Background: Familiarity with the normal calcaneal anatomy is important for understanding fracture mechanisms and classification schemes. Clinical presentation at the time of evaluation generally includes (a) a history of a fall from a height, and (b) certain signs that aid the physician in identifying possible calcaneal fractures. Purpose: To look at the role played by the multi detector computed tomography (MDCT) in assessing calcaneus fractures and delineate the fracture fragment which help in decision making in the management of extra and intra articular fractures of the calcaneum and pre-operative planning. Patients and Methods: This study will be conducted on patients with calcaneal fractures suspected clinically or by x ray diagnosis. The patient will be referred from orthopaedic department at Ain Shams University Hospitals; the patient will be investigated using MDCT. Results: This study included 44 feet of 41 patients (three bilateral); 35 males and 6 females, representing 85.4% and 14.6% of all patients respectively, their mean age was 34.22 years, we observed that calcaneal fractures commonly occur in male than female. Conclusion: Multi detector CT is the best method of assessing calcaneus fracture in order to decide management. It delineates the fracture fragments and help in making the pre-operative planning of the fracture.