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Figure 24a.   Superior (a) and posterior (b) volume-rendered spiral CT images obtained through a cast show the extent of a comminuted calcaneal fracture (arrow), which was the result of a three-story jump from a burning building. The orientation of the fracture fragments seen on these views is helpful for presurgical planning, and the intraarticular nature of the fracture (arrow in b) is best seen in the posterior projection.