Calcaneus fracture: Difference between revisions
(Created page with "==Background== *Associated injuries are common *Types **Intra-articular (75%) ***Sclerotic line may be only evidence of impacted fracture **Extra-articular (25%) ***Anterior p...") |
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===Images=== | ===Images=== | ||
*(A) Normal Boehler's angle and (B) Abnormal Boehler's angle | *(A) Normal Boehler's angle and (B) Abnormal Boehler's angle | ||
[[File:Boehlers_Angle.jpg]] | [[File:Boehlers_Angle.jpg|thumb|Boehler's angle]] | ||
==Differential Diagnosis== | |||
{{Foot and toe fractures DDX}} | |||
==Treatment== | ==Treatment== | ||
Revision as of 07:25, 10 January 2015
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
- Intra-articular (75%)
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
Differential Diagnosis
Foot and Toe Fracture Types
Hindfoot
Midfoot
Forefoot
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
Source
- Tintinalli
- Uptodate
- Ilustration by Dr. Frank Gaillard; CC SA NC BY licence