Extraarticular Calcaneal Body Fractures
- 41 Downloads
While much attention is focused on intra-articular calcaneus fractures, about one in four calcaneus fractures are extraarticular. Specifically, extraarticular calcaneal body fractures represent an injury that is underrepresented in the literature. A heightened suspicion for diagnosing these injuries based on a patient’s history and physical exam is often required. While traditional calcaneal radiographs are the appropriate first-line imaging modality, computed tomography imaging is frequently used to better define the fracture patterns and evaluate any potential intra-articular injury.
An understanding of how the calcaneal morphology normally functions to maintain appropriate height, length, width, and alignment of the hindfoot is critical for treatment of these fractures. Treatment strategies need to focus on how these morphological characteristics are affected by the injury and the subsequent sequelae that these alterations have on foot and ankle biomechanics within the context of an individual patient’s medical and functional status.
KeywordsCalcaneus fracture Calcaneal body Extraarticular ORIF Nonoperative
- 3.Richter M, Kwon JY, Digiovanni CW. Foot injuries. In: Browner BD, Jupiter JB, Krettek C, Anderson PA, editors. Skeletal trauma. 5th ed. Philadelphia: Saunders; 2015. p. 2284–323.Google Scholar
- 7.Haskell A, Mann R. Biomechanics of the foot and ankle. In: Coughlin M, Saltzman CL, Anderson R, editors. Mann’s surgery of the foot and ankle. 9th ed. Philadelphia: Saunders; 2014. p. 3–36.Google Scholar
- 11.Sanders RW, Rammelt S. Fractures of the calcaneus. In: Coughlin MJ, Saltzman CL, Anderson RB, editors. Mann’s surgery of the foot and ankle. 9th ed. Philadelphia: Saunders; 2014. p. 2041–100.Google Scholar
- 12.Agren P-H, Mukka S, Tullberg T, Wretenberg P, Sayed-Noor AS. Factors affecting long-term treatment results of displaced intraarticular calcaneal fractures: a post hoc analysis of a prospective, randomized, controlled multicenter trial. J Orthop Trauma. 2014;28(10):564–8. https://doi.org/10.1097/BOT.0000000000000149.CrossRefPubMedGoogle Scholar
- 15.Besch L, Radke B, Mueller M, et al. Dynamic and functional gait analysis of severely displaced intra-articular calcaneus fractures treated with a hinged external fixator or internal stabilization. J Foot Ankle Surg. 2008;47(1):19–25. https://doi.org/10.1053/j.jfas.2007.10.013.CrossRefPubMedGoogle Scholar
- 20.Hirschmüller A, Konstantinidis L, Baur H, et al. Do changes in dynamic plantar pressure distribution, strength capacity and postural control after intra-articular calcaneal fracture correlate with clinical and radiological outcome? Injury. 2011;42(10):1135–43. https://doi.org/10.1016/j.injury.2010.09.040.CrossRefPubMedGoogle Scholar