Calcaneus Fracture is one of the most common fractures of tarsal bone occurring due to a high-energy collision. Calcaneus or heel bone connects the talus and cuboid bones. This connection forms the subtalar joint, which is crucial for normal foot functions such as walking, standing, and running. Any trauma or injury can cause severe Calcaneal Fracture. If the fracture involves the joints, it can bring many long-term consequences such as chronic pain and Arthritis.
Causes
- Falling from a height
- Automobile accidents
- Twisting injury
- Any injuries including ankle sprain
- Stress fractures due to repetitive stress or overuse
Symptoms
- Sharp, intense pain at the time of injury
- Inability to place weight on the heel
- Limp
- Swelling
- Bruising
- Stiffness
- Numbness in foot, ankle, or toes
- Heel deformity
Diagnosis
An orthopedic doctor may diagnose the fracture by thoroughly examining the heel to see if any nerves are damaged or the blood supply is interrupted. The physician may ask you about the circumstances of your injury and discuss your medical history and the symptoms. He may recommend X-ray, MRI, or CT scan to assess the severity of the fracture and decide the line of treatment.
Treatment
Depending upon the severity of the injury, the physician may recommend non-surgical or surgical treatment.
Non-surgical treatment
To allow the fracture to heal, you may be recommended to take rest and avoid putting weight on the injured heel. You can use ice to reduce swelling and pain. You may also get relief by wrapping the foot in an elastic bandage or wearing compression stockings. By keeping the feet elevated, you can reduce swelling. You may also be required to keep the feet immobilized by using a cast or using crutches.
Surgical treatment
In the case of traumatic fractures, you may need surgery to reconstruct or fuse the joint. The broken bone is moved to its place and fixed with screws to promote healing. Post-surgery you will need to undergo a rehabilitation program under the supervision of a physiotherapist. He will devise a plan including stretching and strengthening exercises, for you to gain strength and restore function.
Calcaneal Fractures can lead to pain in the joints, stiffness, arthritis, and long-term consequences such as a limp, decreased ankle motion, and loss of length in the leg. In case of these complications, you may require additional surgeries or use of braces or other devices to manage them.
The orthopedic doctors at OrthoTexas provide complete treatment for Calcaneal Fracture and other foot injuries.