Fracture du calcaneum pdf

A lateral drawing of the classic essexlopresti tonguetype fracture. In some cases, a fracture may also enter the subtalar joint in the foot. Fractures of the calcaneum comprise about 12% of all fractures and as such are not common, yet in the authors experience they are surprisingly frequent. Injury, 7, 205211 205 intraarticular fractures of the calcaneum d. A calcaneal fracture is a break of the calcaneus heel bone.

Calcaneal fractures are divided into two major categories, intraarticular and extraarticular. Epidemiology the calcaneus is the most commonly fractured tarsal bone and accounts for about 2% of all fractures 2 and 60% of all tarsal fractures. This classification is based on the number of intraarticular fracture lines and their location on semicoronal ct images. Traitement chirurgical des fractures articulaires du.

Calcaneus heel bone fractures typically occur during a highenergy eventsuch as a car crash or a fall from a ladderwhen the heel is crushed under the weight of the body. Les fractures du calcaneum constituent 60% des fractures du tarse. Request pdf fractures of the calcaneum we have assessed the longterm results after operative and nonoperative treatment of undisplaced and displaced calcaneal fractures. Fractures souvent articulaires,evolution longue et trainante,troubles trophiquesoedeme,cyanose,fibrose,osteoporose,algodystrophie rappel anatomique.

These fractures sometimes result in longterm complications, such as chronic pain and swelling. One such case of nonunion of calcaneal fracture and its successful. The calcaneus is the large bone at the heel of the foot. As minimally invasive fixation has attracted more interest in the last few years, it is once again important to know the essexlopresti classification. The ct scan of the calcaneus has brought new difig. The minimally invasive techniques for reduction are different for tonguetype and joint depression.

Calcaneus fractures pediatric orthopaedic society of. Calcaneal fractures are the most common tarsal fracture and can occur in a variety of settings. Careful evaluation of the patient, fracture pattern, soft tissue condition, and treatment modalities is obligatory to. Fractures of the pediatric calcaneus are rare injuries and are frequently missed. Calcaneus fracture repair physical therapy protocol pg 2 12 weeks progressive wb begins 12 week md visit. Careful evaluation of the patient, fracture pattern, soft tissue condition, and treatment. Howat university department of orthopaedic surgery, western infirmary, glasgow summary a method of reducing deformity of displaced, intra articular fractures of the calcaneum is described, together with a programme of management aimed at restoring a painless and mobile foot.

Historically, opinions on the mechanism of injury, the decision to pursue nonoperative management versus surgical intervention, and the resultant disability caused by these fractures have differed. Calcaneus fractures 2016 orthopaedic trauma association. Pdf les fractures du calcaneum sont peu frequentes mais le plus souvent graves. Le calcaneum est le plus volumineux os du tarse et forme lossature du talon, il s articule en haut avec le talus et en avant avec le cuboide. The significance of the displacement is the potential for pressure necrosis of the skin, potentially turning a closed fracture into an open fracture. Appareil locomoteur 14094a10 fractures du calcaneus em consulte. Calcaneum fracture the man who breaks his heel bone is done 3. Secondary soft tissue compromise in tonguetype calcaneal fractures. A fracture may cause the heel bone to widen and shorten. Anderson, mdb,c agrand rapids medical education and research centermichigan state university orthopaedic surgery residency program, 300. This is due not only to the type of fracture, but the orthopaedic management as well. Started in 1995, this collection now contains 6767 interlinked topic pages divided into a tree of 31 specialty books and 732 chapters. Fractures of the tarsal bones account for only about 2% of all adult fractures and only half of tarsal fractures are calcaneus fractures. Clinical and radiological prospective study of 31 cases.

Calcaneus fracture repair physical therapy protocol. Calcaneus avulsion fracture oblique view calcaneus lateral and axial. Le traitement des fractures du calcaneum pose des problemes delicats. Fractures of the calcaneum essexlopresti classification. Operative versus non operative treatment of displaced intraarticular fracture of calcaneum. Since essexloprestis landmark study, another group of calcaneus fractures has been described that similarly fits into a tonguetype pattern called avulsion fractures 6. Some calcaneal fractures are obvious, resulting in an inability to put weight on the heel, swelling of the heel and bruising of the heel and ankle. The role of orthotics in the rehabilitation of patients with fracture of the calcaneum w. The sanders classification system is used to assess intraarticular calcaneal fractures, which are those involving the posterior facet of the calcaneus.

Pdf traitement chirurgical des fractures du calcaneum. The most common etiology is a forceful axial load to the hindfoot, frequently occurring during a fall. Xray ankle, subtalar, forefoot, toe aarom gentle stretch and isometrics. Pdf calcaneal intraarticular fracture osteosynthesis. This classification was related to his percutaneous reduction technique. Calcaneus fractures resident comprehensive fracture course anatomy posterior facet middle facet sustentaculum anterior process epidemiology 2% of all fractures mechanism axial load mva 80. It is usually fractured after a fall from a great height or in a motor vehicle accident. This classification is useful not only in understanding typical fracture patterns of the calcaneus but also in. Historical treatment in 1720 garangeot, of france, first described accurately the smash fracture. Nonunion of calcaneum a rare complication of calcaneal. Intraarticular fractures of the calcaneum sciencedirect. Additional computed tomography imaging showed the fracture line extending through the talus and entire calcaneum. However, nonunion of calcaneum is rarely encountered.