![]() ![]() A 36 year old male sustained a displaced tongue type calcaneal fracture who initially underwent cannulated screw fixation. Most literature focuses on pathologic fractures through infected bone, with prior research citing suture anchors, one versus two stage curettage with use of antibiotic containing calcium phosphate cement. ![]() doi:10.This case study presents a treatment algorithm including revision surgery for recurrent displacement of tongue type calcaneal fractures complicated by osteomyelitis and local soft tissue deficit. Bohler's Angle's Role in Assessing the Injury Severity and Functional Outcome of Internal Fixation for Displaced Intra-Articular Calcaneal Fractures: A Retrospective Study. Su Y, Chen W, Zhang T, Wu X, Wu Z, Zhang Y. Calcaneal Avulsion Fractures: An Often Forgotten Diagnosis. Prevalence of Peroneal Tendon Instability in Calcaneus Fractures: A Systematic Review and Meta-Analysis. Grainger & Allison's Diagnostic Radiology Essentials E-Book. Helical CT of Calcaneal Fractures: Technique and Imaging Features. Wechsler R, Schweitzer M, Karasick D, Deely D, Morrison W. Calcaneal Fractures: What the Surgeon Needs to Know. Computed Tomography of Calcaneal Fractures. Multidetector CT Evaluation of Calcaneal Fractures. Badillo K, Pacheco J, Padua S, Gomez A, Colon E, Vidal J. Fractures of the Calcaneus: A Review with Emphasis on CT. If an intra-articular calcaneal fracture is seen, the images should be scrutinized for a lateral malleolar fleck sign (ankle), which raises the likelihood of peroneal tendon instability 10. If bilateral calcaneal fractures are seen, then the spine should also be evaluated for fracture as the mechanism of injury is often a large load to the axial skeleton, such as a fall from height. It can show the extent and extra- or intra-articular components of the fracture and hematoma along the sole of the foot ( Mondor sign). Intra-articular fractures are often classified using the Sanders classification system, which is one of the only systems that correlates well with patient outcome. CTĬT is the modality of choice to evaluate calcaneal fracture. The Böhler and Gissane angles are used to assess the severity of calcaneal fractures, and their postoperative appearance is correlated with functional outcomes 12. CALCANEUS FRACTURE SERIEStype C: fracture of the posterior tuberosityĬalcaneal fractures are best assessed with a calcaneal series of radiographs, though are often identified on a lateral ankle radiograph if the presentation does not lead the requesting of calcaneal views specifically.type B: fracture of the mid calcaneus, trochlear process, and sustentaculum tali. ![]()
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