Which radiographic line is used to evaluate a possible fracture of the calcaneus?
Note also the joint depression type fracture line (arrowhead). CT has revolutionized the assessment of calcaneal fractures because it allows better visualization of the subtalar joint and, thus, better prognostic assessment (2–4).
What kind of splint is used for calcaneal fracture?
Foot and toe fractures
Fracture | Splint |
---|---|
Talus fracture | Posterior ankle splint |
Calcaneus fracture | Posterior ankle splint |
Lisfranc injury | Posterior ankle splint |
Navicular fracture | Posterior Ankle Splint |
What is Bohler’s angle?
Böhler’s angle is defined by two intersecting lines: one drawn from anterior process of the calcaneus to the highest part of posterior articular surface and a second drawn from the same point of posterior articular surface to the most superior point of tuberosity.
What is Gissane angle?
The Gissane (crucial) angle is formed by two strong cortical struts extending laterally, one along the lateral margin of the posterior facet and the other extending anterior to the beak of the calcaneus.
What is normal calcaneal pitch angle?
Unfortunately, there have been differing opinions between authors concerning the normal range of calcaneal pitch 18–32° is generally considered normal, although measurements reporting a calcaneal pitch with angle minor than 18° represent a flatfoot syndrome.
What is a positive heel squeeze test?
A positive calcaneal squeeze test (i.e., pain on squeezing the sides of the calcaneus) suggests the diagnosis. Radiography often does not reveal a fracture, so bone scans, computed tomography, or MRI may be required15,16 (Figure 31 ).
How is calcaneal pitch measured?
Measurement
- The calcaneal inclination axis, extending from the calcaneus by the inferior portion of the calcaneocuboid joint to the inferior border of the calcaneus.
- Tangential to the inferior distal border of the calcaneus.
What is the recovery time for calcaneus bone fracture?
Early motion. Many providers encourage motion of the foot and ankle early in the recovery period.
Can a calcaneal fracture heal itself?
There is also a very high percentage chance of long-term subtalar joint arthritis resulting from a calcaneal stress fracture with displacement. The stress fracture will eventually heal on its own if you keep weight off it, but you can do these things to make it heal faster and prevent one from ever coming back.
What are the surgical complications from a calcaneus fracture?
Nonsurgical Treatment. Nonsurgical treatment may be recommended if the pieces of broken bone have not been displaced by the force of the injury.
How to recover from a broken heel?
Sit down and make a list of what you need,including needs for tangible and emotional support.