Diferencia entre revisiones de «Foot and toe fractures»

Revisión actual - 21:11 22 mar 2023

Background

Bones of the foot.

Talus and subtalar joint

Foot and Toe Fracture Types

Hindfoot

Midfoot

Forefoot

Clinical Features

History of trauma
Pain over fracture site

Differential Diagnosis

Foot diagnoses

Acute

Subacute/Chronic

Evaluation

Workup

XR foot and/or toe x 2 view
Consider need for more proximal or distal plain films
Consider non-contrast CT of the foot

Diagnosis

Management & Disposition

Foot and Toe Fractures Management Chart

Fracture	Splint	Disposition
Talus fracture	Posterior ankle splint
Calcaneus fracture	Posterior ankle splint
Lisfranc injury	Posterior ankle splint
Navicular fracture	Posterior ankle splint
Cuboid fracture	Posterior ankle splint
Cuneiform fracture	Posterior ankle splint
Fifth metatarsal fracture Jones	Posterior ankle splint	Ortho follow up 3-5D
Non-fifth metatarsal fracture	Posterior ankle splint	Ortho follow up 2-3 days
Toe Fracture	Posterior Ankle Splint

External Links

https://www.aliem.com/emrad-adult-ankle-foot-cant-miss/

References

Authors:

@@ Línea 1: / Línea 1: @@
-==Talus==
+==Background==
-*Neck
+[[File:Foot_Bones.jpg|thumb|Bones of the foot.]]
-**High risk of avscular necrosis
+[[File:Subtalar Joint.png|thumb|Talus and subtalar joint]]
-*Body
+{{Foot and toe fractures DDX}}
-**Delay in dx/tx can lead to non-union or subtalar osteoarthritis
+==Clinical Features==
+*History of trauma
+*Pain over fracture site
-==Calcaneus==
+==Differential Diagnosis==
-*If suspect fx order an axial view
+{{Foot diagnoses}}
-*Types
-**Intra-articular (75%)
-***Sclerotic line may be only e/o impacted fracture
-***May only be apparent based on decreased Bohler's angle (<30degrees)
-***Draw line from highest posterior to highest point of calcaneus
-***Draw line from highest anterior to highest point of calcaneus
-**Extra-articular (25%)
-***Anterior process fx is most common (lateral radiograph)
-==5th Metatarsal==
+==Evaluation==
-*Avulsion fracture of the tuberosity
+===Workup===
-**Due to inversion injury
+*XR foot and/or toe x 2 view
-**Occurs at insertion of peroneus brevis tendon
+*Consider need for more proximal or distal plain films
-**Do not confuse unfused apophysis with a fracture!
+*Consider non-contrast CT of the foot
-*Jones' Fracture
-**5th MT fx that occurs within 1.5cm of the tuberosity
-***Lies distal to both the tarso-metatarsal joint and joint between 4th and 5th MTs
-**Often confused with a fracture of the tuberosity
-**Non-union is common; tx with NWB cast
+===Diagnosis===
+<gallery mode="packed">
+File:Boehlers_Angle.jpg|[[Calcaneus fracture]]
+File:CuboidAvulsionFracture.jpg|[[Cuboid fracture]]
+File:A Medial cuneiform fracture.png|[[Cuneiform fracture]]
+File:PMC3497949 10.1177 1941738112459489-fig14.png|[[Fifth metatarsal fracture]]
+File:Lisfranc.jpg|[[Lisfranc injury]]
+File:NavicularFracMark.png|[[Navicular fracture]]
+File:PMC3411541 cmed-5-2012-039f3.png|[[Non-fifth metatarsal fracture]]
+File:Talus Fx.png|[[Talus fracture]]
+File:X-rays of foot phalanx.jpg|[[Toe fracture]]
+</gallery>
-[[Category:Ortho]]
+==Management & Disposition==
+{{Foot and toe fractures}}
+==See Also==
+*[[Fractures (Main)]]
+**[[Distal leg fractures]]
+*[[Foot Diagnoses (Main)]]
+*[[Splinting]]
+==External Links==
+*https://www.aliem.com/emrad-adult-ankle-foot-cant-miss/
+==References==
+<references/>
+[[Category:Orthopedics]]