@corycalendinemd: Broken Heel Bone 🦶 Calcaneus fractures are uncommon but potentially debilitating injuries. The #calcaneus bone is one of (7) tarsal bones, part of the hindfoot which includes the calcaneus and talus bone. The hindfoot articulates with the tibia and fibula creating the ankle joint. The subtalar or calcaneotalar joint accounts for at least some foot and ankle dorsal/plantar flexion. Historically a burst fracture of the calcaneus was coined a "Lovers Fracture" as the injury would occur as a suitor would jump off a lover's balcony to avoid detection . Heel Fracture Facts - Calcaneal fractures account for 50-60% of all fractured tarsal bones. - < 10% present as open #fractures - there is a male predominance of injuries (recent studies suggest regional variation in male/female predominance) - Most #calcaneusfracture patients are young (20-39 yrs) - Comorbidities (diabetes, osteoporosis) can increase risk - Calcaneal fractures are rare in children . Surgical #HeelFracture Tx: When recommended, the goal is to restore calcaneal morphology + restore articular congruency. Surgical treatment may be delayed until "wrinkle sign," returns (usually 5-10 dys after injury). Soft tissue swelling may take up to 21 dys to resolve. Surgical intervention is typically recommended for: - Displaced tongue-type Fractures - Joint depression w/ articular comminution or anterior process involvement - Bohler's angle <5 degrees - Fracture Dislocation - Anterior process fractures with >25% of the calcaneocuboid articulation involved - Calcaneal body fractures w/ significant varus or valgus malalignmen/lateral impingement/loss of calcaneal height, or significant translation of posterior tuberosity #brokenheel #heelfracture . 👇 SHARE your #FootFracture experience and insights

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Wednesday 19 June 2024 23:51:02 GMT