Diferencia entre revisiones de «Foot and toe fractures»
m (moved Hindfoot (Fx) to Foot Fracture) |
Sin resumen de edición |
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| Línea 4: | Línea 4: | ||
*Body | *Body | ||
**Delay in dx/tx can lead to non-union or subtalar osteoarthritis | **Delay in dx/tx can lead to non-union or subtalar osteoarthritis | ||
==Calcaneus== | ==Calcaneus== | ||
| Línea 16: | Línea 15: | ||
**Extra-articular (25%) | **Extra-articular (25%) | ||
***Anterior process fx is most common (lateral radiograph) | ***Anterior process fx is most common (lateral radiograph) | ||
==Fifth Metatarsal== | ==Fifth Metatarsal== | ||
===Jones Fracture=== | ===Jones Fracture=== | ||
* | *<1.5 cm from proximal tip of 5th metatarsal | ||
*transverse | *transverse | ||
*insertion point of peroneus tertius | *insertion point of peroneus tertius | ||
| Línea 40: | Línea 24: | ||
===Dancer's (Avulsion) Fracture=== | ===Dancer's (Avulsion) Fracture=== | ||
* | *proximal tip pf 5th metatarsal | ||
* spiral frx | *spiral frx | ||
*common in ballet dancers | *avulsion | ||
*common in ballet dancers (inversion) | |||
* mechanism: inversion | * mechanism: inversion | ||
*frequently displaced | *frequently displaced | ||
*Do not confuse unfused apophysis with a fracture! | |||
*treatment | *treatment | ||
** mildly displaced frx: heal w/ 6 to 8 weeks w/ short leg cast | ** mildly displaced frx: heal w/ 6 to 8 weeks w/ short leg cast | ||
** displaced frxs (3-5 mm) may require ORIF | ** displaced frxs (3-5 mm) may require ORIF | ||
[[Category:Ortho]] | [[Category:Ortho]] | ||
Revisión del 17:53 4 jul 2011
Talus
- Neck
- High risk of avscular necrosis
- Body
- Delay in dx/tx can lead to non-union or subtalar osteoarthritis
Calcaneus
- If suspect fx order an axial view
- 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)
- Intra-articular (75%)
Fifth Metatarsal
Jones Fracture
- <1.5 cm from proximal tip of 5th metatarsal
- transverse
- insertion point of peroneus tertius
- ORIF
Dancer's (Avulsion) Fracture
- proximal tip pf 5th metatarsal
- spiral frx
- avulsion
- common in ballet dancers (inversion)
- mechanism: inversion
- frequently displaced
- Do not confuse unfused apophysis with a fracture!
- treatment
- mildly displaced frx: heal w/ 6 to 8 weeks w/ short leg cast
- displaced frxs (3-5 mm) may require ORIF