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Axial view (Calcaneus)

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The Axial View of the Calcaneus, also known as the Plantodorsal Axial View, is a specialized X-ray projection used to evaluate the calcaneus (heel bone), particularly its body, tuberosity, and sustentaculum tali. In this view, the patient is typically supine with the leg extended and the foot dorsiflexed as much as possible to form a 90° angle with the leg. The X-ray beam is angled 40° cephalad (toward the head) and directed toward the plantar surface of the foot, centered at the level of the base of the third metatarsal.

This projection provides a clear image of the calcaneal body and posterior subtalar joint, making it especially useful for detecting calcaneal fractures, bony spurs, and structural deformities. It is commonly performed in trauma cases and orthopedic evaluations involving heel pain or suspected hindfoot pathology.

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