Calcaneus fracture: Difference between revisions
| Line 20: | Line 20: | ||
==Treatment & Disposition== | ==Treatment & Disposition== | ||
===Intra-articular fracture=== | ===Intra-articular fracture=== | ||
*Immobilization with [[ | *Immobilization with [[posterior ankle splint]] | ||
*Non-weight bearing | *Non-weight bearing | ||
*Elevation (very important - fracture has high rate of severe swelling) | *Elevation (very important - fracture has high rate of severe swelling) | ||
| Line 26: | Line 26: | ||
===Extra-articular fracture=== | ===Extra-articular fracture=== | ||
*Immobilization with [[ | *Immobilization with [[posterior ankle splint]] | ||
*Close ortho follow up | *Close ortho follow up | ||
Revision as of 13:52, 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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