Dissector of foot                             Tarsus anatomy  Calcaneus       Subtalar joint   Tarsus search


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Causes Diagnosis Management
  • Fractures involving subtalar joint are common with fall from very tall height landing in the standing position, with two heels usually affected.
  • Accompanied by thoracolumbar injuries
 
 
  • Reduction is impossible
  • Control swelling by elevation of foot with support elastic bandage.
  • Early mobilization of ankle and tarsal joints by early exercises  with use of crutches
  • No weight bearing until union
  • Use below the knee plaster after swelling for immobilization.
  • Consider arthrodesis  of posterior subtalar joint with a posterior approach using cancellous bone form iliac crest.

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Subtalar joint

Fracture of calcaneus involving subtalar joint

Normal

 

Calcaneal fracture

Reduction in Bohler's angle.

 

 

 

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