Bilateral fracture-dislocation of the calcaneus

Ghani, Mahmoud Beerens Abdul Ghani Abdul; Barroco, Rui dos Santos; Miranda, Bruno Rodrigues de; Oliveira, Leticia Zaccaria Prates de

doi:10.30795/scijfootankle.2018.v12.754

Cited by 2 publications

(1 citation statement)

References 6 publications

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“…These signs had previously been reported in 94% and 59% of patients, respectively 15. It has been recommended that a CT scan always be obtained, where available, for more detailed fracture evaluation and surgical planning 16 17…”

Section: Discussionmentioning

confidence: 92%

Emergency definitive management of a subtalar dislocation with an associated lateral malleolus fracture

Little,

Beer,

Deierl

2023

BMJ Case Rep

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Lateral subtalar dislocations are rare injuries with the potential for misdiagnosis and for poor patient outcomes if missed. Prompt reduction and surgical intervention is the consensus and is key to improved patient outcomes.We present a case of a male patient in his 70s who was brought in by ambulance to the emergency department late one afternoon with a lateral subtalar dislocation associated with calcaneal and lateral malleolar fractures. He was operated on that evening, involving cannulated screw fixation of the calcaneus and buttress plating of the lateral malleolus. Non-weight-bearing mobilisation was permitted at 2 weeks and weight-bearing was commenced at 6 weeks postoperatively.The authors could not find any precedent in the literature for same-day definitive fixation and early mobilisation of this rare but significant injury, the combination of which resulted in excellent functional outcomes for the patient.

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Section: Discussionmentioning

confidence: 92%

Emergency definitive management of a subtalar dislocation with an associated lateral malleolus fracture

Little,

Beer,

Deierl

2023

BMJ Case Rep

View full text Add to dashboard Cite

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Lateral Fracture–Dislocation of the Calcaneus: Case Reports and a Systematic Review

Zhang

Lin

et al. 2021

Orthopaedic Surgery

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Objective To report a case series of calcaneal fracture–dislocations, which have not been described previously in China, and to provide a systematic review to explore the clinic manifestations, methods for diagnoses, and treatments. Methods Between January 2018 and December 2019, 4 patients (4 men; average age, 33.0 ± 16.67 years; range, 15–50 years) were diagnosed with fracture–dislocation of the calcaneus and treated by surgery. We also reviewed published cases and studies of calcaneal fracture–dislocations through the databases of PubMed and Web of Science between January 1977 and December 2019. Results Between January 2018 and December 2019, 4 cases were identified as calcaneal fracture–dislocations in our hospital. The main clinical manifestations include hindfoot pain, swelling, and deformity. The diagnoses were confirmed via radiographic examination. Two patients underwent open reduction and internal fixation (ORIF) and two were treated with a minimally invasive approach. Diagnosis had been missed in one patient and, consequently, presented with early signs of post‐traumatic arthritis, which may require extra subtalar arthrodesis in the future. Two patients were diagnosed inaccurately but achieved satisfactory outcomes through open reduction and internal fixation. The average follow‐up period was 9.75 ± 5.19 months. Except for the 1 misdiagnosed patient, the other 3 patients showed functional improvement. Only 23 fracture–dislocations of calcaneus cases were reported in the literature between January 1977 and December 2019. There were 15 Sanders type II fractures (65.22%) and 7 (30.43%) Sanders type III fractures, and there was 1 grade II open calcaneal fracture. Among them, 1 was a medial dislocation and 2 were “joint‐elevation” dislocations; the rest of them (20/23, 86.96%) were lateral dislocations. A total of 11 patients (47.83%) exhibited the double‐density sign, and varus tilt of the talus was revealed on plain radiographs for 9 patients (39.13%). Increased Bohler's angle was evident in lateral X‐ray films for 2 patients (2/23, 8.70%). A total of 21 cases (86.96%) were treated with surgical intervention and achieved satisfactory outcomes. Only 1 patient was treated with external fixation. Another 2 patients were treated conservatively and had poor clinic outcomes. Conclusion Calcaneal fracture–dislocation is a rare injury that is challenging to treat. Clinical manifestations such as fibular tendon dislocation, the double‐density sign on profile radiography, and abnormal talar tilt in the distal talofibular joint are important signs that may indicate this rare injury pattern. Timely surgical intervention is essential for satisfactory clinic outcomes. Orthopaedic surgeons should be aware of this uncommon injury to avoid misdiagnosis or inappropriate treatment.

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Bilateral fracture-dislocation of the calcaneus

Cited by 2 publications

References 6 publications

Emergency definitive management of a subtalar dislocation with an associated lateral malleolus fracture

Emergency definitive management of a subtalar dislocation with an associated lateral malleolus fracture

Lateral Fracture–Dislocation of the Calcaneus: Case Reports and a Systematic Review

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