Calcaneus fractures are uncommon but potentially debilitating injuries. The #calcaneus bone is one of (7) tarsal bones, part of the hindfoot which includes the calcaneus and talus bone. The hindfoot articulates with the tibia and fibula creating the ankle joint. The subtalar or calcaneotalar joint accounts for at least some foot and ankle dorsal/plantar flexion. Historically a burst fracture of the calcaneus was coined a "Lovers Fracture" as the injury would occur as a suitor would jump off a lover's balcony to avoid detection
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Heel Fracture Facts
- Calcaneal fractures account for 50-60% of all fractured tarsal bones.
- less than 10% present as open #fractures
- there is a male predominance of injuries (recent studies suggest regional variation in male/female predominance)
- Most #calcaneusfracture patients are young (20-39 yrs)
- Comorbidities (diabetes, osteoporosis) can increase risk
- Calcaneal fractures are rare in children
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Surgical #HeelFracture Tx: When recommended, the goal is to restore calcaneal morphology + restore articular congruency. Surgical treatment may be delayed until "wrinkle sign," returns (usually 5-10 dys after injury). Soft tissue swelling may take up to 21 dys to resolve. Surgical intervention is typically recommended for:
- Displaced tongue-type Fractures
- Joint depression w/ articular comminution or anterior process involvement
- Bohler's angle less than 5 degrees
- Fracture Dislocation
- Anterior process fractures with greater than 25% of the calcaneocuboid articulation involved
- Calcaneal body fractures w/ significant varus or valgus malalignment or lateral impingement/loss of calcaneal height, or significant translation of posterior tuberosity
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About Dr. Cory Calendine, MD #orthopedicsurgeon #jointreplacement
In the operating room, I get to perform more than 600 hip & knee replacement surgeries each year. From LIVE surgical demos to viral video highlights, together let's explore - react - discuss all things related to bone and joint health
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Opinions expressed are solely my own and do not express the views or opinions of my employer. Information in this video is not intended or implied to be a substitute for professional medical advice, diagnosis and/or treatment. All content [images, digital graphics, text, and other information] contained in this video is for general information purposes only and does not replace or substitute for a consultation with a qualified physician or health professional.
10 сен 2024
