Presentation
Acute pain on right foot after a 2,5 m fall from roof.
Patient Data
Intraarticular calcaneal fractures involving the posterior facet of the calcaneus.
There are primary intra-articular fracture lines extending through lateral and medial aspects of the calcaneus, consistent with type 3ac of Sanders CT classification.
Case Discussion
The majority of calcaneal fractures are intra-articular (up to 75% of cases), and they are usually caused by a fall from a height with one or both heels directly hitting the ground 1. Almost all of the intra-articular fractures culminate with displacement, and although it normally is as little as 2 mm, it might be sufficient to alter pressure in the subtalar joint. Therefore, displaced intra-articular calcaneal fractures are complex and highly disabling injuries 2.
Contributed by Dr. Guilherme Pioli Resende M.D. and Dr. Daniel Brito de Medeiros M.D.
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