-
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
-
History:
Painful
ankle or all from height. Bohler's angle- (between the posterior
surface of heel and
subtalar joint
is reduced. The whole of the
subtalar
components are distorted.
-
Inspection:-
Swollen
ankle;Heel is wider.
-
Palpation:
-
X-ray:
-
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.
Click for anatomy
Subtalar joint
| Fracture of calcaneus involving subtalar joint |
Normal
Calcaneal fracture
Reduction in Bohler's angle.
