That Gissane is Insane!
The distracting arrow could not draw me away from the critical angle of Gissane. Most people think of the Böhler angle when considering calcaneal fractures but not me. The V created by the anterior and posterior facets is what draws my eyes . The comforting V can usually be spotted in nanoseconds. There was only discomfort on this view (and certainly for the patient): The Gissane is missing!You have to know normal to know abnormal, so here is a comparison.My patient had destroyed her calcaneus. It was obvious. The anterior and posterior facets were not even connected. There was no more Gissane angle!Tip to Remember: Check the critical angle of Gissane and the Böhler angle every single time when looking at the calcaneus.Tags: Angle of Gissane, calcaneus, fracture, Bohler angle, calcaneal fracture, x-ray, diagnosis, foot injury, emergency medicinePublished: 3/1/2019 7:34:00 AM
Source: Lions and Tigers and Bears - Category: Emergency Medicine Tags: Blog Posts Source Type: blogs