Diferencia entre revisiones de «Foot and toe fractures»
Sin resumen de edición |
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| Línea 20: | Línea 20: | ||
*<1.5 cm from proximal tip of 5th metatarsal | *<1.5 cm from proximal tip of 5th metatarsal | ||
*transverse | *transverse | ||
*ORIF | *ORIF | ||
===Dancer's (Avulsion) Fracture=== | ===Dancer's (Avulsion) Fracture=== | ||
*proximal tip | *proximal tip of 5th metatarsal (more proximal than Jones) | ||
*spiral | *avulsion (spiral) fracture, frequently displaced | ||
*inversion injury (common in ballet dancers) | |||
*common in ballet dancers | |||
*Do not confuse unfused apophysis with a fracture! | *Do not confuse unfused apophysis with a fracture! | ||
*treatment | *treatment | ||
** mildly displaced | ** mildly displaced: 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 17:56 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
- ORIF
Dancer's (Avulsion) Fracture
- proximal tip of 5th metatarsal (more proximal than Jones)
- avulsion (spiral) fracture, frequently displaced
- inversion injury (common in ballet dancers)
- Do not confuse unfused apophysis with a fracture!
- treatment
- mildly displaced: heal w/ 6 to 8 weeks w/ short leg cast
- displaced frxs (3-5 mm): may require ORIF