A 42-year-old patient is brought in by EMS after jumping off of a two-story building. The primary survey is intact and the secondary survey demonstrates swelling, ecchymosis, and tenderness to the right heel. You obtain foot x-rays and see the following images (Image 1. Lateral view of the right foot. Author’s own images).
Resources & References:
Check out ALiEM’s EMRAD post to brush up on other can’t miss adult foot and ankle injuries.
- Germann CA, Perron AD, Miller MD, Powell SM, Brady WJ. Orthopedic pitfalls in the ED: calcaneal fractures. Am J Emerg Med. 2004 Nov;22(7):607-11. PMID: 15666272.
- Mitchell MJ, McKinley JC, Robinson CM. The epidemiology of calcaneal fractures. Foot (Edinb). 2009 Dec;19(4):197-200. PMID: 20307476.
- Davis D, Seaman TJ, Newton EJ. Calcaneus Fractures. In: StatPearls. Treasure Island (FL): StatPearls Publishing; August 8, 2020
- Loucks C, Buckley R. Bohlers angle: Correlation with outcome in displaced intra-articular calcaneal Fractures. Journal of Orthopaedic Trauma. 1999;13(8):554-558. PMID: 10714782.
- Walters JL, Gangopadhyay P, Malay DS. Association of calcaneal and spinal fractures. The Journal of Foot and Ankle Surgery. 2014;53(3):279-281. PMID: 24618246.
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