The following is an excerpt....
BASICS
Description
- Calcaneus fractures affect the calcaneus (heel bone) and the subtalar
joint (between the talus and calcaneus).
- Often high-energy injuries with substantial bony comminution
and soft-tissue swelling
- As such, often very difficult to treat
- Calcaneus fractures may be intra-articular, involving the subtalar
joint, or extra-articular.
- Extra-articular fractures have better outcomes and can
be treated nonoperatively.
- Intra-articular fractures have a worse prognosis and can
be associated with severe heel widening, shoe wear problems, gait abnormalities,
foot stiffness, and chronic pain.
Epidemiology
Incidence
Uncommon, but the calcaneus is the most commonly fractured tarsal bone.
Risk Factors
- Osteoporosis
- Jumping activities
- Work at heights
Pathophysiology
- Fracture patterns depend on the following:
- Force of impact
- Orientation of the ...
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