1. DEPARTMENT OF ORTHOPAEDICS
MLN MEDICAL COLLEGE, PRAYAGRAJ
CALCANEAL FRACTURES
MODERATOR- DR ANAND KUMAR (DNB, ORTHOPAEDICS)
PRESENTER- DR ATUL KUMAR SRIVASTAVA, JR2

2.  Approximately 1 to 2 % of all fractures
 60 % of all tarsal fractures in adults
 Most frequently fractured tarsal bone
 Male to female ratio of 2.4 : 1
 Approximately 70 % of calcaneal fractures
results from falls
INTRODUCTION

29. ESSEX – LOPRESTI CLASSIFICATION

30. PRIMARY FRACTURE LINE OF PALMER

31. SECONDARY FRACTURE LINE

33. SANDERS CLASSIFICATION
• Useful for planning operative treatment
• More detailed
• Reflecting the fact that primary fracture line can often consist of
two or more separate fracture lines breaching the articular surface
• Describes number and disposition of these fracture lines through
the posterior facet as seen on CT scan

34.  The number of fragments is first indicated by a numeral :
I. all undisplaced fractures
II. Two fragments
III. Three fragments
IV. Any comminuted fracture
 The location of primary fracture line through the posterior
facet is indicated by a letter :
A. a fracture line through the lateral portion of posterior facet
B. a fracture line through the middle portion of posterior facet
C. a fracture passing medially at the neck of sustentaculum

36.  a. incongruity of posterior facet articular surface
 b. loss of length and height of calcaneus
 c. increase in heel width
 d. varus malalignment of tuberosity
 e. subfibular impingement from the lateral wall
fragment, which entraps the peroneal tendons.
DISPLACEMENT OF CALCANEAL FRACTURES

80. THANK YOU !