Tongue-type calcaneus fractures: a threat to skin
Calcaneal fractures account for 60% of all tarsal bone fractures. Tongue-type calcaneus fractures are longitudinal fractures that exit the calcaneal tuberosity posteriorly and involve a portion of the articular surface. They are often superiorly displaced because of the insertion of the Achilles ten...
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| Veröffentlicht in: | The American journal of emergency medicine 2013-07, Vol.31 (7), p.1151.e3-1151.e4 |
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| container_end_page | 1151.e4 |
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| container_title | The American journal of emergency medicine |
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| creator | Chhabra, Neeraj, MD Sherman, Scott C., MD Szatkowski, Jan P., MD |
| description | Calcaneal fractures account for 60% of all tarsal bone fractures. Tongue-type calcaneus fractures are longitudinal fractures that exit the calcaneal tuberosity posteriorly and involve a portion of the articular surface. They are often superiorly displaced because of the insertion of the Achilles tendon and pull of the gastroc-soleus complex. Skin compromise complicates a large percentage of these injuries because of the thin layer of soft tissue and superficial nature of the fracture. Early recognition by the emergency physician and prompt operative repair prevent further injury and obviate the need for surgical soft tissue coverage or potential amputation. |
| doi_str_mv | 10.1016/j.ajem.2013.02.029 |
| format | Article |
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Tongue-type calcaneus fractures are longitudinal fractures that exit the calcaneal tuberosity posteriorly and involve a portion of the articular surface. They are often superiorly displaced because of the insertion of the Achilles tendon and pull of the gastroc-soleus complex. Skin compromise complicates a large percentage of these injuries because of the thin layer of soft tissue and superficial nature of the fracture. 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Tongue-type calcaneus fractures are longitudinal fractures that exit the calcaneal tuberosity posteriorly and involve a portion of the articular surface. They are often superiorly displaced because of the insertion of the Achilles tendon and pull of the gastroc-soleus complex. Skin compromise complicates a large percentage of these injuries because of the thin layer of soft tissue and superficial nature of the fracture. Early recognition by the emergency physician and prompt operative repair prevent further injury and obviate the need for surgical soft tissue coverage or potential amputation.</description><subject>Calcaneus - injuries</subject><subject>Emergency</subject><subject>Emergency medical care</subject><subject>Fractures</subject><subject>Fractures, Bone - complications</subject><subject>Fractures, Bone - diagnosis</subject><subject>Humans</subject><subject>Male</subject><subject>Necrosis - etiology</subject><subject>Skin - pathology</subject><subject>Wound healing</subject><subject>Young Adult</subject><issn>0735-6757</issn><issn>1532-8171</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kUFr3DAQhUVJaDZp_0APwZBLL95oLMmySwmUpWkCgRySnoV2PErkeO2tZAf231dmkxZyCAxIh-89Zt5j7AvwJXAoz9ulbWmzLDiIJS_S1B_YApQo8go0HLAF10LlpVb6iB3H2HIOIJX8yI4KoSoBoBcM7of-YaJ83G0pQ9uh7WmKmQsWxylQ_JbZbHwMZMdsHLL45PtP7NDZLtLnl_eE_b78eb-6ym9uf12vftzkqHQ95ookd6WVZVXUlmvntFMAWDVAa0RqsNSNlWl1rkqHdo0aeeXW6U-1IlTihH3d-27D8GeiOJqNj0hdlzYcpmhA1HUtBOdlQs_eoO0whT5tN1OVrLiSs2GxpzAMMQZyZhv8xoadAW7mQE1r5kDNHKjhRZo6iU5frKf1hpp_ktcEE_B9D1DK4tlTMBE99elCHwhH0wz-ff-LN3LsfO9TE0-0o_j_DhOTwNzNlc6NptySi5TiL_ndmnw</recordid><startdate>20130701</startdate><enddate>20130701</enddate><creator>Chhabra, Neeraj, MD</creator><creator>Sherman, Scott C., MD</creator><creator>Szatkowski, Jan P., MD</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20130701</creationdate><title>Tongue-type calcaneus fractures: a threat to skin</title><author>Chhabra, Neeraj, MD ; 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Tongue-type calcaneus fractures are longitudinal fractures that exit the calcaneal tuberosity posteriorly and involve a portion of the articular surface. They are often superiorly displaced because of the insertion of the Achilles tendon and pull of the gastroc-soleus complex. Skin compromise complicates a large percentage of these injuries because of the thin layer of soft tissue and superficial nature of the fracture. Early recognition by the emergency physician and prompt operative repair prevent further injury and obviate the need for surgical soft tissue coverage or potential amputation.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>23583117</pmid><doi>10.1016/j.ajem.2013.02.029</doi></addata></record> |
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| subjects | Calcaneus - injuries Emergency Emergency medical care Fractures Fractures, Bone - complications Fractures, Bone - diagnosis Humans Male Necrosis - etiology Skin - pathology Wound healing Young Adult |
| title | Tongue-type calcaneus fractures: a threat to skin |
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