Calcaneus fracture

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Background

  • Associated injuries are common
  • Types
    • Intra-articular (75%)
      • Sclerotic line may be only evidence of impacted fracture
    • Extra-articular (25%)
      • Anterior process fx is most common

Diagnosis

  • Imaging
    • Decreased Boehler's angle (<25') may be only sign of fx (compare w/ opposite side)

Images

  • (A) Normal Boehler's angle and (B) Abnormal Boehler's angle

Boehlers Angle.jpg

Treatment

  • Intra-articular fracture
    • Immobilization with Posterior Ankle Splint
    • Non-weight bearing
    • Elevation (very important - fx has high rate of severe swelling)
    • Ortho consult
  • Extra-articular fracture

See Also

Source

  • Tintinalli
  • Uptodate
  • Ilustration by Dr. Frank Gaillard; CC SA NC BY licence
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