Calcaneus fracture

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Background

  • Associated injuries are common

Types

  • Intra-articular (75%)
    • Sclerotic line may be only evidence of impacted fracture
  • Extra-articular (25%)
    • Anterior process fracture is most common

Clinical Features

Differential Diagnosis

Foot and Toe Fractures

Hindfoot

Midfoot

Forefoot

Evaluation

(A) Normal Boehler's angle and (B) Abnormal Boehler's angle
  • Plain X-ray imaging
    • Decreased Boehler's angle (<25') may be only sign of fracture (compare with opposite side)

Treatment & Disposition

Intra-articular fracture

  • Immobilization with posterior ankle splint
  • Non-weight bearing
  • Elevation (very important - fracture has high rate of severe swelling)
  • Ortho consult

Extra-articular fracture

See Also

References

Video