Tongue-type calcaneus fractures: a threat to skin.

Am J Emerg Med

Department of Emergency Medicine, Cook County (Stroger) Hospital, Chicago, IL 60612, USA.

Published: July 2013

AI Article Synopsis

  • Calcaneal fractures make up 60% of all fractures in the tarsal bones, with tongue-type fractures being a specific kind that affect the calcaneal tuberosity and the joint surface.
  • These fractures are usually displaced upward due to the pull of the Achilles tendon and surrounding muscles.
  • Quick diagnosis and surgical intervention by emergency physicians are crucial to avoid complications like skin damage, further injury, or even amputation.

Article Abstract

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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Source
http://dx.doi.org/10.1016/j.ajem.2013.02.029DOI Listing

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