Foot and toe fractures: Difference between revisions
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==See Also== | ==See Also== | ||
[[Foot Bones]] | *[[Foot Bones]] | ||
*[[Ankle Fracture]] | |||
*[[Ankle Sprain]] | |||
*[[Ankle Fracture (Peds)]] | |||
[[Category:Ortho]] | [[Category:Ortho]] | ||
Revision as of 20:46, 4 July 2011
Talus
- Neck
- High risk of avscular necrosis
- Body
- Delay in dx/tx can lead to non-union or subtalar osteoarthritis
Calcaneus
- If suspect fx order an axial view
- Types
- Intra-articular (75%)
- Sclerotic line may be only e/o impacted fracture
- May only be apparent based on decreased Bohler's angle (<30degrees)
- Draw line from highest posterior to highest point of calcaneus
- Draw line from highest anterior to highest point of calcaneus
- Extra-articular (25%)
- Anterior process fx is most common (lateral radiograph)
- Intra-articular (75%)
Fifth Metatarsal
Jones Fracture
- <1.5 cm from proximal tip of 5th metatarsal
- transverse
- ORIF
Dancer's (Avulsion) Fracture
- proximal tip of 5th metatarsal (more proximal than Jones)
- avulsion (spiral) fracture, frequently displaced
- inversion injury (common in ballet dancers)
- Do not confuse unfused apophysis with a fracture!
- treatment
- mildly displaced: heal w/ 6 to 8 weeks w/ short leg cast
- displaced frxs (3-5 mm): may require ORIF