Presentation
Fall from height onto feet.
Patient Data
Age: 30 years
Gender: Male
From the case:
Calcaneal fractures with associated L2 burst fracture
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CT shows a comminuted fracture of both calcanea.
In addition, there is a comminuted fracture of navicular, cuboid and cuneiform lateral bones of the left foot.
From the case:
Calcaneal fractures with associated L2 burst fracture
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A compression burst fracture of the L2 vertebral body. The fracture involves the posterior vertebral body cortex. Retropulsion of a bony fragment into the spinal canal up to 8 mm.
In addition, there is a fracture of the left transverse process of L3.
Case Discussion
In the case of an axial loading trauma mechanism and a fractured calcaneus, the associated lumbar spine injury needs to be ruled out.
Typical findings of burst fracture seen in this case are:
- involving the posterior vertebral body cortex
- retropulsion of bone fragment
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