuable in detecting clinically or radiographically occult ASCP fractures.

Key Words: ankle • extremities • foot • fractures • injuries • ultrasonography

Abbreviations: ASCP, anterosuperior calcaneal process • CT, computed tomography • MR, magnetic resonance

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Copyright © 2006 by the American Institute of Ultrasound in Medicine.