Fractures of the anterior process of the calcaneus-frequently overlooked injuries following ankle sprains

Der Unfallchirurg
F K MassenH Polzer

Abstract

Fractures to the anterior process of the calcaneus (PAC) have long been considered rare injuries and have received little attention in clinical research. On the contrary, recent studies have reported a distinct higher incidence, especially following ankle sprains. Decisive reasons are that fractures of the PAC are regularly missed on plain radiographs and that a clinical differentiation from injuries to the lateral ankle ligaments is difficult. With the broad availability of cross-sectional imaging modalities fractures of the PAC are diagnosed more frequently and more reliably. The purpose of this review is to give an overview on the diagnostics, classification and treatment recommendations to this topic and discuss the studies available. To date no evidence-based recommendations are available for the treatment of fractures of the PAC. The few case reports and case series published, predominantly recommend conservative treatment; however, the treatment regimens vary considerably, ranging from immobilization in a lower leg cast (2-10 weeks) to early functional treatment with full weight-bearing. The surgical treatment by open reduction and internal fixation has been described primarily for large dislocated fractures. Surgical ex...Continue Reading

References

Jan 1, 1988·Archives of Orthopaedic and Trauma Surgery·J AgnholtH Christensen
Jan 1, 1985·Skeletal Radiology·D L Renfrew, G Y el-Khoury
Jan 1, 1980·AJR. American Journal of Roentgenology·J F NorfrayW J Heiser
Mar 3, 1993·JAMA : the Journal of the American Medical Association·I G StiellJ Maloney
May 15, 1998·Archives of Orthopaedic and Trauma Surgery·H J TrnkaP Ritschl
Feb 4, 1999·AJR. American Journal of Roentgenology·M I RobbinsE J Sella
Nov 28, 2001·Foot & Ankle International·R H LelandP C Noble
Jun 1, 1953·Radiology·M B HERMEL, J GERSHON-COHEN
Sep 1, 1957·American Journal of Surgery·E J GARVIN, C J ROMINGER
Sep 1, 1958·Southern Medical Journal·J M DELL
Jan 1, 1962·Archiv Für Orthopädische Und Unfall-Chirurgie·W HELLPAP
Jul 8, 1963·Archiv Für Orthopädische Und Unfall-Chirurgie·W HELLPAP
May 1, 1965·The Journal of Trauma·D J CAREYP A WADE
Jun 28, 1951·The New England Journal of Medicine·C H BRADFORD, I LARSEN
Mar 1, 1952·The British Journal of Surgery·P ESSEX-LOPRESTI
May 26, 2005·Foot & Ankle International·Carol FreyWilliam Hohl
Feb 24, 2006·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Nathalie BoutryPhilippe Peetrons
Dec 21, 2007·Archives of Orthopaedic and Trauma Surgery·Tim SchepersPeter Patka
Oct 12, 2010·The Journal of Bone and Joint Surgery. American Volume·Brian R WatermanPhilip J Belmont
Dec 28, 2010·The Foot·Tim SchepersMaarten van der Elst
May 24, 2011·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Tun Hing Lui
Dec 7, 2013·Operative Orthopädie und Traumatologie·S OchmanM J Raschke
Jan 9, 2015·The Journal of Bone and Joint Surgery. American Volume·Robert G MarxMarc F Swiontkowski
Jan 28, 2016·Orthopaedic Nursing·Patrick Graham
Jul 20, 2016·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Jens A Halm, Tim Schepers
Apr 1, 1987·The Physician and Sportsmedicine·T E Harburn, H E Ross
Oct 25, 2016·International Emergency Nursing·Lynda Gibbons, Patricia Cunningham
Apr 13, 2017·Emergency Radiology·Shaimaa Abdelhassib FadlClaire Kalsch Sandstrom
Apr 19, 2017·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Halah KutaishM Assal
Dec 20, 2017·Journal of Orthopaedic Trauma·Eric G MeinbergJames F Kellam
Mar 24, 2018·AJR. American Journal of Roentgenology·Anna HirschmannZehava S Rosenberg
Oct 17, 2018·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·Baljinder S DhinsaSam Singh

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