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Fracture, Calcaneus, Sports Medicine

Greg Nakamoto, MD, FACP Reviewed 04/2019
 


BASICS

DESCRIPTION

Calcaneus fractures can occur secondary to either acute trauma or recurrent stress (i.e., calcaneal stress fracture). The focus here is on the management of acute traumatic fractures...

DIAGNOSIS

HISTORY

Mechanism of injury: 
  • Extra-articular fractures are more commonly due to an indirect mechanism such as a twisting injury or muscular avulsion.

  • Intra-articular fractures are due to high-...

TREATMENT

  • Ice and oral analgesics are useful in the prehospital setting, and oral analgesics may be required for some time after casting.

  • Reduction techniques:

    • Extra-articular calcaneal body fractures w...

ONGOING CARE

Optimal management of calcaneal fractures, particularly of intra-articular fractures, remains controversial 1,2,3. New techniques, such as arthroscopically assisted percutaneous pinning, ...

REFERENCES

1
Wei N, Yuwen P, Liu W, et al. Operative versus nonoperative treatment of displaced intra-articular calcaneal fractures: a meta-analysis of current evidence base. Medicine (Baltimore). ...

ADDITIONAL READING

  • Buckley R, Tough S, McCormack R, et al. Operative compared with nonoperative treatment of displaced intra-articular calcaneal fractures: a prospective, randomized, controlled multic...

CLINICAL PEARLS

  • During the initial evaluation of a patient with a calcaneus fracture, be aware that many patients will have a coexisting lower extremity or vertebral fracture. Up to 10% will have coex...

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