Hindfoot Trauma
A 42-year-old construction worker falls 4 metres from scaffolding, landing on his heels. He presents with bilateral hindfoot pain and swelling. Radiographs show bilateral calcaneal fractures with a Bohler angle of 10 degrees on the right (normal 25-40 degrees). CT shows a Sanders Type IIB fracture on the right with a single fracture line through the posterior facet. The left is Sanders Type IV. He is otherwise uninjured. Regarding calcaneal fracture management:
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Calcaneal fractures typically result from axial loading (fall from height); 10% are bilateral and 10...
The Bohler angle (tuberosity-posterior facet angle - normal 25-40 degrees) indicates calcaneal heigh...
Lumbar spine injury is rare; the fracture line runs medial to lateral; the medial wall blows out; Bo...
Surgical indications include displaced intra-articular fractures (Sanders II-III) in appropriate pat...
Non-operative management is appropriate for Sanders Type I, extraarticular fractures, high periopera...
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