What is an intra-articular fracture of the calcaneus?
OVERVIEW. An intraarticular calcaneal fracture is a fracture that occurs in the heel usually due to a high-impact injury, such as a car accident or falling from a ladder.
What are the two most common types of calcaneal fractures?
Axial loading of the foot following a fall from a height is the most common mechanism for severe calcaneal fractures. There are two broad categories of calcaneal fractures: extraarticular and intraarticular. Extraarticular fractures are generally more straightforward to assess and manage.
What is Lover’s fracture?
Lover’s fracture, also known as Don Juan fracture or Casanova fracture is a type of calcaneal fracture. They are fractures of the calcaneal body and may be intra- or extra-articular.
What other injury S may be associated with calcaneal fracture after a fall?
Surgery to repair a calcaneus fracture can restore the normal shape of the bone but is sometimes associated with complications, such as wound healing problems, infection, and nerve damage. Nonsurgical treatment of some fractures, however, can also lead to long-term complications, such as pain, arthritis, and a limp.
How long does it take for a calcaneus fracture to heal?
Usually, treatment involves wearing a cast or splint and avoiding putting weight on your heel for up to eight weeks. Most people heal from a calcaneal stress fracture in about three months.
What kind of splint is used for calcaneal fracture?
After calcaneal fracture surgery, a short leg splint and cast are typically applied. However, these restrict joint exercises, which is inconvenient for patients. In addition, there is a risk of complications, such as pressure ulcers or nerve paralysis with a short leg cast.
Can you fully recover from a calcaneus fracture?
Calcaneus fractures are significant injuries. Pain, stiffness, and swelling may last for months or indefinitely depending on the severity. Most people are able to return to work and recreational activity once their recovery is complete.
Does a calcaneus fracture require surgery?
Some, but not all, calcaneus fractures require surgery. The broken bone will take 3-4 months to heal with or without surgery. If surgery is not needed, there will still be a time where movement and weight bearing is limited.
What is a nutcracker fracture?
A nutcracker fracture of the cuboid refers to a cuboid bone fracture with associated navicular avulsion fracture due to compression between the bases of 4th and 5th metatarsals and calcaneus bone. The injury usually occurs secondary to the traumatic abduction of the forefoot.
What is nightstick fracture?
Introduction. An isolated fracture of the ulnar shaft is defined as a nightstick fracture. The injury derives its name from the idea that a suspect struck with a police nightstick would hold his forearm above his face in a defensive posture when struck with a police baton, resulting in a fracture to the ulna.
Is a calcaneus fracture serious?
Calcaneal fractures can be serious injuries that may produce lifelong problems. Arthritis, stiffness and pain in the joint frequently develop. Sometimes the fractured bone fails to heal in the proper position.
How long does swelling last after calcaneus fracture?
The period of non-weightbearing usually lasts for 8-12 weeks. Physical therapy can help with motion and improve the function of the foot. Calcaneus fractures are significant injuries. Pain, stiffness, and swelling may last for months or indefinitely depending on the severity.
Can you walk on a fractured calcaneus?
Symptoms. Symptoms of a heel fracture include pain, swelling and bruising of the heel. Patients usually are unable to walk.
Can I exercise with a calcaneus fracture?
Your weight and gravity will slowly strengthen the bone in the healed calcaneus fracture. You can start doing body weight exercises like squats, heels raises at this point to gain the strength back. Ankle ROM exercises are also necessary to get full range of motion and mobility back in the ankle.
How long does it take to walk after a calcaneal fracture?
Some patients can begin weight-bearing activities a few weeks after injury or surgery; others may need to wait 3 months or more before putting weight on the heel. Most patients are able to begin partial weight bearing between 6 and 10 weeks after injury or surgery.
How long does a calcaneal fracture take to heal?
Why is it called a nightstick fracture?
Cause. An ulna fracture can be a single break as in a so called “nightstick fracture”, which can be caused by someone being hit on the inside of the forearm often by a stick, notably when they are holding their arm up to protect their head from injury.
Why is it called a march fracture?
March fractures (metatarsal stress fractures) were first described in 1855, when the term was coined for the foot pain and swelling experienced by Prussian soldiers on long marches.
What is a chauffeur fracture?
A chauffeur fracture occurs when the pointed tip at the end of your radius (radial styloid process) breaks. A chauffeur fracture is a type of distal radius fracture, which means the break is at the end of the radius bone. A chauffeur fracture also extends into your wrist joint.
What is a C2 hangman fracture?
A hangman’s fracture is a bilateral fracture traversing the pars interarticularis of cervical vertebrae 2 (C2) with an associated traumatic subluxation of C2 on cervical vertebrae 3 (C3). It is the second most common fracture of the C2 vertebrae following a fracture of the odontoid process.
Can you walk on a broken calcaneus?
Post-operative Care. While your broken calcaneus is healing, you will not be able to put weight on your foot. You will likely be immobilized in a well-padded splint. Sometimes physical therapy is prescribed to help with motion and weight bearing once the bone heals.
When should I start physical therapy after calcaneus fracture?
PHYSICAL THERAPY: start between 4-6 weeks post injury, focus on motion and swelling at first, then gait training and strengthening – focus on hip/knee/core for first 6-10 weeks – patient specific desires on gait training with/without therapist – DO NOT attempt to gain motion in the subtalar joint; focus only on …
What is Freiberg’s disease?
Freiberg disease is a form of avascular necrosis (AVN) in the metatarsal. It was first described in 1914 by Alfred H Freiberg, who reported six cases of young women presenting with a painful limp and discomfort localized to the second metatarsal.
What happens if a fracture is left untreated?
When a bone fracture is untreated, it can result in either a nonunion or a delayed union. In the former case, the bone doesn’t heal at all, which means that it will remain broken. As a result, swelling, tenderness, and pain will continue to worsen over time.
What is a Hutchinson’s fracture?
Chauffeur fractures (also known as Hutchinson fractures or backfire fractures) are intra-articular fractures of the radial styloid process. The radial styloid is within the fracture fragment, although the fragment can vary markedly in size.