Condition Articles-Calcaneal Fractures PDF

Calcaneal Fractures PDF

Pdf Summary

Calcaneal fractures, or fractures of the heel bone, typically occur after a significant fall or motor vehicle accident. The calcaneus, or heel bone, is the largest of the tarsal bones in the foot and plays a major role in hindfoot function. It articulates with the talus bone and provides stability and motion for the foot.<br /><br />These fractures commonly present with a swollen and widened heel with varus angulation, causing severe pain and an inability to bear weight on the affected side. A thorough orthopedic examination should be performed to check for concomitant injuries, particularly in the lumbar spine. The skin should be evaluated for swelling and examined carefully if there is a tuberosity avulsion fracture.<br /><br />There are several classifications for calcaneal fractures, including the Essex-Lopresti classification and the Sanders classification based on computed tomography (CT) scans. Imaging studies, such as X-rays and CT scans, are crucial for evaluating the extent and location of the fracture.<br /><br />Treatment for calcaneal fractures depends on various factors. Open fractures require surgical debridement, while closed fractures are treated non-operatively or surgically. Non-operative treatment involves immobilization and gradual weight-bearing after 6-12 weeks. Operative management may include screw fixation or open reduction internal fixation, depending on the severity of the fracture.<br /><br />Calcaneal fractures are challenging injuries, and a thorough understanding of anatomy, pathogenesis, and treatment options is essential. Patient education about long-term implications and future research is needed to determine optimal treatment approaches for different patient populations.

Keywords

Calcaneal fractures

heel bone fractures

tarsal bones

hindfoot function

varus angulation

concomitant injuries

Essex-Lopresti classification

Sanders classification

surgical debridement

non-operative treatment