[QxMD MEDLINE Link]. James K DeOrio, MD Professor of Orthopedics, Director, Duke Foot and Ankle Fellowship, Duke University Medical Center, Duke University School of Medicine; Associate Professor, Mayo Clinic College of Medicine; Clinical Assistant Professor, F Edward Hebert School of Medicine, Uniformed Services University of the Health Sciences Schepers T, Vogels LM, Schipper IB, Patka P. Percutaneous reduction and fixation of intraarticular calcaneal fractures. CALCANEAL FRACTURES Signs & Symptoms: Acute pain, edema about heel, pain w/ compression/palpation, pain w/ STJ motion, fx blisters on skin, plantar medial&lateral ecchymosis (mondur's sign) Bohler's Angle: Measures sagittal plane relationship of talus and calcaneus - compare to contralateral side. Rare injury caused by forced inversion of the foot. Clin Orthop Relat Res. Careers. Eckstein C, Kottmann T, Fchtmeier B, Mller F. Long-term results of surgically treated calcaneal fractures: an analysis with a minimum follow-up period of twenty years. a) Tuberosity fracture Calcaneal fracture. A so-called "lover's Fracture" is an intra-articular fracture produced by an axial loading force typically produced by a leap from a height with person landing on heels (also called a "Don Juan" fracture) Why is it called a "Lover's fracture?". LINDSAY WR, DEWAR FP. The body of the calcaneus is composed primarily of cancellous bone, having a comparatively thin cortex. 60 (6):546-551. 20 (2):168-75. Am J Orthop Surg. 1984 May. Radiographics. Podiatry Classification Systems 2 Flashcards | Quizlet PMC Galluzzo M, Greco F, Pietragalla M et al. J Bone Joint Surg Am. J Foot Ankle Surg. J Bone Joint Surg Br. [15, 16] Prospective studies have attempted to show benefit either with early operative intervention or with nonoperative measures. fracture, Rowe Classification: This fracture fragment contains most of the posterior facet. - smoking patient who is unwilling to immediately quit smoking; - fracture classification: - Sander's Classification: - Rowe: types 1-5 (types 4-5 intra-articular) - Essex Lopresti: - extra-articular - intra-articular - tongue fracture - joint depression calcaneal fracture - associated injuries: - frx of contra-lateral foot; - spinal compression frx; - soft tissue injury: - tuberosity fragment (posterolateral fragment) 2002 Oct. 84 (10):1733-44. if (document.mmm_fo) document.write ("&mmm_fo=1"); Schepers T, van Lieshout EM, Ginai AZ, Mulder PG, Heetveld MJ, Patka P. Calcaneal fracture classification: a comparative study. The most common extra-articular fracture is a calcaneal body fracture. Results using a prognostic computed tomography scan classification. Dhillon MS, Gahlot N, Satyaprakash S, Kanojia RK. - references: The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Classifications in Brief: Sanders Classification of Intraart - LWW [21] Whereas the minimally invasive approach resulted in a lower postoperative complication rate for Sanders type II and III injuries, functional outcomes were similar. Data Trace Publishing Company Disclaimer. Classifications in Brief: Sanders Classification of Intraarticular Fractures of the Calcaneus. The Sanders classification system is used to assess intraarticular calcaneal fractures, which are those involving the posterior facet of the calcaneus. - thalamic fragment: depressed portion of the posterior facet; - misc characteristics: Long-Term Functional Outcomes After Operative Treatment for Intra-Articular Fractures of the Calcaneus The bone distractor apaprently retracted the soft-tissue flap, helped reduce the articular and tuberosity fragment, and improved visualization by distracting the posterior talocalcaneal joint. Calcaneus fractures are most commonly seen in young men. Open Fractures of the Calcaneus: Soft-Tissue Injury Determines Outcome. Application of medial column classification in treatment of intra-articular calcaneal fractures. - main goal is to regain calcaneal height and width and to take the calcaneus out of varus alignment; - See: - joint depression calcaneal fracture. Philadelphia: Elsevier Saunders; 2014. Effect of three-dimensional computed tomography reconstructions on reliability. - distraction helps restore calcaneal width and height Int J Surg. //]]>-->. Curr Rev Musculoskelet Med. Rammelt S, Gavlik JM, Barthel S, Zwipp H. The value of subtalar arthroscopy in the management of intra-articular calcaneus fractures. J Orthop Trauma. Tags: calcaneal fractures , heel pain , stress fracture , Foot Ankle Int. Diagnosis is made radiographically with foot radiographs with CT scan often being required for surgical planning. Thornton SJ, Cheleuitte D, Ptaszek AJ, Early JS. Calcaneal Fractures - Physiopedia Intra-Articular Fractures of the Calcaneus. 46 (3):615-621. Foot Ankle Int. 3) Sustentaculum tali fracture alone Wheeless' Textbook of Orthopaedics. Calcaneus fractures. 4. - Open Fractures of the Calcaneus: Soft-Tissue Injury Determines Outcome. (2006) ISBN: 9783540262275 -. Classification (Carter-Rowe) Type I Type Ia - Fracture of the calcaneal tuberosities. Axial radiograph reveals comminuted fracture of calcaneal body. Calcaneal Fractures Flashcards | Quizlet Calcaneus fractures - Stefan Rammelt, Hans Zwipp, 2006 - SAGE Journals [QxMD MEDLINE Link]. 2018 May-Jun. Park YH, Cho HW, Choi JW, Choi GW, Kim HJ. The https:// ensures that you are connecting to the 2014 Feb 19. Positive factors for prognosis of calcaneal fractures? The calcaneus (os calcis) is the largest of the tarsal bones. Dermatology -distraction screws:ex fix across thecalcaneal tuberosity, distal tibia, and/or cuboid and the talus; Calcaneal Fractures: Radiological and CT Evaluation and Classification Systems. - contraindications to open reduction: [QxMD MEDLINE Link]. Bridgman SA, Dunn KM, McBride DJ, Richards PJ. if (document.MAX_used != ',') document.write ("&exclude=" + document.MAX_used); Oper Orthop Traumatol. Type 4. Daftary A, Haims A, Baumgaertner M. Fractures of the Calcaneus: A Review with Emphasis on CT. Radiographics. 1993 Jul. Injury. 14:290. Juliano P, Nguyen HV. Computed tomographic assessment of soft tissue abnormalities following calcaneal fractures. Please. Before Robert A Probe, MD Associate Professor of Orthopedic Surgery, Texas A&M University Health Science Center; Chairman, Department of Orthopedic Surgery, Scott and White Clinic and Memorial Hospital 2009 Aug. 91 (8):1854-60. J Orthop Trauma. 15 (1):167. A systematic search for articles dealing with calcaneal fracture was performed, and the prevalence of use of each classification system determined. Sustentaculum tali fractures are rarely seen as isolated injuries. Grala P, Twardosz W, Tondel W, Olewicz-Gawlik A, Hrycaj P. Large bone distractor for open reconstruction of articular fractures of the calcaneus. Rubino R, Valderrabano V, Sutter PM, Regazzoni P. Prognostic value of four classifications of calcaneal fractures. 1916. JAMA. document.write ('&cb=' + m3_r); Foot Ankle Int. Bruce D. Browner. Calcaneal Fractures Flashcards | Quizlet 1992. The Bhler and Gissane angles are used to assess the severity of calcaneal fractures, and their postoperative appearance is correlated with functional outcomes 12. A frustrating factor that perpetuates this disagreement is the subset of calcaneus fractures with poor long-term outcomes, regardless of management. [QxMD MEDLINE Link]. [Full Text]. Calcaneal fractures are the most common tarsal fracture and can occur in a variety of settings. C- Medial Third. {"url":"/signup-modal-props.json?lang=us"}, Skalski M, Weerakkody Y, Yu Jin T, et al. The results of this study did not lend support to the view that ORIFyields better outcomes than conservative therapy for these fractures. Sanders RW, Rammelt S. Fractures of the calcaneus. The authors concluded that MIS can achieve acceptable fracture reduction and that it can serve as the primary definitive treatment option for open fractures of the calcaneus. Patients filled in . Check for errors and try again. The treatment of intra-articular calcaneus fractures with severe soft tissue damage with a hinged external fixator or internal stabilization: long-term results. (2018) ISBN: 9780323568845 -. Intra-articular fractures of the calcaneus. Zhang W, Lin F, Chen E, Xue D, Pan Z. Operative Versus Nonoperative Treatment of Displaced Intra-Articular Calcaneal Fractures: A Meta-Analysis of Randomized Controlled Trials. Calcaneal fractures can be difficult to treat and have a history unpredictable outcomes. fracture of the anterior tubercle due to plantarflexion on a supinated foot Most common type 1 fracture Most common in females Tx: CR and BK WB cast for 6 weeks. Open calcaneal fractures: results of operative treatment. Twelve observers classified 30 intra-articular calcaneal fractures according to the 3 most prevalent classification systems; interobserver reliability (kappa [kappa] statistic) and the. [QxMD MEDLINE Link]. Concomitant calcaneal fracture (s) with spine trauma indicate a greater chance of incomplete injury or intact neurology possibly due to dispersion of force vectors. J Bone Joint Surg Am. 27 (5):317-23. Yu S & Yu J. Calcaneal Avulsion Fractures: An Often Forgotten Diagnosis. Multidetector CT Evaluation of Calcaneal Fractures 2020 Jul. DeWall M, Henderson CE, McKinley TO, Phelps T, Dolan L, Marsh JL. 2020 Jun. [QxMD MEDLINE Link]. Calcaneal fracturesare the most common tarsal fracture and can occur in a variety of settings. - Fractures of the Anterior Process Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. i) Not involving subtalar joint: [3, 4, 5, 6, 7, 8] Essex-Lopresti first sought to distinguish intra-articular fractures of the calcaneus from extra-articular ones, correctly associating the intra-articular variety with a poorer long-term prognosis. [QxMD MEDLINE Link]. A critical analysis of results and prognostic factors. Grn W, Molund M, Nilsen F, Stdle AH. 52 (3):239-243. Fractures of the calcaneus, or os calcis, have been observed and documented for centuries. Check for errors and try again. Calcaneal Fracture Classification: A Comparative Study Rowe Classification: Types I-III do not involve the subtalar joint. - longitudinal traction is applied across the Steinman pin w/ a valgus vector applied as well; Significant varus or valgus alignment. Type 5 Intra-articular fracture of body with collapse/depression, Essex-Lopresti Classification (most widely used): Fracture blisters: clinical and pathological aspects. - frx blisters: - references: Mechanism and pathoanatomy of the intraarticular calcaneal fracture. [QxMD MEDLINE Link]. Bruce Ziran and P. Bosch. Traumatic spinal fractures. 2015;205(5):1061-7. Clin Orthop Relat Res. [4] : Both of these describe the primary fracture line. Lee A. Fractures of the Calcaneus Part I: Anatomy, Injury Mechanism, and Int Orthop. Curr Probl Diagn Radiol. Orthopaedics Prognostic value of four classifications of calcaneal fractures Telephone: 410.494.4994, Displacement of the Sustentacular Fragment in Intra-Articular Calcaneal Fractures, The management of soft-tissue problems associated with calcaneal fractures, Compartment syndrome of the foot after intraarticular calcaneal fracture. The Essex-Lopresti classification showed no statistically significant relation with any of the clinical scores (p > 0.05). Calcaneus fractures - OrthopaedicsOne Articles - OrthopaedicsOne For patient education resources, see theFirst Aid and Injuries Center, as well asBroken Foot,Understanding X-rays, andCast Care. Fischer S, Meinert M, Neun O, Colcuc C, Gramlich Y, Hoffmann R, Manegold S. Arch Orthop Trauma Surg. Case 8: calcaneal anterior process fracture, Case 9: extra-articular calcaneal fracture, Case 12: anterior calcaneal process fracture, see full revision history and disclosures, Gustilo Anderson classification (compound fracture), Anderson and Montesano classification of occipital condyle fractures, Traynelis classification of atlanto-occipital dissociation, longitudinal versus transverse petrous temporal bone fracture, naso-orbitoethmoid (NOE) complex fracture, cervical spine fracture classification systems, AO classification of upper cervical injuries, subaxial cervical spine injury classification (SLIC), thoracolumbar spinal fracture classification systems, AO classification of thoracolumbar injuries, thoracolumbar injury classification and severity score (TLICS), Rockwood classification (acromioclavicular joint injury), Neer classification (proximal humeral fracture), AO classification (proximal humeral fracture), AO/OTA classification of distal humeral fractures, Milch classification (lateral humeral condyle fracture), Weiss classification (lateral humeral condyle fracture), Bado classification of Monteggia fracture-dislocations (radius-ulna), Mason classification (radial head fracture), Frykman classification (distal radial fracture), Hintermann classification (gamekeeper's thumb), Eaton classification (volar plate avulsion injury), Keifhaber-Stern classification (volar plate avulsion injury), Judet and Letournel classification (acetabular fracture), Harris classification (acetebular fracture), Young and Burgess classification of pelvic ring fractures, Pipkin classification (femoral head fracture), American Academy of Orthopedic Surgeons classification (periprosthetic hip fracture), Cooke and Newman classification (periprosthetic hip fracture), Johansson classification (periprosthetic hip fracture), Vancouver classification (periprosthetic hip fracture), Winquist classification (femoral shaft fracture), Schatzker classification (tibial plateau fracture), AO classification of distal femur fractures, Lauge-Hansen classification (ankle injury), Danis-Weber classification (ankle fracture), Berndt and Harty classification (osteochondral lesions of the talus), Sanders CT classification (calcaneal fracture), Hawkins classification (talar neck fracture), anterior superior iliac spine (ASIS) avulsion, anterior cruciate ligament avulsion fracture, posterior cruciate ligament avulsion fracture, avulsion fracture of the proximal 5th metatarsal, 1. The os calcis is the most frequently fractured tarsal bone, accounting for more than 60% of tarsal fractures. Calcaneal fractures have been treated by closed methods since the time of Hippocrates. Philadelphia: Saunders; 2000. Fractures of the Calcaneus: A Review with Emphasis on CT Treatment: Federal government websites often end in .gov or .mil. Mansoor AhmedBohlers angle 1) most superior aspect of the posterior facet (posterior articular surface) to the highest point of the anterior process 2) superior portion of the calcaneal tuberosity to most superior aspect of posterior facetGissanes angle 1) along the lateral border of the posterior facet 2) along the anterior process of the calcaneus. Treatment of open intra-articular calcaneal fractures: evaluation of a treatment protocol based on wound location and size. Two of the above. J Foot Ankle Surg. Lines A and B separate the calcaneus into medial, central and lateral columns. [QxMD MEDLINE Link]. 3) Vertical The medical approach for calcaneal fractures. - large threaded Steinman pin is placed through the posterior superior portion of the calcaneal tuberosity; [12, 13, 14], Despite improvements in imaging, as well as a better understanding of the patterns of injury in complex fractures of the calcaneus, opinions on the management of such injuries continue to differ. Calcaneus Fractures: Practice Essentials, Anatomy, Pathophysiology - tongue fracture Chen et al investigated a combination of minimally invasive dual incision and internal fixation with mini plates as an alternative to ORIF in 20 patients with Sanders type III intra-articular calcaneal fractures and a posterior subtalar articular displacement greater than 2 mm. Reference article, Radiopaedia.org (Accessed on 01 May 2023) https://doi.org/10.53347/rID-12879, {"containerId":"expandableQuestionsContainer","displayRelatedArticles":true,"displayNextQuestion":true,"displaySkipQuestion":true,"articleId":12879,"questionManager":null,"mcqUrl":"https://radiopaedia.org/articles/calcaneal-fracture/questions/2122?lang=us"}. Conservative versus operative treatment. [24] At 1 year, group 1 had a mean Maryland Foot Score (MFS) of 79 and an American Orthopaedic Foot and Ankle Society (AOFAS) score of 77.37, whereas group 2 had an MFS of 84.4 and and AOFAS score of 86.1. The medical approach for calcaneal fractures. Rammelt S, Sangeorzan BJ, Swords MP. Intra-articular fractures of the calcaneus: Present state of the art. Ideally, the CT scans are formatted in two planes: the semicoronal or oblique coronal plane, which is perpendicular to the posterior facet . A Prospective, Randomized, Controlled Multicenter Trial, Long-Term Functional Outcomes After Operative Treatment for Intra-Articular Fractures of the Calcaneus, Orthopaedic Specialists of North Carolina. The most common method for classifying these fractures is the Rowe classification scheme, with five types. Os calcis fractures can be broadly classified into intra-articular and extra-articular types. - this pushes up depressed parts ofsubtalar joint; Emergency Radiology. The association between subtalar joint motion and outcome satisfaction in patients with displaced intraarticular calcaneal fractures. Selim A, Ponugoti N, Chandrashekar S. Systematic Review of Operative vs Nonoperative Treatment of Displaced Intraarticular Calcaneal Fractures. 184:920-923. Twelve observers classified 30 intra-articular calcaneal fractures . Schepers T, van Lieshout EM, Ginai AZ, Mulder PG, Heetveld MJ, Patka P. J Foot Ankle Surg. 1993 May. Calcaneus fractures. - in the review by Tufescu TV andBuckley R, the authors conducted a prospective cohort study of 169 patientswhosustained intra-articular calcaneal fractures; Calcaneus Fracture Imaging - Medscape Dr. Wheeless enjoys and performs all types of orthopaedic surgery but is renowned for his expertise in total joint arthroplasty (Hip and Knee replacement) as well as complex joint infections. Laterally, the peroneal tubercle provides a groove for the peroneal tendons (the brevis superiorly and the longus inferiorly). Comparing different types of calcaneal fractures, associated treatment options, and outcome data is currently hampered by the lack of consensus regarding fracture classification. CT is the modality of choice to evaluate calcaneal fracture. 52 (3):220-230. Local administration of epsilon-aminocaproic acid reduces post-operative blood loss from surgery for closed, Sanders III-IV calcaneal fractures. Pain in heel region, tenderness, swelling, ecchymosis, distortion of anatomy. type A fractures: the anterior process of the calcaneus is fractured, type B: fracture of the mid calcaneus, trochlear process, and sustentaculum tali, type C:fracture of the posterior tuberosity, ADVERTISEMENT: Supporters see fewer/no ads. Cao Y, Xu X, Guo Y, Cui Z, Zhao Y, Gao S, et al. Widening of heel Pozo JL, Kirwan EO, Jackson AM. LIVIN' ON THE MD EDGE: Drive, Chip, and Putt Your Way to Osteoarthritis Relief, Osteoporosis and Osteopenia: Latest Treatment Recommendations, Osteoporosis: A Bare-Bones Guide to Diagnosis and Treatment. 1976 Aug. 217 (1298):294-8. Towson, MD 21204 Calcaneal Fracture Classifications - Everything You Need To Know - Dr. Nabil Ebraheim - YouTube Dr. Ebraheim's educational animated video describes the classifications of calcaneal. The understanding of the anatomy, injury mechanism, and classification of these fractures has advanced since surgical treatment was introduced in 1850. Type 2B Posterior beak fracture (achilles involvement) Surgical experience as a decisive factor for the outcome of calcaneal fractures using locking compression plate: results of 3years. Nondisplaced intra-articular fractures are generally treated in a closed fashion. - early mobilization with protection from wt bearing is maintained until frx union occurs; - compartment syndrome deep central compartment is involved most often in calcaneal frx; Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. - frx extends thru posterior facet which becomes incongruous; [QxMD MEDLINE Link]. ROWE (JAMA, 184:98-101, 1963)Type 11A - fracture of the plantar tuberosity due to inverted or everted foot1B - fracture of the sustentaculum tali due to twist on a supinated foot1C - fracture of the anterior tubercle due to plantarflexion on a supinated footType 22A - "beak fracture" without Achilles insertion involvement2B - avulsion fracture of 2009 May-Jun. Highly comminuted. Lpez-Oliva F, Forriol F, Snchez-Lorente T, Sanz YA. 2018 Apr 24. [QxMD MEDLINE Link]. Bone Defects After Surgery for Displaced Intraarticular Calcaneal Fractures Spontaneously Improve Without Bone Grafting. Biomechanics Reddy V, Fukuda T, Ptaszek AJ. - talus become dorsiflexed; - fracture classification: Calcaneal fracture classification: a comparative study. [20]. ADVERTISEMENT: Supporters see fewer/no ads. [QxMD MEDLINE Link]. [Treatment of intra-articular calcaneal fractures using Kirschner's wire or calcaneal plate]. [QxMD MEDLINE Link]. Aditya Daftary et.al. 2. Background: Sinus tarsi approach and mini-calc plate have been used for intra-articular calcaneal fractures. Podiatrists 1) Parrot nose type Int Orthop. 4. 2019 Feb;477(2):467-471. doi: 10.1097/CORR.0000000000000539. 2018;89(1-S):138-50. fractures involving a single facial buttress, Meyers and McKeevers classification (anterior cruciate ligament avulsion fracture), Watson-Jones classification (tibial tuberosity avulsion fracture), Nunley-Vertullo classification (Lisfranc injury), pelvis and lower limb fractures by region. for: Medscape. Displaced intra-articular calcaneal fractures treated in a minimally invasive fashion: longitudinal approach versus sinus tarsi approach. - all frx are initially treated by strict bed rest, elevation, until acute swelling has subsided; 2005;25(5):1215-26. [ 31] Exceptions to this rule include open. Comparison of open versus closed reduction of intraarticular calcaneal fractures: a matched cohort in workmen. Closed reduction and percutaneous Kirschner wire fixation for the treatment of dislocated calcaneal fractures: surgical technique, complications, clinical and radiological results after 2-10 years. Jacob Mandell. [22] Postoperatively, there were significant changes in articular stepoff of the posterior facet, medial-wall displacement, and the Bhler angle. 13:75-89. 64 (4):519-24. Compare minimally displaced calcaneal tuberosity fracture on patient's left side with comminuted intra-articular (Sanders type III) fracture on right. Timothy B Dixon, MD Staff Physician, Department of Surgery, Division of Orthopedic Surgery, Scott and White Memorial Hospital. Type 1A Medial tuberosity fracture Calcaneus Fracture - an overview | ScienceDirect Topics Microbiology and Infection Control Part I: Pathological anatomy and classification, Mechanism and pathoanatomy of the intraarticular calcaneal fracture, Fractures of the calcaneum: the anterolateral fragment, Computed tomographic assessment of soft tissue abnormalities following calcaneal fractures, Magnetic resonance imaging evaluation of calcaneal fat pads in patients with os calcis fractures, Intra-articular fractures of the calcaneus: Present state of the art, Intra-articular fractures of the calcaneus, Fractures of the calcaneus: open reduction and internal fixation from the medial side a 21-year prospective study, Operative Compared with Nonoperative Treatment of Displaced Intra-Articular Calcaneal Fractures. This classification is based on the number of intraarticular fracture lines and their location on semicoronal CT images. Medscape Education. Complications (eg, malunion or screw positioning deviation) occurred in six patients and delayed wound healing in one. Intra-articular fractures of the calcaneum. Minimally invasive arthroscopic-assisted reduction with percutaneous fixation in the management of intra-articular calcaneal fractures: a review of 24 cases. - Fatigue Fractures of the Calcaneus if (document.referrer) document.write ("&referer=" + escape(document.referrer)); [QxMD MEDLINE Link]. 2018 Apr. Results of closed treatment. Sanders et al.'s original description of intraarticular calcaneal fracture classification was based on coronal and axial CT cross-sections with the widest undersurface of the posterior facet of the talus . 1993 May. between the posterior and middle facets; Nearly all intra-articular fractures of the calcaneus are caused by an axial loading mechanism, which is directed through the laterally situated (in relation to the weightbearing axis of the lower extremity) plantar tuberosity of the calcaneus. 1) Tongue type with displacement Foot Ankle Int. Fractures of the os calcis. BMC Surg. ; Tongue type which has the same vertical fracture line as a depression type with another horizontal fracture line running posteriorly, creating . Orthop Clin North Am. Open reduction and stable internal fixation without joint transfixation has been established as standard therapy for most displaced intra-articular fractures with good to excellent results in more than two-thirds of patients in . There were no wound infections. Norris correctly described a compression mechanism in calcaneus fractures in 1839, and in 1843, Malgaigne described two types of calcaneal fractures; this description formed the first. Background: [QxMD MEDLINE Link]. Vinod K Panchbhavi, MD, FACS, FAOA, FABOS, FAAOS is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American College of Surgeons, American Orthopaedic Association, American Orthopaedic Foot and Ankle Society, Orthopaedic Trauma Association, Texas Orthopaedic AssociationDisclosure: Serve(d) as a speaker or a member of a speakers bureau for: Styker. 2006 May. 2022 Mar. - 2 types of frx may occur: extra-articular and intra-articular: - intra-articular fracture: Eur J Transl Myol. Peripheral Vascular Disease Calcaneal Fracture : Wheeless' Textbook of Orthopaedics J Orthop Trauma. Type I (20%) the fracture line may be through the tuberosity, the sustentaculum tali, or the anterior process of the calcaneus. This website also contains material copyrighted by 3rd parties. Calcaneus Fracture - PodiaPaedia 6 (2):216-22. [QxMD MEDLINE Link]. Calcaneus Fractures Workup - Medscape - Operative Versus Nonoperative Treatment of Displaced Intra-Articular Calcaneal Fractures:A Prospective, Randomized, Controlled Multicenter Trial. b) With displacement Vol 2: Chap 67. Anatomy Data Trace is the publisher of - Complications of Treatment, Current Concepts Review. With the advent of radiographic evaluation, several authors developed classification systems, including Bohler (in 1931), Essex-Lopresti (in 1951-2), Rowe et al (in 1963), and others. Radiographic evaluation of calcaneal fractures: to measure - Springer Coughlin MJ, Saltzman CL, Anderson RB, eds. Part I: Pathological anatomy and classification. [9, 10, 11] Only with the advent of computed tomography (CT) was the capability to evaluate accurately complex calcaneus injuries realized. var m3_u = (location.protocol=='https:'? Intra-articular fractures are often classified using the Sanders classificationsystem, which is one of the only systems that correlates well with patient outcome. [QxMD MEDLINE Link]. [QxMD MEDLINE Link]. Calcaneus injuries represent 2% of all fractures seen in adults. Juliano P, Myerson MS. Fractures of the hindfoot. 1) Beak type The calcaneus is the most commonly fractured tarsal bone and accounts for about 2% of all fractures. The authors concluded that a minimally invasive approach can improve radiographic parameters consistent with the goals of restoration of articular congruity, calcaneal morphology, and calcaneal height and can achieve satisfactory results with minimal risk of wound complication.