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Calcaneal/Talar Fracture Trauma Case Study

Calcaneal/Talar Fracture Trauma Case Study. Dan Preece DPM PGY-2 09/07/2010. What happens when you don’t land one of these?. Case Study:. CC: right rearfoot pain

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Calcaneal/Talar Fracture Trauma Case Study

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  1. Calcaneal/Talar FractureTrauma Case Study Dan Preece DPM PGY-2 09/07/2010

  2. What happens when you don’t land one of these?

  3. Case Study: • CC: right rearfoot pain • HPI: 21 yo semi-professional motorcycle jump “specialist” presents to the ED immediately after aborting a jump approximately 30-40 feet in the air. Pt landed on feet and had immediate severe pain to the . • PMH: unremarkable, denies smoking.

  4. PE: • MSK: pain with palpation of right rearfoot including talus and calcaneus. Pain limited exam significantly. • Neuro/Vasc: DP/PT pulses 2/4, protective sensation intact. • Derm: diffuse right rearfoot ecchymosis, no blistering, blanching of skin or break down.

  5. CT Imaging:

  6. A/P: • Talar neck fracture: ORIF • Hawkins Classification: I (non displaced neck Fx) • Calcaneal sustentaculum tali fracture: ORIF and anterior process fracture: ORIF and Diastasis with mini-rail. • Rowes Calc Fx Classification: Type I BC.

  7. Biomet External Fixation System:

  8. ORIF Talus and Calcaneus Fx:

  9. Comments: • FDL tendon running directy over sustentaculum tali screw heads? Graft jacket for coverage? • Mini rail necessary?

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