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Foot & Ankle
intermediate
X-Type

Calcaneus Fracture Management

Hindfoot Injuries

A 40-year-old construction worker falls 4 meters from scaffolding, landing on his feet. He has severe right heel pain and cannot bear weight. Examination shows significant heel swelling, ecchymosis extending to the arch, and heel widening. The Bohler angle on lateral radiograph measures 15 degrees (normal 20-40 degrees). CT scan shows a displaced intra-articular fracture with three fragments in the posterior facet. Regarding calcaneus fractures:

Mark each as TRUE or FALSE

A

Calcaneus fractures typically result from axial loading (falls from height), with the primary fractu...

B

Bohler's angle (tuberosity-joint angle, normal 20-40 degrees) and the angle of Gissane (crucial angl...

C

Most calcaneus fractures are extra-articular; lumbar spine injuries are rarely associated; Bohler's ...

D

Treatment options include non-operative management (non-displaced fractures, poor soft tissues, medi...

E

Complications include wound healing problems (up to 25% with extensile approach, higher in smokers a...

Answer the questions to see explanations

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