What type of classification is used when there is a calcaneal fracture?
At present, the two major systems for classifying calcaneal fractures include the Hannover and Sanders classifications (,13,,15–,17). The Hannover classification assigns one point to each of a possible five fragments and one point to involvement of each of three articular surfaces (,17).
What are the two most common types of calcaneal fractures?
Calcaneal fractures can be divided into two groups: intra-articular and extra-articular calcaneal fractures. Intra-articular fractures have a lower prognosis. To determine the kind of fracture and if there is a fracture, medical imaging is needed.
What is a comminuted fracture of the calcaneus?
BDICs are highly comminuted calcaneal fractures that constitute the most severe portion of Sanders type IV calcaneal fractures. This type of injury features a significant loss of height, shortening and widening of the calcaneus, and the collapse of the articular surfaces, especially the posterior articular surface.
How do you describe a calcaneal fracture?
A fracture of the calcaneus, or heel bone, can be a painful and disabling injury. This type of fracture commonly occurs during a high-energy event — such as a car crash or a fall from a ladder — when the heel is crushed under the weight of the body. When this occurs, the heel can widen, shorten, and become deformed.
What is an anterior calcaneus fracture?
Anterior Process Calcaneus fractures occur from an inversion injury to the ankle. The bifurcate ligament pulls on the anterior aspect of the calcaneum resulting in a fragment of bone being pulled away.
Does a calcaneus fracture require surgery?
Some, but not all, calcaneus fractures require surgery. The broken bone will take 3-4 months to heal with or without surgery. If surgery is not needed, there will still be a time where movement and weight bearing is limited.
How do you treat a calcaneus fracture?
Treatment of Calcaneal Fractures
- Rest, ice, compression and elevation (RICE). Rest (staying off the injured foot) is needed to allow the fracture to heal.
- Immobilization. Sometimes the foot is placed in a cast or cast boot to keep the fractured bone from moving.
What type of bone is the calcaneal?
The calcaneus is an irregular bone, cuboid in shape whose superior surface can be divided into three areas – the posterior, middle and anterior aspects.
How long does it take to recover from a calcaneus fracture?
How long does a calcaneus fracture take to heal?
Is a calcaneus fracture serious?
Calcaneal fractures can be serious injuries that may produce lifelong problems. Arthritis, stiffness and pain in the joint frequently develop. Sometimes the fractured bone fails to heal in the proper position.
Do all calcaneus fractures need surgery?
General Treatment Some, but not all, calcaneus fractures require surgery. The broken bone will take 3-4 months to heal with or without surgery. If surgery is not needed, there will still be a time where movement and weight bearing is limited.
How is a calcaneal fracture treated?
Some calcaneal fractures can be treated by manipulating the foot while a patient is under anesthesia, but not involving surgery. This procedure is called closed reduction. If such a procedure does not treat the fracture or if the fracture is more extensive, then surgery may be required (called an open reduction).
What are the 5 types of Salter-Harris fractures?
Evaluation
- Salter I (Slipped) This is when the fracture line extends through the physis or within the growth plate.
- Salter II (Above) These are when the fracture extends through both the physis and metaphysis.
- Salter III (Lower)
- Salter IV (Through/Transverse)
- Salter V (Rammed/Ruined)
What is a Salter 3 fracture and what is its consequence?
Salter-Harris type III fractures are more rare, usually occurring on the distal tibia (the bottom end of a tibia) and cutting across the growth plate, towards the epiphysis. Type III may lead to a development of posttraumatic arthritis, which is characterized by inflammation or swelling around the joint.
What is the classification of Essex Lopresti fracture?
Classification. The proposed classification of Essex-Lopresti fracture-dislocation is based on the severity of radial head fracture 5. type I: large fragments; type II: comminuted; type III: chronic injury with proximal migration of the radial head; Pathology
What is a calcaneal fracture?
Calcaneal fractures are the most common tarsal fractures. They are caused by axial loading, most commonly from a fall or MVA. The fracture is created primarily by the driving force of the talus into the calcaneus; this crack can propagate into so called secondary fracture lines.
What is Essex-Lopresti’s theory of fracture?
The best known is that of Essex-Lopresti, who recognised peripheral and extra-articular injuries, and divided intra-articular injuries into: Review the pathomechanics of these fracture types
How are intra-articular calcaneal fractures classified?
Twelve observers classified 30 intra-articular calcaneal fractures according to the 3 most prevalent classification systems; interobserver reliability (kappa [kappa] statistic) and the correlation of the system with the choice of treatment and clinical outcomes were calculated.