Calcaneal fractures account for 60% of all tarsal bone fractures. Tongue-type calcaneus fractures are longitudinal fractures that exit the calcaneal tuberosity posteriorly and involve a portion of the articular surface. They are often superiorly displaced because of the insertion of the Achilles tendon and pull of the gastroc-soleus complex. Skin compromise complicates a large percentage of these injuries because of the thin layer of soft tissue and superficial nature of the fracture. Early recognition by the emergency physician and prompt operative repair prevent further injury and obviate the need for surgical soft tissue coverage or potential amputation.
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http://dx.doi.org/10.1016/j.ajem.2013.02.029 | DOI Listing |
Eur J Orthop Surg Traumatol
August 2024
Department of Orthopedics, Maharat Nakhon Ratchasima Hospital, 49 Changphuak Road, Mueang Nakhon Ratchasima, Nakhon Ratchasima, 30000, Thailand.
Background: Fixation of calcaneus through the sinus tarsi approach is increasingly popular due to the lower rate of wound complications. The use of postoperative CT provided a better evaluation tool than using plain radiography. Our objective of the present study is to evaluate the quality of fracture reductions by postoperative 3D CT scans after surgical intervention using the sinus tarsi approach and fixation with 3.
View Article and Find Full Text PDFActa Chir Orthop Traumatol Cech
October 2023
Klinika úrazové chirurgie Masarykovy nemocnice Ústí nad Labem a Fakulty zdravotnických studií Univerzity J. E. Purkyně, Ústí nad Labem.
PURPOSE OF THE STUDY Extended lateral approach to calcaneus fractures is associated with a high risk of infection. Such risk can be reduced by using mini-invasive approaches. The sinus tarsi approach provides a good overview of the posterior joint facet of the calcaneus and can also be done as a mini-invasive procedure.
View Article and Find Full Text PDFFoot Ankle Orthop
July 2023
Department of Orthopedics and Rehabilitation, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Displaced calcaneal fractures encompass a spectrum of fracture patterns, many of which are associated with soft tissue complications. Displaced tongue-type calcaneal fractures often cause pressure on the posterior heel skin, particularly when treatment is delayed. Resultant partial- or full-thickness skin necrosis presents significant challenges to the treating surgeon.
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