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Foot & Ankle
intermediate
X-Type

Calcaneal Fracture Management

Hindfoot Trauma

A 35-year-old construction worker presents after falling from a 3-meter scaffold, landing on his feet. He has severe heel pain and swelling with ecchymosis extending to the sole. Lateral radiograph shows a depressed Bohler angle of 10 degrees. CT scan reveals a displaced intra-articular calcaneal fracture with two posterior facet fragments (Sanders Type IIB). Compartment pressures are normal and there are no other injuries. The soft tissue envelope is significantly swollen with fracture blisters beginning to form. Regarding calcaneal fractures:

Mark each as TRUE or FALSE

A

Calcaneal fractures account for 60% of all tarsal fractures and commonly result from axial loading f...

B

Sanders CT classification is based on the number of posterior facet articular fragments: Type I - no...

C

Bohler angle greater than 40 degrees indicates severe depression; Sanders classification is based on...

D

Soft tissue management is critical: surgery is typically delayed 10-14 days until the "wrinkle test"...

E

Complications include wound dehiscence (most common surgical complication), sural nerve injury, subt...

Answer the questions to see explanations

Click T (True) or F (False) for each option