Calcanea Fracture (Pod med) Flashcards
What do you observe in this fracture?
1?
Which view 2?
Which ligament 3?
What are the possible mechanism of injury 4?
What are the predisposing conditions 5?
- Avulsion fracture
- Medial oblique, best for calcaneonavicular coalition
- Inversion, plantarflexion: Bifrucate ligament
- Plantarflexion, Inversion
- Prior ankle sprain, Osteoprosis and Smoking
What tx would you use for this ankle fracture?
1?
What are the goals of tx 2?
- Short-leg non-weight bearing cast for 4-6 weeks
2.
- Creating a relatively normal foot shape to allow use of normal footwear
- Ensuring correct alignment
- Establishing articular congruity to promote pain-free function
- Prevent long-term degenerative change.
Sander’s classification (Exam):
Type I
Type II
Type III
Type IV
- Type I – undisplaced fractures
- Type II – two-part or split fractures
- Type III– three-part or split depression fracture
- Type IV – four-part or highly comminuted articular fractures.
What imaging view shows the widest part of the posterior facet?
1?
- Coronal
Three primary fracture lines divide calcanues into 3 sections:
1?
2?
3?
4?
- Lateral
- Central
- Medial
- Sustentacular
Sander’s classification:
Type 1:
?
All non-displaced articular fracture (<2mm) irrespective of the number of fracture line
Sander’s classification
Type 2 non-union:
1?
Subtypes 2?
- Two part fracture of the posterior facet
- IIA, IIB, IIC
Sander’s classification
Type II non-union
1 ?
Subtypes 2?
- Two-part fracture of the posterior facet
- IIA, IIB, IIC
Sander’s classification
Type IIA
Sander Classification
Type IIB
Sander’s classification
Type IIC
Sander’s classification
Type III
1 ?
Type III AC
- three part fracture with a centrally depressed fragment
Sander’s classification
Type III BC
Sander’s classification
Type IV
1?
- Four-part articular fractures; highly communited
Rowe classification
Type I?
Type I :
Ia: Fracture of calcaneus tuberosity
Ib: Fracture of sustentaculum tali
Ic: Fracture of anterior process
