Calcaneus fracture: Difference between revisions

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==Treatment & Disposition==
==Treatment & Disposition==
*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 - fracture has high rate of severe swelling)
*Elevation (very important - fracture has high rate of severe swelling)
**Ortho consult
*Ortho consult
*Extra-articular fracture
 
**Immobilization with [[Posterior Ankle Splint]]
===Extra-articular fracture===
**Close ortho follow up
*Immobilization with [[Posterior Ankle Splint]]
*Close ortho follow up


==See Also==
==See Also==

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

(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 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

See Also

References

Video

{{#widget:YouTube|id=ExkQ7ZWVqOU}}