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Trauma
intermediate
X-Type

Calcaneus Fracture Management

Foot Trauma

A 35-year-old construction worker falls 4 meters from a ladder and lands on his feet. He presents with bilateral heel pain, unable to bear weight. Examination reveals significant heel swelling, ecchymosis extending to the sole (Mondor sign), and loss of normal heel contour. Lateral radiographs show decreased Bohler angle of 10 degrees on the right. CT reveals a Sanders Type II B fracture. Regarding calcaneus fractures:

Mark each as TRUE or FALSE

A

Calcaneus fractures are the most common tarsal bone fracture, typically resulting from axial loading...

B

The Sanders classification is CT-based and grades posterior facet involvement: Type I (non-displaced...

C

Calcaneus fractures are rare; thoracic spine fractures are the common association; increased Bohler ...

D

Non-operative treatment (rest, ice, elevation, non-weight bearing) is appropriate for extra-articula...

E

Surgical approaches include extensile lateral (best visualization but 10-30% wound complications), s...

Answer the questions to see explanations

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