Podcast #143: Calcaneal Fractures

Run Time: 3 minutes

Author: Eric Miller M.D.

Educational Pearls:

  • 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/

References: http://www.jfas.org/article/S1067-2516(14)00013-1/abstract


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