Fracture of the anterior superior process of the calcaneus: an often misdiagnosed fracture.
Fracture of the anterior superior process of the calcaneus has been considered an unusual injury. Following a sudden twist there is immediate pain on the outer aspect of the mid-portion of the foot and discomfort on weight-bearing. Three mechanisms of injury have been reported to cause the fracture. The diagnosis is often missed, and prolonged disability and local pain at the calcaneocuboid joint deserve further consideration. Oblique X-rays of the foot are helpful to visualize the fracture. Type III fractures may cause cartilage lesions and arthrosis; therefore, one should not wait long before excision or refixation of the fragment.
Trnka
H J
HJ
Orthopaedic Hospital Gersthof, Vienna, Austria.
Zettl
R
R
Ritschl
P
P
D000328:Adult; D001864:Bone Wires; D002111:Calcaneus / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D002358:Cartilage, Articular / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery; D002370:Casts, Surgical; D003937:Diagnosis, Differential; D005260:Female; D017102:Fracture Healing / Q000502:physiology; D050723:Fractures, Bone / Q000000981:diagnostic imaging* / Q000601:surgery; D050724:Fractures, Cartilage; D005599:Fractures, Ununited / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D011859:Radiography; D012086:Reoperation