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Trauma
intermediate
X-Type

Calcaneal Fracture Treatment

Foot Trauma

A 35-year-old construction worker falls 3 metres from scaffolding and lands on his heels. He has bilateral heel pain, swelling, and ecchymosis extending to the plantar arch (Mondor sign). Radiographs show flattening of Böhler's angle to 10 degrees on the right. CT scan shows a Sanders Type IIAB fracture with depression of the posterior facet and widening of the calcaneus. The left heel shows a Sanders Type II fracture. Regarding calcaneal fractures:

Mark each as TRUE or FALSE

A

Calcaneal fractures typically result from axial loading (falls from height, motor vehicle accidents)...

B

Böhler's angle (normal 25-40 degrees) is formed by lines from the highest point of the posterior tub...

C

Calcaneal fractures from axial loading are never bilateral; spine injuries are not associated; Böhle...

D

The Sanders classification uses coronal CT through the widest part of the posterior facet: Type I (n...

E

Surgical indications include displaced intra-articular fractures (Sanders II-III) in appropriate pat...

Answer the questions to see explanations

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