Since the degree of comminution, fracture alignment, and articular con
gruity of intra-articular calcaneal fractures are important determinan
ts in surgical treatment and patient prognosis, we review helical comp
uted tomographic (CT) technique and features for detecting and assessi
ng the extent of acute calcaneal fractures. Helical CT can be used to
classify these fractures and facilitate the surgeon's understanding of
the anatomy and position of the fracture components in all orthogonal
planes independently of the patient's condition, foot placement in th
e CT gantry, or other injuries.