Skip to main content
SpringerLink
Log in

Intra-articular Calcaneal Fractures

  • Chapter
  • First Online:
Book cover Fractures and Dislocations of the Talus and Calcaneus

  • 604 Accesses

Abstract

Calcaneal fractures are potentially devastating injuries. Effective treatment of these fractures requires an understanding of the calcaneus anatomy as well as surgical techniques to restore normal biomechanics. The purpose of this chapter is to discuss the anatomy, classification, treatment rationale, as well as treatment options for heel bone fractures. Additionally, this chapter reviews the important elements of calcaneal fracture treatment by describing the operative fixation of two distinct types of calcaneus fractures. This chapter reviews fixation of a tongue type fracture as well as joint depression fracture. Through these cases, the reader will gain a better understanding of the key aspects of heel bone anatomy and biomechanics that affect these distinct fracture patterns. Additionally, the reader will gain insight into the different temporizing management techniques, surgical approaches, and definitive management techniques for these discrete fracture patterns.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Mitchell MJ, McKinley JC, Robinson CM. The epidemiology of calcaneal fractures. Foot (Edinb). 2009;19(4):197–200.

    Article  CAS  Google Scholar 

  2. Barei DP, Bellabarba C, Sangeorzan BJ, Benirschke SK. Fractures of the calcaneus. Orthop Clin North Am. 2002;33(1):263–85. x

    Article  Google Scholar 

  3. Sanders R. Displaced intra-articular fractures of the calcaneus. J Bone Jt Surg Am Vol. 2000;82(2):225–50.

    Article  CAS  Google Scholar 

  4. Benirschke SK, Sangeorzan BJ. Extensive intraarticular fractures of the foot. Surgical management of calcaneal fractures. Clin Orthop Relat Res. 1993;292:128–34.

    Article  Google Scholar 

  5. Thordarson DB, Krieger LE. Operative vs. nonoperative treatment of intra-articular fractures of the calcaneus: a prospective randomized trial. Foot Ankle Int. 1996;17(1):2–9.

    Article  CAS  Google Scholar 

  6. Zwipp H, Tscherne H, Thermann H, Weber T. Osteosynthesis of displaced intraarticular fractures of the calcaneus. Results in 123 cases. Clin Orthop Relat Res. 1993;290:76–86.

    Google Scholar 

  7. Brauer CA, Manns BJ, Ko M, Donaldson C, Buckley R. An economic evaluation of operative compared with nonoperative management of displaced intra-articular calcaneal fractures. J Bone Jt Surg Am Vol. 2005;87(12):2741–9.

    Article  Google Scholar 

  8. Sanders R, Fortin P, DiPasquale T, Walling A. Operative treatment in 120 displaced intraarticular calcaneal fractures. Results using a prognostic computed tomography scan classification. Clin Orthop Relat Res. 1993;290:87–95.

    Google Scholar 

  9. Buckley R, Tough S, McCormack R, et al. Operative compared with nonoperative treatment of displaced intra-articular calcaneal fractures: a prospective, randomized, controlled multicenter trial. J Bone Joint Surg Am. 2002;84-A(10):1733–44.

    Article  Google Scholar 

  10. Stephenson JR. Surgical treatment of displaced intraarticular fractures of the calcaneus. A combined lateral and medial approach. Clin Orthop Relat Res. 1993;290:68–75.

    Google Scholar 

  11. Burdeaux BD. Calcaneus fractures: rationale for the medial approach technique of reduction. Orthopedics. 1987;10(1):177–87.

    PubMed  CAS  Google Scholar 

  12. Sangeorzan BJ, Mosca V, Hansen ST Jr. Effect of calcaneal lengthening on relationships among the hindfoot, midfoot, and forefoot. Foot Ankle. 1993;14(3):136–41.

    Article  CAS  Google Scholar 

  13. Essex-Lopresti P. The mechanism, reduction technique, and results in fractures of the os calcis. Br J Surg. 1952;39(157):395–419.

    Article  CAS  Google Scholar 

  14. Carr JB, Hamilton JJ, Bear LS. Experimental intra-articular calcaneal fractures: anatomic basis for a new classification. Foot Ankle. 1989;10(2):81–7.

    Article  CAS  Google Scholar 

  15. Wulker N, Zwipp H, Tscherne H. Experimental study of the classification of intra-articular calcaneus fractures. Unfallchirurg. 1991;94(4):198–203.

    PubMed  CAS  Google Scholar 

  16. Gardner MJ, Nork SE, Barei DP, Kramer PA, Sangeorzan BJ, Benirschke SK. Secondary soft tissue compromise in tongue-type calcaneus fractures. J Orthop Trauma. 2008;22(7):439–45.

    Article  Google Scholar 

  17. Böhler L. Diagnosis, pathology, and treatment of fractures of the os calcis. J Bone Jt Surg. 1931;13:75–89.

    Google Scholar 

  18. Gissane W. Discussion on “fractures of the os calcis.” in proceedings of the British Orthopaedic Association. J Bone Jt Surg. 1947;29:254–5.

    Google Scholar 

  19. Crosby LA, Fitzgibbons T. Computerized tomography scanning of acute intra-articular fractures of the calcaneus. A new classification system. J Bone Jt Surg Am. 1990;72(6):852–9.

    Article  CAS  Google Scholar 

  20. Mehta S, Mirza AJ, Dunbar RP, Barei DP, Benirschke SK. A staged treatment plan for the management of type II and type IIIA open calcaneus fractures. J Orthop Trauma. 2010;24(3):142–7.

    Article  Google Scholar 

  21. Benirschke SK, Kramer PA. Wound healing complications in closed and open calcaneal fractures. J Orthop Trauma. 2004;18(1):1–6.

    Article  Google Scholar 

  22. Fakhouri AJ, Manoli A 2nd. Acute foot compartment syndromes. J Orthop Trauma. 1992;6(2):223–8.

    Article  CAS  Google Scholar 

  23. Myerson M, Manoli A. Compartment syndromes of the foot after calcaneal fractures. Clin Orthop Relat Res. 1993;290:142–50.

    Google Scholar 

  24. Varela CD, Vaughan TK, Carr JB, Slemmons BK. Fracture blisters: clinical and pathological aspects. J Orthop Trauma. 1993;7(5):417–27.

    Article  CAS  Google Scholar 

  25. Giordano CP, Koval KJ. Treatment of fracture blisters: a prospective study of 53 cases. J Orthop Trauma. 1995;9(2):171–6.

    Article  CAS  Google Scholar 

  26. Walters JL, Gangopadhyay P, Malay DS. Association of calcaneal and spinal fractures. J Foot Ankle Surg. 2014;53(3):279–81.

    Article  Google Scholar 

  27. Worsham JR, Elliott MR, Harris AM. Open calcaneus fractures and associated injuries. J Foot Ankle Surg. 2016;55(1):68–71.

    Article  Google Scholar 

  28. Broden B. Roentgen examination of the subtaloid joint in fractures of the calcaneus. Acta Radiol. 1949;31(1):85–91.

    Article  CAS  Google Scholar 

  29. Tufescu TV, Buckley R. Age, gender, work capability, and worker's compensation in patients with displaced intraarticular calcaneal fractures. J Orthop Trauma. 2001;15(4):275–9.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Orthopaedic Trauma Surgery, Geisinger Wyoming Valley, Wilkes-Barre, PA, USA

    Kenneth L. Koury

Authors
  1. Kenneth L. Koury
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Kenneth L. Koury .

Editor information

Editors and Affiliations

  1. Associate Professor, Department of Orthopedics, Trauma Division, Rutgers – New Jersey Medical School, Newark, NJ, USA

    Mark R. Adams

  2. Foot and Ankle Center at Harborview, University of Washington, Seattle, WA, USA

    Stephen K. Benirschke

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Koury, K.L. (2020). Intra-articular Calcaneal Fractures. In: Adams, M., Benirschke, S. (eds) Fractures and Dislocations of the Talus and Calcaneus. Springer, Cham. https://doi.org/10.1007/978-3-030-37363-4_14

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-37363-4_14

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-37362-7

  • Online ISBN: 978-3-030-37363-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation