Mansoor Ahmed
Bohler’s angle - 1) most superior aspect of the posterior facet (posterior articular surface) to the highest point of the anterior process 2) superior portion of the calcaneal tuberosity to most superior aspect of posterior facet
Gissanes angle - 1) along the lateral border of the posterior facet 2) along the anterior process of the calcaneus. Disruption of this angle is due to lateral process of talus driving through calcaneus
The goal of treatment is often to re-establish the articular alignment, meaning the posterior facet.
Rowe 1a - plantar tuberosity. Inversion, lateral tuberosity. Eversion, medial tuberosity is injured. Often non-displaced because of extensive ST attachment
Rowe 1b - sustentaculum tali, inversion
Rowe 1c - anterior process. 1) avulsion due to pull of bifurcate ligament or EDB muscle, supination 2) compressive, pronated
Rowe 2a - Beak fracture, land on heel with knee extended and foot dorsiflexed
Rowe 2b - avulsion of the entire insertion of the Achilles, older patients with DM and osteoporosis
Rowe 3a - simple body fracture, STJ not fractured or depressed
Rowe 3b - comminuted body fracture, STJ not fractured or depressed
If the posterior facet is not involved, usually closed reduction with cast immobilization for six weeks is good.
Rowe 4a - simple body fracture, STJ fracture, but not depressed
Rowe 4b - comminuted body fracture, STJ fracture, but not depressed
Rowe 5a - comminuted body fracture, STJ fracture, and STJ depression
Rowe 5b - comminuted body fracture, STJ fracture, STJ depression, CC joint fracture
Негізгі бет Rowe Calcaneal Fracture - Radiology and Biomechanics
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