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OrthoVellum

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Foot & Ankle
intermediate
X-Type

Calcaneal Fractures

Hindfoot Trauma

A 35-year-old roofer falls 4 meters from a ladder, landing on his heels. He presents with bilateral heel pain and swelling. Examination reveals ecchymosis extending to the sole of the feet. Lateral X-rays show decreased Böhler's angle (10° on the right, 15° on the left; normal 25-40°). CT scan of the right heel shows a comminuted fracture involving the posterior facet of the subtalar joint with three articular fragments and lateral wall blowout. The left heel has an extra-articular fracture. Regarding calcaneal fractures:

Mark each as TRUE or FALSE

A

Calcaneal fractures are the most common tarsal bone fracture; 75% are intra-articular involving the ...

B

The Sanders classification is based on CT coronal images and describes posterior facet involvement: ...

C

The talus is the most common tarsal bone fracture; most calcaneal fractures are extra-articular; Böh...

D

Non-operative treatment is indicated for extra-articular fractures, Type I Sanders (non-displaced), ...

E

Surgical approaches include extensile lateral (allows direct visualization but high wound complicati...

Answer the questions to see explanations

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