34. Calcaneal fracture and its therapy

Question 1

What is the lover’s fracture?

Answer 1

Calcaneal fracture

Question 2

What is the mechanism of injury causing a calcaneal fracture?

Answer 2

It’s usually caused by a fall from height MAYBE
Twisting forces

Question 3

What is the Boher’s angle?

Answer 3

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.

Question 4

How can you classify calcaneal fractures?

Answer 4

Extraarticular fractures (do not involve the posterior facet) Intraarticular fractures (75%)

Question 5

What is the treatment for calcaneal fractures?

Answer 5

• 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.