Calcaneal avulsion fracture (ultrasound)

Case contributed by Maulik S Patel
Diagnosis certain

Presentation

Right foot injury one week before the presentation. Complaining of pain in the dorsal lateral foot region.

Patient Data

Age: 35 years
Gender: Male

There are avulsed bone flakes from the anterior process and anterior- superior surface of the calcaneum involving the insertion of the bifurcate ligament, extensor hallucis brevis, and extensor digitorum brevis muscles.

There is mild effusion in the anterior recess of the ankle joint. Anterior talofibular ligament and anterior inferior tibiofibular ligament show normal echopattern. The dorsal talonavicular ligament is intact, thickened with a linear bone flake which is likely due to old injury as there was no tenderness locally. 

Case Discussion

The case shows ultrasound findings of calcaneal avulsion fracture.

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