A crash course regarding calcaneal fractures.
Last edited: March 2016
Author: Rossi bad
The most fractured bone of all the tarsal bones is the calcaneus. They are mostly intra-articular and closed.
There are 3 common “types” of fractures as it relates to the calcaneus:
- Intra-articular: Primary fx line (oblique-shearing) results in two fx: superio-medial (constant fragment) and superolateral (posterior facet) fragments. Secondary fx line results in either tongue-type or joint depression.
- Extra-articular: gastroc-soleus avulsion fracture
- Anterior process fx: inversion/plantarflexion results bifurcate avulsion fx.
Common associated terms:
- Essex-Lopresti classification
- Rowe classification
- Sanders classification
- Degan classification
- Tongue type vs joint depression
- Gissane’s angle
- Bohler’s angle
- Constant fragment
- Harris view
- Broden view
- Shear fracture of Palmer
- Mondor’s sign
- Most commonly fractured tarsal bone? calcaneus
- Most important surgical concept in the surgical reduction of calcaneal fractures? elevate the posterior facet
- Rowe Class IV corresponds to Essex Lopresti