Calcaneus fracture

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

Boehler's angle

Differential Diagnosis

Foot and Toe Fracture Types

Hindfoot

• Talus fracture
• Calcaneus fracture

Midfoot

• Lisfranc injury
• Navicular fracture
• Cuboid fracture
• Cuneiform fracture

Forefoot

• Fifth metatarsal fracture
• Non-fifth metatarsal fracture
• Toe fracture

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
  • Immobilization with Posterior Ankle Splint
  • Close ortho follow up

See Also

• Foot Fractures
• Foot Diagnoses (Main)

Video

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