Diferencia entre revisiones de «Foot and toe fractures»

Revisión del 20:06 17 feb 2012

Associated injuries are common
Types
- Intra-articular (75%)
  - Sclerotic line may be only evidence of impacted fracture
- Extra-articular (25%)
  - Anterior process fx is most common

Imaging
- Decreased Boehler's angle (<25') may be only sign of fx (compare w/ opposite side)

Intra-articular fracture
- Immobilization w/ posterior splint
- Non-weightbearing
- Elevation (very important - fx has high rate of severe swelling)
- Ortho consult
Extra-articular fracture
- Immobilization and close ortho f/u

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

@@ Línea 6: / Línea 6: @@
 ==Calcaneus==
-*If suspect fx order an axial view
+===Background===
+*Associated injuries are common
 *Types
 **Intra-articular (75%)
-***Sclerotic line may be only e/o impacted fracture
+***Sclerotic line may be only evidence of 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)
+***Anterior process fx is most common
+===Diagnosis===
+*Imaging
+**Decreased Boehler's angle (<25') may be only sign of fx (compare w/ opposite side)
+===Treatment===
+*Intra-articular fracture
+**Immobilization w/ posterior splint
+**Non-weightbearing
+**Elevation (very important - fx has high rate of severe swelling)
+**Ortho consult
+*Extra-articular fracture
+**Immobilization and close ortho f/u
+===Images===
+*(A) Normal Boehler's angle and (B) Abnormal Boehler's angle
+[[File:Boehler's_Angle.jpg]]
 ==Fifth Metatarsal==