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Calcaneus Fractures
Normally occur due to axial loading mechanism such as:
- Fall from height
- Motor Vehicle collisions
- Repetitive impacts on a hard surface such as seen with running or jumping.
Miscellanous Facts:
- 70% of calcaneal fractures are intra-articular
- 10-15% are associated with spinal compression fractures
- Estimated that 7-10% will have a fracture of the contralateral foot
- Monitor for compartment syndrome of the foot. Deep central compartment is most commonly affected with calcaneus fractures
Pearls:
- Strongly consider getting Lumbar Spine Films and x-rays of the opposite foot in anybody that has a calcaneus fracture.
- Perform frequent reassessments, and do not hesitate to check compartment pressures if you suspect they might be elevated.