34. Calcaneal fracture and its therapy Flashcards
1
Q
What is the lover’s fracture?
A
Calcaneal fracture
2
Q
What is the mechanism of injury causing a calcaneal fracture?
A
It’s usually caused by a fall from height MAYBE
Twisting forces
3
Q
What is the Boher’s angle?
A
The Bohler’s angle is a normal anatomic landmark that should be looked for in plain x-ray films. If the angle is less than 20 degrees it indicates a compression of the calcaneus, as seen in jumping injuries.
4
Q
How can you classify calcaneal fractures?
A
Extraarticular fractures (do not involve the posterior facet) Intraarticular fractures (75%)
5
Q
What is the treatment for calcaneal fractures?
A
- Nonoperative for nondisplaced or minimally displaced fractures.
- Operative:
ORIF - Surgical management of anterior process fractures is with small or minifragment screws. Tuberosity (avulsion) fractures need lag screw fixation +/- cerclage wire.