Department of Emergency Medicine

UMEM Educational Pearls

Title: Calcaneus Fractures

Category: Orthopedics

Keywords: calcaneus, fracture, compartment (PubMed Search)

Posted: 6/29/2008 by Michael Bond, MD (Updated: 11/22/2024)
Click here to contact Michael Bond, MD

Calcaneus Fractures

Normally occur due to axial loading mechanism such as:

  •     Fall from height
  •     Motor Vehicle collisions
  •     Repetitive impacts on a hard surface such as seen with running or jumping.

Miscellanous Facts:

  1. 70% of calcaneal fractures are intra-articular
  2. 10-15% are associated with spinal compression fractures
  3. Estimated that 7-10% will have a fracture of the contralateral foot
  4. Monitor for compartment syndrome of the foot.  Deep central compartment is most commonly affected with calcaneus fractures

Pearls:

  1. Strongly consider getting Lumbar Spine Films and x-rays of the opposite foot in anybody that has a calcaneus fracture.
  2. Perform frequent reassessments, and do not hesitate to check compartment pressures if you suspect they might be elevated.

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