The Orthobullets Podcast
Foundations⎪Trauma⎪Calcaneus Fractures
Apr 21, 2025
Discover the intricacies of evaluating and treating calcaneus fractures, with emphasis on crucial clinical signs and potential complications. Dive into the complexities of managing Sanders type 4 fractures and explore treatment options for military recruits with heel pain. Learn from detailed case studies, including the risks associated with posterior skin necrosis and Achilles tendon displacement. The discussion also highlights the importance of timely surgical interventions and patient care strategies to enhance recovery outcomes.
13:25
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Quick takeaways
- Calcaneus fractures account for significant morbidity with symptoms like severe pain and inability to bear weight, necessitating prompt assessment and imaging for diagnosis.
- Treatment options vary between non-operative and operative methods based on fracture severity and patient health, emphasizing personalized management approaches to prevent complications.
Deep dives
Understanding Calcaneus Fractures
Calcaneus fractures are the most prevalent type of tarsal fracture, leading to significant morbidity and disability. Symptoms typically include intense pain, swelling, and a lack of ability to bear weight, often accompanied by deformities such as a shortened and widened heel. A thorough examination may reveal various signs, including ecchymosis and possible compartment syndrome, making prompt assessment critical. Radiological imaging, including X-rays and CT scans, is essential for accurate diagnosis and surgical planning to avoid complications like skin necrosis.
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