Introduction: Calcaneal fractures are known to influence patients daily lives negatively. Different levels of trauma centers face a diversity of patients who sustained a calcaneal fracture. Little is known about the demographic, trauma and fracture characteristics for these patients. Moreover, the differences in these characteristics between different levels of trauma care. Knowledge of this is needed, to improve the outcome in these patients. In this study we evaluate in detail the characteristics of patients with a calcaneal fractures in a regional inclusive trauma system.