Foot and toe fractures

Revisión del 20:23 22 abr 2011 de Jswartz (discusión | contribs.) (Created page with "==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...")
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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)

5th Metatarsal

  • Fracture usually due to inversion injury
    • Leads to avulsion of metatarsal tuberosity at insertion of peroneus brevis tendon
  • Do not confuse unfused apophysis with a fracture!