Calcaneus fracture: Difference between revisions
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{{Foot and toe fractures DDX}} | {{Foot and toe fractures DDX}} | ||
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[[File:Boehlers_Angle.jpg|thumb|(A) Normal Boehler's angle and (B) Abnormal Boehler's angle]] | [[File:Boehlers_Angle.jpg|thumb|(A) Normal Boehler's angle and (B) Abnormal Boehler's angle]] | ||
*Plain X-ray imaging | *Plain X-ray imaging | ||
Revision as of 04:02, 23 July 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
Evaluation
- 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
- Immobilization with posterior ankle splint
- Close ortho follow up
See Also
References
Video
{{#widget:YouTube|id=ExkQ7ZWVqOU}}