Calcaneal Fractures

Calcaneal fractures occur in the calcaneus on (heel bone), often as a result of great force. The diagnosis is made by radiography and, if necessary, a CT. Treatment requires orthopedic consultation and includes plastering and sometimes surgery.

Calcaneal fractures are serious, but rare injuries; they account for only 1 to 2% of all fractures. However, they can, if not diagnosed and treated promptly, lead to long-term disabilities. Up to 10% of these fractures are not recognized at the first presentation in an emergency room.

Calcaneal fractures occur in the calcaneus on (heel bone), often as a result of great force. The diagnosis is made by radiography and, if necessary, a CT. Treatment requires orthopedic consultation and includes plastering and sometimes surgery. Calcaneal fractures are serious, but rare injuries; they account for only 1 to 2% of all fractures. However, they can, if not diagnosed and treated promptly, lead to long-term disabilities. Up to 10% of these fractures are not recognized at the first presentation in an emergency room. Typically, these fractures resulting from a high energy axial load on the foot (z. B. fall from the height of the heel). Because these fractures require large force, they are often accompanied by other serious injuries; 10% of patients with a calcaneal fracture have a thoracolumbar compression fracture. Stress cracks can occur in the heel bone, especially in athletes, such as long-distance runners. Calcaneal fractures can be injected intra-articularly. Symptoms and signs In general, the area around the heel and the back foot is sensitive and very swollen. Acute compartment syndrome (compartment syndrome) occurs in up to 10% of patients. Diagnostic X-rays Occasionally CT X-rays include axial and lateral views with one. CT is performed when X-rays are negative, but clinical findings indicate a calcaneal fracture. The Böhler angle <20 ° is. Further details are needed to fracture. The Böhler- angle is determined on the lateral X-ray image. This angle is formed by the intersection of a line from the upper edge of the rear heel bone hump to the parent subtalar joint surface and a line from the upper subtalar joint surface to the upper edge of the front calcaneus process. Normally, the angle is 20 ° to 40 °. An angle <20 ° indicates a fracture. Boehler-angle picture courtesy of Danielle Campagne, MD. var model = {thumbnailUrl: '/-/media/manual/professional/images/bohlers_angle_high_de.jpg?la=de&thn=0&mw=350' imageUrl: '/-/media/manual/professional/images/bohlers_angle_high_de.jpg?la = en & thn = 0 ', title:' Böhler angle ', description:' u003Ca id = "v37898330 " class = ""anchor "" u003e u003c / a u003e u003cdiv class = ""para "" u003e u003cp u003eDer Böhler- angle is formed by the intersection of a line from the superior side of the rear calcaneus tuberosity to the superior subtalar joint surface and a line from the superior subtalar joint surface on the superior side of the front heel bone process. Normally

Health Life Media Team

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