Fractures of the anterior process of the calcaneum; a review and proposed treatment algorithm. Issue 3 (June 2019)
- Record Type:
- Journal Article
- Title:
- Fractures of the anterior process of the calcaneum; a review and proposed treatment algorithm. Issue 3 (June 2019)
- Main Title:
- Fractures of the anterior process of the calcaneum; a review and proposed treatment algorithm
- Authors:
- Dhinsa, Baljinder S.
Latif, Ahmed
Walker, Roland
Abbasian, Ali
Back, Diane
Singh, Sam - Abstract:
- Highlights: Delay in diagnosis is common and has a negative impact on outcome. High index of suspicion with an accurate history and examination. If plain radiographs are inconclusive, CT/MRI is required. Undisplaced/minimally displaced fractures managed initially non-operatively. Acute surgical intervention indicated for large type III fractures. Abstract: Background: There remains a lack of recognition of these fractures, which leads to a delay in diagnosis and appropriate management. Methods: A comprehensive literature search was performed. Following inclusion and exclusion criteria, 23 studies were available for analysis. Results: Delay in diagnosis is common and has a negative impact on outcome. If an APC fracture is suspected; anteroposterior, lateral and oblique plain radiographs should be requested. Further investigation with computed tomography or magnetic resonance imaging is indicated if plain radiographs are inconclusive and patient remains symptomatic. Non-operative measures are usually adequate for most undisplaced fractures, however surgical intervention maybe required for large, intra-articular fractures in the acute setting and for non-union. Conclusions: A treatment algorithm is suggested that may help with the diagnosis and management of these injuries. Level of evidence: Level IV.
- Is Part Of:
- Foot and ankle surgery. Volume 25:Issue 3(2019)
- Journal:
- Foot and ankle surgery
- Issue:
- Volume 25:Issue 3(2019)
- Issue Display:
- Volume 25, Issue 3 (2019)
- Year:
- 2019
- Volume:
- 25
- Issue:
- 3
- Issue Sort Value:
- 2019-0025-0003-0000
- Page Start:
- 258
- Page End:
- 263
- Publication Date:
- 2019-06
- Subjects:
- Fracture -- Calcaneum -- Anterior process -- Avulsion -- Compression -- Calcaneocuboid
Foot -- Surgery -- Periodicals
Ankle -- Surgery -- Periodicals
Ankle -- surgery -- Periodicals
Foot -- surgery -- Periodicals
Ankle -- Surgery
Foot -- Surgery
Periodicals
Electronic journals
617.58 - Journal URLs:
- http://www.sciencedirect.com/science/journal/12687731 ↗
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http://firstsearch.oclc.org ↗
http://firstsearch.oclc.org/journal=1268-7731;screen=info;ECOIP ↗
http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1460-9584 ↗
http://www.clinicalkey.com/dura/browse/journalIssue/12687731 ↗
http://www.clinicalkey.com.au/dura/browse/journalIssue/12687731 ↗
http://www.elsevier.com/journals ↗ - DOI:
- 10.1016/j.fas.2018.02.004 ↗
- Languages:
- English
- ISSNs:
- 1268-7731
- Deposit Type:
- Legaldeposit
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