Calcaneus fracture: Difference between revisions
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==Background== | ==Background== | ||
*Associated injuries are common | *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 DDX}} | |||
==Diagnosis== | ==Diagnosis== | ||
* | *Plain X-ray imaging | ||
**Decreased Boehler's angle (<25') may be only sign of | **Decreased Boehler's angle (<25') may be only sign of fracture (compare w/ opposite side) | ||
===Images=== | ===Images=== | ||
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[[File:Boehlers_Angle.jpg|thumb|Boehler's angle]] | [[File:Boehlers_Angle.jpg|thumb|Boehler's angle]] | ||
==Treatment & Disposition== | |||
==Treatment== | |||
*Intra-articular fracture | *Intra-articular fracture | ||
**Immobilization with [[Posterior Ankle Splint]] | **Immobilization with [[Posterior Ankle Splint]] | ||
**Non-weight bearing | **Non-weight bearing | ||
**Elevation (very important - | **Elevation (very important - fracture has high rate of severe swelling) | ||
**Ortho consult | **Ortho consult | ||
*Extra-articular fracture | *Extra-articular fracture | ||
Revision as of 13:50, 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)
Images
- (A) Normal Boehler's angle and (B) Abnormal Boehler's angle
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
{{#widget:YouTube|id=ExkQ7ZWVqOU}}