Calcaneus fracture: Difference between revisions
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==Diagnosis== | ==Diagnosis== | ||
[[File:Boehlers_Angle.jpg|thumb|(A) Normal Boehler's angle and (B) Abnormal Boehler's angle]] | |||
*Plain X-ray imaging | *Plain X-ray imaging | ||
**Decreased Boehler's angle (<25') may be only sign of fracture (compare w/ opposite side) | **Decreased Boehler's angle (<25') may be only sign of fracture (compare w/ opposite side) | ||
==Treatment & Disposition== | ==Treatment & Disposition== | ||
Revision as of 13:51, 1 April 2016
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 Fracture Types
Hindfoot
Midfoot
Forefoot
Diagnosis
- Plain X-ray imaging
- Decreased Boehler's angle (<25') may be only sign of fracture (compare w/ 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
- Immobilization with Posterior Ankle Splint
- Close ortho follow up
See Also
References
Video
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