Background: Injuries to the foot and ankle are often missed or underestimated during the initial care for poly-traumatized patients. The aim of this study was to assess the role played by the multi-slice CT in hind foot fractures evaluation. Methods: Our study was involve 30 patients suffering of foot trauma with hind foot fractures, Cases were selected randomly from patients referred to the department of Radio-diagnosis with history of trauma and clinically suspicious cases of hind-foot injuries. Results: There mean age of patients was 31 years . and 18 patients (60 %) were males and 12 patients (40 %) were female. the two main injury mechanisms were falling from a height (13 patients [43.4%]) and a traffic accident (17 patients [56.6%]). and included 7 ankle fractures, 5 talar fractures, and 18 calcaneal fractures. 6 patients (20%) had multiple fractures. Of which 4 patients (67.7%) had ankle and calcaneal fractures, two patients (33.3%) had calcaneal and talar fractures. Conclusion: In complex intra-articular distal tibial, calcaneal and talar fractures, MDCT demonstrates well the degree of articular surface depression, fragment size and position. Data obtained by from volume-rendered imaging may assist the clinician in planning the surgical approach. Computed tomography is valuable in the diagnosis of cases of occult syndesmotic injury, especially when the patient cannot tolerate stress radiographs.