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.
AI Snips
Chapters
Transcript
Episode notes
Calcaneus Fracture Overview
- Calcaneus fractures are the most common fractured tarsal bone and cause significant morbidity and disability.
- Diagnosis relies on radiographs and often CT for surgical planning.
Calcaneus Imaging Techniques
- Use AP, lateral, and oblique foot radiographs for calcaneus fracture imaging; Broden and Harris views visualize posterior facet and tuberosity.
- Assess for decreased bowler's angle and increased angle of gusane to identify posterior facet collapse.
Treatment Guidelines
- Treat small extra-articular fractures non-operatively with cast immobilization and non-weight bearing for 10-12 weeks.
- Operate on displaced or large fractures; consider patient comorbidities to avoid wound complications.