Run Time: 3 minutes
Author: Eric Miller M.D.
- The Calcaneus is like the wrist bone of the ankle. It is one of the tarsal bones in the foot and articulates with the talus superiorly and cuboid anteriorly.
- Usually the mechanism for a calcaneal fracture is a fall from significant height.
- The Sanders scale classifies calcaneal fractures from 1-4.
- In the ED a type I fracture:1 fracture line and displacement less than 2mm – this type is non-surgical – type II, III, IV deal with more fx lines, but in the ED they indicate need for surgery.
- The other calcaneal fracture that is non-surgical is delayed manifestation, because there is already significant healing.
- 10% of patients with a calcaneal fractures also have associated lumbar fractures, it is important to palpate and x-ray the lumbar spine for a patient with a calcaneal fracture, especially one that has fallen from a significant height.
Link to Podcast: http://medicalminute.madewithopinion.com/calcaneal-fractures/