Type V fractures are comminuted fractures with a centrally depressed fragment. and transmitted securely. Google Scholar, Sanders R, Vaupel ZM, Erdogan M, Downes K (2014) Operative treatment of displaced intraarticular calcaneal fractures: long-term (10-20 years) results in 108 fractures using a prognostic CT classification. Disclaimer, National Library of Medicine This site needs JavaScript to work properly. Fig. J Orthop Trauma. A joint-preserving osteotomy with axial realignment is a treatment option for malunited tongue-type calcaneal fractures encountered early on, before the development of . 2022 Springer Nature Switzerland AG. Would you like email updates of new search results? eCollection 2020 Jul. Secondary soft tissue injury can also occur from pressure of the displaced fracture fragments. FOIA 1990 Oct;13(10):1091-100. doi: 10.3928/0147-7447-19901001-05. Preparation. 2017 Jan;52(1):28-33. doi: 10.1016/j.jemermed.2016.07.085. White EA, Skalski MR, Matcuk GR Jr, Heckmann N, Tomasian A, Gross JS, Patel DB. -. eCollection 2017 Jan-Feb. J Orthop Trauma 20(9):618622, Tornetta P 3rd. Intervention: Minimally invasive treatment and internal fixation vs. extended lateral approach in calcaneus fractures of thalamic interest. Download Citation | Tongue-Type Calcaneus Fractures | Tongue-type calcaneus fractures present a challenge to orthopedic surgeons. eCollection 2021. Unable to load your collection due to an error, Unable to load your delegates due to an error. Bilateral fractures of the calcaneus occur approximately 10% of the time. and osteoarticular radiology . Those with threatened posterior skin who were treated emergently with percutaneous reduction did not progress to soft tissue compromise. University level I trauma center. A recent retrospective cohort study by Quirine showed a lower incidence of wound problems and deep infection when . Setting: 8600 Rockville Pike Skelet Radiol 45(7):977988, Strauss EJ, Petrucelli G, Bong M, Koval KJ, Egol KA (2006) Blisters associated with lower-extremity fracture: results of a prospective treatment protocol. Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. Tongue-type fractures of the calcaneus lead to variable amounts of displacement of the posterior tuberosity. sharing sensitive information, make sure youre on a federal HHS Vulnerability Disclosure, Help Results: MeSH Patient demographics, comorbidities, injury mechanism, fracture displacement, and time to presentation were evaluated. Setting: The authors declare that they have no conflict of interest. 2018 Feb;49(2):425-429. doi: 10.1016/j.injury.2017.12.008. Intra-articular tongue-type fractures may develop skin breakdown and often require urgent surgical reduction and fixation. A case of a tongue-type calcaneus fracture with a posteromedial dislocation of the calcaneal posterior facet and tuberosity is presented. -, Emerg Radiol. In the axial plane, 98% of tongue pieces were in a position of adduction (64%) or neutral (34%), with an average angulation into adduction of 15.0 degrees. FOIA Unable to load your collection due to an error, Unable to load your delegates due to an error. Retrospective cohort. Sanders R, Vaupel ZM, Erdogan M, Downes K. J Orthop Trauma. Operative treatment of displaced intraarticular calcaneal fractures: long-term (10-20 Years) results in 108 fractures using a prognostic CT classification. Accessibility The https:// ensures that you are connecting to the 2013 Jan;11(23):70-5. Displacement of the sustentacular fragment in intra-articular calcaneal fractures. Foot Ankle Int 30(3):229238, Johnson PT, Fayad LM, Fishman EK (2006) Sixteen-slice CT with volumetric analysis of foot fractures. Types IV and V(60%) involve the subtalar joint. Eric A. Bethesda, MD 20894, Web Policies Journal of foot and ankle research 7(1):19, Article Epub 2022 Jan 5. 2016 Jul 1;39(4):e744-8. Blisters associated with lower-extremity fracture: results of a prospective treatment protocol. Foot Ankle Clin 12(1):107123, Wang CL, Cheng CK, Chen CW, Lu CM, Hang YS, Liu TK (1995) Contact areas and pressure distributions in the subtalar joint. 2005 Sep-Oct;25(5):1215-26. doi: 10.1148/rg.255045713. J Orthop Trauma. 2021 Feb 15;16:275-280. doi: 10.2147/CIA.S291497. 2021 Nov 9;11:59. doi: 10.25259/JCIS_142_2021. 8,10 They can occur as an isolated fracture line or as part of a more complex, intra-articular calcaneus fracture pattern. White. sharing sensitive information, make sure youre on a federal Soft tissue complications following calcaneal fractures. J Orthop Case Rep. 2019;9(2):11-14. doi: 10.13107/jocr.2250-0685.1358. Materials and Methods A total of 77 patients with intra-articular tongue-type calcaneal fractures between September 2015 and July 2019 were included in this study. Clin Orthop Relat Res 30:6466, Article Emerg Radiol. The site is secure. 2015 Nov;205(5):1061-7. doi: 10.2214/AJR.14.14190. Before Taha T, Mahmoud K, Attia AK, Mekhaimar MM. The site is secure. In selected cases, if the malunited joint is still in good condition, it is preserved by corrective osteotomy. Occasionally, it is completely extraarticular but deserves the same operative treatment and reduction. Rev Bras Ortop. J Emerg Med 52(1):2833, Watson TS (2007) Soft tissue complications following calcaneal fractures. Calcaneal fractures account for 60% of all tarsal bone fractures. Berberian W, Sood A, Karanfilian B, Najarian R, Lin S, Liporace F. J Bone Joint Surg Am. 2014 Oct;28(10):551-63. doi: 10.1097/BOT.0000000000000169. Unable to load your collection due to an error, Unable to load your delegates due to an error. Federal government websites often end in .gov or .mil. A contemporary review. They are often superiorly displaced because of the insertion of the Achilles tendon and pull of the gastroc-soleus complex. Objectives: Open wounds occur with calcaneus fracture from direct application of force and from tearing along the medial side of the fracture as the tuberosity displaces laterally. J Clin Imaging Sci. Computed Tomography for Calcaneal Fractures: Adding Value to the Radiology Report. Cao Y, Xu X, Guo Y, Cui Z, Zhao Y, Gao S, Tian Y, Lv Y, Zhou F. Front Surg. Publication types Case Reports MeSH terms Accidental Falls Bone Screws Calcaneus / diagnostic imaging Ideally, the CT scans are formatted in two planes: the semicoronal or oblique coronal plane, which is perpendicular . this may result in a tongue-type calcaneus fracture (or a de- pressedvariant)[20,23](Fig.3).Thetongue-typefracturecan result in superior and posterior displacement of the displaced When assessing for displacement and angulation in the coronal plane, 98% of tongue fragments were either in a position of valgus (77%) or neutral (21%), with a mean valgus angulation of 17.3 degrees. Overall tongue type calcaneal fractures tend to have a more favourable prognosis when compared to articular depression patterns and perhaps not surprisingly treating these injuries with percutaneous techniques also offers advantage. Google Scholar, Walters JL, Gangopadhyay P, Malay DS (2014) Association of calcaneal and spinal fractures. Am J Emerg Med 26(2):254 e251, Article Main outcome measurements: Open wounds occur with calcaneus fracture from direct application of force and from tearing along the medial side of the fracture as the tuberosity displaces laterally. This site needs JavaScript to work properly. Intraarticular fractures of the calcaneus: diagnosis and surgical management. Objective: Fracture lines can be seen near the Achilles tendon attachment and the posterior facet of the calcaneus (intra-articular). eCollection 2021. Those injuries that were associated with posterior, secondary soft tissue breakdown were identified and compared to those without breakdown. Injury. Calcaneus Fractures: A Possible Musculoskeletal Emergency. Management of intra-articular fracture of calcaneus by combined percutaneous and minimal internal fixation. Epub 2018 Jul 30. 2022 Sep 14;34:282-287. doi: 10.1016/j.jor.2022.09.009. 2022 Apr 4;9:854210. doi: 10.3389/fsurg.2022.854210. J Foot Ankle Surg. Closed Reduction and Percutaneous Fixation of Calcaneal Fractures in Children. -, AJR Am J Roentgenol. This calcaneus fracture is a tongue-type injury and associated with significant soft-tissue compromise. Patients/participants: a Lateral radiograph shows a comminuted calcaneal fracture with a tongue-type component (arrow). This is a preview of subscription content, access via your institution. Tongue-type fractures are unusual calcaneal fractures in which the displacement of a bony fragment has the potential to tent the skin of the posterior heel. Foot Ankle Orthop. CAS Federal government websites often end in .gov or .mil. This site needs JavaScript to work properly. The management of this fracture is distinctly different from other calcaneal fractures, as urgent surgery may be required [ 12 ]. Knowledge of this deformity may aid in achieving successful closed reduction when using the Essex-Lopresti maneuver or other less invasive techniques. Clipboard, Search History, and several other advanced features are temporarily unavailable. This site needs JavaScript to work properly. AJR Am J Roentgenol 208(2):373379, Tresley J, Subhawong TK, Singer AD, Clifford PD (2016) Incidence of tendon entrapment and dislocation with calcaneus and pilon fractures on CT examination. Richard Buckley, Andrew Sands. Imaging interpretation and clinical management of these fractures are discussed. Extreme tongue-type (beak) fracture of the calcaneus body. Bookshelf 2010 Mar;24(3):142-7. doi: 10.1097/BOT.0b013e3181b5c0a4. Epub 2016 Apr 27. 8600 Rockville Pike The normal value for the angle of Gissane is between 120 and 145 - "Intra-articular tongue-type fractures of the calcaneus: anatomy, injury patterns, and an approach to management" J Orthop Trauma 28(10):551563, Lu B, Liu P, Wang Y, Yuan JB, Tang XM, Wei D et al (2015) Minimally invasive manipulative reduction with poking k-wire fixation in the treatment of various types of calcaneal fractures. J Bone Joint Surg Br 57(4):413421, Badillo K, Pacheco JA, Padua SO, Gomez AA, Colon E, Vidal JA (2011) Multidetector CT evaluation of calcaneal fractures. Modification of the sinus tarsi approach for open reduction and plate fixation of intra-articular calcaneus fractures: the limits of proximal extension based upon the vascular anatomy of the lateral calcaneal artery. Epub 2016 Sep 19. A 62-year-old female with tongue-type calcaneal fracture due to minor trauma is presented, which is often associated to high-energy injuries in younger individuals. The site is secure. Conclusion: Eur Rev Med Pharmacol Sci 19(22):42204226, CAS doi: 10.1016/j.injury.2004.07.012. Would you like email updates of new search results? Design: Retrospective cohort. Joseph Schatzker. Allegra PR, Rivera S, Desai SS, Aiyer A, Kaplan J, Gross CE. 2006 May;12(4):171-6 PMC Tongue-type fractures of the calcaneus lead to variable amounts of displacement of the posterior tuberosity. Open all credits. Before Objectives: PubMed FOIA MeSH type 2c: involves one primary fracture line that courses through the medial aspect of the posterior facet and is accompanied by a transverse fracture through the body of the calcaneus; this fracture is often accompanied by one or more accessory fracture lines that do not involve the posterior articular facet Early recognition by the emergency physician and prompt operative repair prevent further injury and obviate the need for surgical soft tissue coverage or potential amputation. et al. 6 A 19-year-old man after a fall from height. Orthopedics. The site is secure. Injury. Fracture lines can be seen near the Achilles tendon attachment and the posterior facet of the calcaneus (intra-articular). PMC Foot Ankle Spec 10(5):402410, Article Although they are often associated to high-energy injuries in younger individuals, this type of fracture can also occur due to minor trauma. 2004 Sep;35 Suppl 2:SB55-63. official website and that any information you provide is encrypted Semin Musculoskelet Radiol 14(3):307322, Pierre-Jerome C, Moncayo V, Terk MR (2010) MRI of the Achilles tendon: a comprehensive review of the anatomy, biomechanics, and imaging of overuse tendinopathies. All tongue-type calcaneus fractures treated at 1 institution between 2002 and 2007 were identified from a trauma registry. White, E.A., Skalski, M.R., Matcuk, G.R. Accessibility Tongue-type fractures are unusual calcaneal fractures that produce an unique and relatively uncommon injury pattern to the bone and soft tissues, due to the separation of the calcaneal tuberosity into superior and inferior fragments. Management of calcaneal tuberosity fractures. Recognition of the imaging findings, accurate interpretation, and timely communication may prevent devastating clinical outcomes including soft tissue coverage procedures and amputation. Sanders 2B fractures were more likely to be in a position of valgus and adduction than those of 2C fractures. Fractures of the calcaneus: a review with emphasis on CT. Calcaneal fracture maps and their determinants. Radiographics. Syros A, Perez J, Hodgens BH, Boden AL, Constantinescu DS, Smith B, Davies JP, Steinlauf S. J Orthop. and transmitted securely. They are often superiorly displaced because of the insertion of the Achilles tendon and pull of the gastroc-soleus complex. They are often superiorly displaced. Occasionally, it is completely extraarticular but deserves the same operative treatment and reduction. Accessibility government site. Am J Emerg Med 31(7):1151.e11531151.e1154, Daftary A, Haims AH, Baumgaertner MR (2005) Fractures of the calcaneus: a review with emphasis on CT. Radiographics 25(5):12151226, Gardner MJ, Nork SE, Barei DP, Kramer PA, Sangeorzan BJ, Benirschke SK (2008) Secondary soft tissue compromise in tongue-type calcaneus fractures. Careers. Fifty-six displaced Sanders 2B and 2C tongue-type calcaneus fractures identified from an initial cohort of 1118 calcaneus fractures treated over a 16-year period. J Orthop Trauma. Foot Ankle Clin. Am J Emerg Med. Traditionally, tongue-type calcaneal fractures have been treated using screw fixation or tension band wiring. Curr Probl Diagn Radiol 36(1):110, Carr JB (1993) Mechanism and pathoanatomy of the intraarticular calcaneal fracture. official website and that any information you provide is encrypted This fracture occurs as a result of the Achilles tendon, which is extremely strong, avulsing a posterior fragment which may be either intra- or extraarticular. De Boer AS, Van Lieshout EMM, Van 't Land F, Misselyn D, Schepers T, Den Hartog D, Verhofstad MHJ. 2022 Jan 21;17(1):39. doi: 10.1186/s13018-022-02930-y. Type III (20%) are oblique fractures. The purpose of this study was to determine the incidence of posterior skin involvement in tongue-type calcaneus fractures and to determine the patient and fracture characteristics that lead to high-risk situations. J Clin Imaging Sci. Design: Tongue Type Calcaneal Fracture - Discussion: - if secondary frx line travels parallel w/ plantar aspect of foot, exiting at posterior border of the calcaneus, tounge frx will develop; - secondary fracture line extends posteriorly from superior part of primary frx line (at crucial angle), creating 1 single posterior, superior, & lateral fragment; A reduced Bhler angle is noted (see annotated image below). Sinus tarsi approach in high-risk patients with displaced intra-articular calcaneus fractures: A case series. Ann Plast Surg 52(4):380384, Khai Luen K, Wan Sulaiman WA (2017) Functional outcomes after heel pad reconstruction: a review of 7 cases. Epub 2018 Jul 30. White,George R. Matcuk Jr,Nathanael Heckmann,Anderanik Tomasian,Jordan S. Gross&Dakshesh B. Patel, Palmer College of Chiropractic, West Campus, San Jose, USA, You can also search for this author in Accessibility Banerjee R, Chao JC, Taylor R, Siddiqui A. J Am Acad Orthop Surg. J Orthop Trauma 22(7):439445, Hess M, Booth B, Laughlin RT (2008) Calcaneal avulsion fractures: complications from delayed treatment. HHS Vulnerability Disclosure, Help Skin compromise complicates a large percentage of these injuries because of the thin layer of soft tissue and superficial nature of the fracture. government site. 2012 Apr;20(4):253-8. doi: 10.5435/JAAOS-20-04-253. Sanders et al.'s [13] original description of intraarticular calcaneal fracture classification was based on coronal and axial CT cross-sections with the widest undersurface of the posterior facet of the talus (Fig. Strauss EJ, Petrucelli G, Bong M, Koval KJ, Egol KA. The https:// ensures that you are connecting to the ACS Level I trauma center. The calcaneus is the most commonly fractured tarsal bone and accounts for about 2% of all fractures 2 and ~60% of all tarsal fractures 3. Calcaneal avulsion fractures: complications from delayed treatment. The pressure of the displaced fragment compromising blood flow to the overlying soft tissues is reflected by the ecchymosis and skin blanching present at the time of presentation. Objective: To define the pathoanatomy of the tongue-type calcaneus fracture and assess the appropriateness of percutaneous techniques in addressing all planes of deformity in this injury. Cao Y, Xu X, Guo Y, Cui Z, Zhao Y, Gao S, Tian Y, Lv Y, Zhou F. Front Surg. Several radiographic features of intra-articular fractures have been shown to correlate with the outcome. This article reviews the anatomy of the calcaneus, as well as the clinical presentation and imaging findings of intra-articular tongue-type fractures. Acta Radiol 51(4):438454, Soeur R, Remy R (1975) Fractures of the calcaneus with displacement of the thalamic portion. Bhler angle Annotated image Annotated image Lateral (annotated) Reduced Bhler angle is shown in red. Type I (20%) the fracture line may be through the tuberosity, the sustentaculum tali, or the anterior process of the calcaneus. doi: 10.1016/j.ajem.2007.04.033. It is primarily based on radiographic findings and distinguishes intraarticular fracture patterns into two types (depending on the exit point of the secondary fracture line): "tongue type" and "joint depression" fractures [ 2] [ Figure 1 ]. The .gov means its official. Clin Orthop Relat Res 290:316, Qiang M, Chen Y, Zhang K, Li H, Dai H (2014) Measurement of three-dimensional morphological characteristics of the calcaneus using CT image post-processing. Discussion: Tongue-type calcaneal fractures and tuberosity fractures must be triaged appropriately within the first few hours of presentation to prevent skin compromise. Executive Editors. Clipboard, Search History, and several other advanced features are temporarily unavailable. Emerg Radiol. Emerg Radiol 12(4):171176, Gilmer PW, Herzenberg J, Frank JL, Silverman P, Martinez S, Goldner JL (1986) Computerized tomographic analysis of acute calcaneal fractures. Setting: ACS Level I trauma center. AJR Am J Roentgenol. Disclaimer, National Library of Medicine Tongue-type calcaneus fractures are longitudinal fractures that exit the calcaneal tuberosity posteriorly and involve a portion of the articular surface. eCollection 2021. Patients/participants: This requires the emergency physician to understand the radiographic morphology of the fracture as well as the clinical signs of skin compromise. Bethesda, MD 20894, Web Policies In this work, we aim to present a technique guide for an alternative approach to fixation of these fractures given the high potential for failure with traditional methods. 2006 Oct;20(9):618-22. doi: 10.1097/01.bot.0000249420.30736.91. The tongue-type calcaneus fracture most often displaces into a position of plantarflexion, valgus, and adduction. J Orthop Trauma 12(7):469473, Benito-Ruiz J, Yoon T, Guisantes-Pintos E, Monner J, Serra-Renom JM (2004) Reconstruction of soft-tissue defects of the heel with local fasciocutaneous flaps. Percutaneous Cannulated Screw Fixation vs. Plating With Minimally Invasive Longitudinal Approach After Closed Reduction for Intra-Articular Tongue-Type Calcaneal Fractures: A Retrospective Cohort Study. . PubMed Central government site. J Foot Ankle Surg 56(5):11141120, Sharr PJ, Mangupli MM, Winson IG, Buckley RE (2016) Current management options for displaced intra-articular calcaneal fractures: non-operative, ORIF, minimally invasive reduction and fixation or primary ORIF and subtalar arthrodesis. Bookshelf 2022 Apr 4;9:854210. doi: 10.3389/fsurg.2022.854210. Most calcaneal fractures (70%-75%) are intraarticular and result from axial loading that produces shear and compression fracture lines. Foot 19(4):197200, Article Bookshelf Intra-articular tongue-type fractures of the calcaneus: anatomy, injury patterns, and an approach to management. Although mechanism, displacement, and time to presentation were significantly correlated with posterior skin involvement, the surgeon should be aware of this potential complicating factor in all tongue-type fractures. -, Ann Plast Surg. The normal value for Bohler's angle is 20-40. The emergent nature of this entity has received little attention in the radiology literature. 2004 Apr;52(4):380-4 Epub 2017 Dec 11. Description of Extreme tongue-type (beak) fracture of the calcaneus body. - 46.32.249.112. The .gov means its official. CAS 2022 Mar;23(3):196. doi: 10.3892/etm.2022.11119. Treatment included lag screw fixation to maintain the reduction without further soft-tissue trauma. Foot 27:13, Ballard DH, Campbell KJ, Blanton LE, Williams JT, Sangster G, Hollister AM, Simoncini AA (2016) Tendon entrapments and dislocations in ankle and hindfoot fractures: evaluation with multidetector computed tomography. official website and that any information you provide is encrypted These injuries require urgent reduction and fixation in order to minimize soft tissue compromise from the pressure of the displaced tuberosity fragment on the posterior heel skin. J Orthop Trauma 9(3):251258, Calleja M, Connell DA (2010) The Achilles tendon. HHS Vulnerability Disclosure, Help Please enable it to take advantage of the complete set of features! Ankle radiographs revealed a tongue-type calcaneal fracture. Emerg Radiol 23(4):357363, Golshani A, Zhu L, Cai C, Beckmann NM (2017) Incidence and association of CT findings of ankle tendon injuries in patients presenting with ankle and hindfoot fractures. PubMed PMC Mehta S, Mirza AJ, Dunbar RP, Barei DP, Benirschke SK. Calcaneal fractures account for 60% of all tarsal bone fractures. Correspondence to Secondary soft tissue compromise in tongue-type calcaneus fractures. A reduced Bhler angle is noted (see annotated image below). The Treatment of Avulsion Fracture of the Calcaneal Tuberosity: A New Technique of 180-Degree Annular Internal Fixation. Univariate analysis and stepwise multinomial logistic regressions were used to identify significant predictors of posterior soft tissue compromise. Careers. Tongue-type fractures make up 25-35% of intra-articular calcaneal fractures [ 10, 11 ]. Tongue-type calcaneus fractures are longitudinal fractures that exit the calcaneal tuberosity posteriorly and involve a portion of the articular surface. Google Scholar, Matherne TH, Tivorsak T, Monu JU (2007) Calcaneal fractures: what the surgeon needs to know. Pathology Calcaneal fractures can be divided broadly into two types depending on whether there is articular involvement of the subtalar joint 2,7,8: extra-articular: 25-30% anterior calcaneal process fracture Federal government websites often end in .gov or .mil. Share. This article reviews the anatomy of the calcaneus, as well as the clinical presentation and imaging findings of intra-articular tongue-type fractures. To define the pathoanatomy of the tongue-type calcaneus fracture and assess the appropriateness of percutaneous techniques in addressing all planes of deformity in this injury. Computed Tomography for Calcaneal Fractures: Adding Value to the Radiology Report. Calcaneal fractures account for 60% of all tarsal bone fractures. 1975 Nov;57(4):413-21 (Fig.1).1). FOIA Soft tissue complications and timing of surgery in patients with a tongue-type displaced intra-articular calcaneal fracture: An international retrospective cohort study. This displacement may threaten the posterior soft tissue envelope. 8600 Rockville Pike Of 954 patients with calcaneal fractures, 139 tongue-type calcaneus fractures in 127 patients formed the study group. Learn more about Institutional subscriptions, Stoller DW, Tirman PF, Bredella MA, Beltran S (2004) Diagnostic imaging: orthopaedics: Amirsys Salt Lake City, Eiff MP, Hatch R, Higgins MK (2012) Fracture management for primary care Saunders/Elsevier, Cave EF (1963) 7 fracture of the Os Calcis-the problem in general. Due to the potential for soft-tissue compromise these injuries can . In preparation for the procedure, the patient is positioned and anesthesia is administered. J Orthop Trauma. Femino JE, Vaseenon T, Levin DA, Yian EH. Please enable it to take advantage of the complete set of features! Intra-articular tongue-type fractures of the calcaneus: anatomy, injury patterns, and an approach to management. Before fracture line when a longitudinal tongue-type fracture line traverses the lateral calcaneus, characterizing joint depres-sion fractures, and fully delineating intra-articular fracture involvement of the anterior process [5]. 1998 Sep-Oct;12(7):469-73. doi: 10.1097/00005131-199809000-00007. and transmitted securely. Clin Interv Aging. We reviewed cross-sectional imaging and documented the presence of a varus/valgus (coronal plane) or adduction/abduction (axial plane) position of the tongue fragment in relation to the intact posterior facet, with greater than 10 degrees of angulation being diagnostic of displacement. government site. Provided by the Springer Nature SharedIt content-sharing initiative, Over 10 million scientific documents at your fingertips, Not logged in Unable to load your collection due to an error, Unable to load your delegates due to an error. Google Scholar, Chhabra N, Sherman SC, Szatkowski JP Tongue-type calcaneus fractures: a threat to skin. 10,18 Foot Ankle Surg 22(1):18, Keck School of Medicine, University of Southern California, Los Angeles, USA, Eric A. 1992 Jun;158(6):1271-4 2016 Dec 29;52(1):29-34. doi: 10.1016/j.rboe.2016.05.007. AJR Am J Roentgenol 158(6):12711274, Rubino R, Valderrabano V, Sutter PM, Regazzoni P (2009) Prognostic value of four classifications of calcaneal fractures. [Long-term results of calcaneal fracture treatment by open reduction and internal fixation using a calcaneal locking compression plate from an extended lateral approach]. PMC eCollection 2022. Emerg Radiol 26, 6774 (2019). Yu Q, Li Z, Li J, Yu Q, Zhang L, Liu D, Zhang M, Tang P. J Orthop Surg Res. Calcaneal fractures have characteristic appearances based on the mechanism of injury and are divided into two major groups, intraarticular and extraarticular. 2021 Nov 9;11:59. doi: 10.25259/JCIS_142_2021. A staged treatment plan for the management of Type II and Type IIIA open calcaneus fractures. Authors of section Authors. Results: Foot Ankle 6(4):184193, Wong-Chung J, O'Longain D, Lynch-Wong M, Julian H (2016) Irreducible tongue-type calcaneal fracture due to interposition of flexor hallucis longus. https://doi.org/10.1007/s10140-018-1629-4, DOI: https://doi.org/10.1007/s10140-018-1629-4. An Would you like email updates of new search results? MeSH Before eCollection 2022 Nov-Dec. Cursaru A, Creu B, erban B, Iordache S, Popa M, Smarandache CG, Orban C, Crstoiu C. Exp Ther Med. Main outcome measurements: MeSH Intra-articular tongue-type fractures of the calcaneus: anatomy, injury patterns, and an approach to management. Bethesda, MD 20894, Web Policies 2005 Sep-Oct;25(5):1215-26 The Essex-Lopresti classification system was developed in 1952. Google Scholar, Snoap T, Jaykel M, Williams C, Roberts J (2017) Calcaneus fractures: a possible musculoskeletal emergency. Intra-articular tongue-type fractures may develop skin breakdown and often require urgent surgical reduction and fixation. volume26,pages 6774 (2019)Cite this article. Calcaneal fracture; Computed tomography; Musculoskeletal; Radiography; Tongue-type fracture; Trauma. Gardner MJ, Nork SE, Barei DP, Kramer PA, Sangeorzan BJ, Benirschke SK. 2019 Feb;26(1):67-74. doi: 10.1007/s10140-018-1629-4. Imaging interpretation and clinical management of these fractures are discussed. White EA, Skalski MR, Matcuk GR Jr, Heckmann N, Tomasian A, Gross JS, Patel DB. -, Radiographics. doi: 10.3928/01477447-20160421-05. Bookshelf Patients/participants: Fifty-six displaced Sanders 2B and 2C tongue-type calcaneus fractures identified from an initial cohort of 1118 . Intra-articular tongue-type fractures may develop skin breakdown and often require urgent surgical reduction and fixation. The https:// ensures that you are connecting to the b Sagittal CT shows the fracture extends into the posterior facet with minimal displacement (arrow) - "Intra-articular tongue-type fractures of the calcaneus: anatomy, injury patterns, and an approach to management" Federal government websites often end in .gov or .mil. J Bone Joint Surg Br. An official website of the United States government. 2019 Feb;26(1):67-74. doi: 10.1007/s10140-018-1629-4. Careers. 2008 Aug;22(7):439-45. doi: 10.1097/BOT.0b013e31817ace7e. Keywords: 8600 Rockville Pike Acta Chir Orthop Traumatol Cech. Tongue-type calcaneus fractures are longitudinal fractures that exit the calcaneal tuberosity posteriorly and involve a portion of the articular surface. Please enable it to take advantage of the complete set of features! 2008 Dec;75(6):457-64. PubMed The subtalar joint is crucial for normal foot and ankle function. Radiographics 31(1):8192, Essex-Lopresti P (1993) The mechanism, reduction technique, and results in fractures of the os calcis, 1951-52. An official website of the United States government. Tongue-type calcaneal fractures represent 14% to 20% of all calcaneus fractures. Twenty-nine fractures (21%) had some degree of posterior skin compromise at presentation, including 12 with threatened skin, 10 with partial thickness breakdown, and 7 with full thickness breakdown. Percutaneous Cannulated Screw Fixation vs. Plating With Minimally Invasive Longitudinal Approach After Closed Reduction for Intra-Articular Tongue-Type Calcaneal Fractures: A Retrospective Cohort Study. 53(3):279281, Janzen DL, Connell DG, Munk PL, Buckley RE, Meek RN, Schechter MT (1992) Intraarticular fractures of the calcaneus: value of CT findings in determining prognosis. Disclaimer, National Library of Medicine The .gov means its official. Google Scholar, Greenspan A (2014) Orthopedic imaging: a practical approach: Lippincott Williams & Wilkins, Bohl DD, Ondeck NT, Samuel AM, Diaz-Collado PJ, Nelson SJ, Basques BA, Leslie MP, Grauer JN (2017) Demographics, mechanisms of injury, and concurrent injuries associated with calcaneus fractures: a study of 14 516 patients in the American College of Surgeons National Trauma Data Bank. Bhler angle From the case:Calcaneal fracture - tongue-type Annotated image Loading Stack - 2008 Feb;26(2):254.e1-4. Minimally-invasive treatment of calcaneal fractures. and transmitted securely. Part of Springer Nature. This procedure is used to correct a "tongue-type" fracture of the calcaneus (the heel bone). The .gov means its official. Clin Orthop Relat Res 290:3640, Mitchell MJ, McKinley JC, Robinson CM (2009) The epidemiology of calcaneal fractures. Calcaneus Fractures - Trauma - Orthobullets orthoBULLETS MBBULLETSStep 1For 1st and 2nd Year Med Students MBBULLETSStep 2 & 3For 3rd and 4th Year Med Students ORTHOBULLETSOrthopaedic Surgeons & Providers JOIN NOWLOGIN Home Topics Techniques Cards QBank Evidence Cases Videos Podcasts Groups Products Trauma Spine Shoulder & Elbow Knee & Sports PubMedGoogle Scholar. A high incidence (21%) of posterior skin compromise occurs in tongue-type calcaneus fractures. Because many calcaneus fractures are splinted initially and immobilized for several weeks until swelling resolves, failure to acutely recognize the potential for posterior skin breakdown may lead to severe soft tissue morbidity. Clipboard, Search History, and several other advanced features are temporarily unavailable. Recognition of the imaging findings, accurate interpretation, and timely communication may prevent devastating clinical outcomes including soft tissue coverage procedures and amputation. An official website of the United States government. Early recognition by the emergency physician and prompt operative repair prevent further injury and obviate the need for surgical soft tissue coverage or potential amputation. official website and that any information you provide is encrypted eCollection 2022. Delayed Soft Tissue Necrosis in an Atypical Closed Calcaneal Fracture: A Case Report. The https:// ensures that you are connecting to the The Bohler angle measures 9. Intra-articular Calcaneus Fractures: Current Concepts Review. Fig. Type II or beak fractures are uncommon. J Nepal Health Res Counc. sharing sensitive information, make sure youre on a federal PubMed Clipboard, Search History, and several other advanced features are temporarily unavailable. HHS Vulnerability Disclosure, Help Ankle radiographs revealed a tongue-type calcaneal fracture. If it is not reduced accurately, weakness from Achilles tendon dysfunction will occur. Careers. 2020 Jul 28;5(3):2473011420927334. doi: 10.1177/2473011420927334. Calcaneal Avulsion Fractures: An Often Forgotten Diagnosis. 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