Voted “Most Painful” Bone Fracture

Calcaneus is the most common #tarsalbone fracture and ~75% are intra-articular1. Complicated anatomy and hindfoot kinematics make management of #calcanealfractures challenging. The #calcaneus has minimal soft tissue cover + limited amount of dense cortical bone, making fracture patterns impressively varied. In general, open reduction + internal fixation of intra-articular calcaneal fractures can only be expected to benefit patients when nearly-anatomical reconstruction is obtained. Comminuted #displacedfractures, male gender, and heavy manual labor are associated with poorer outcome. Although modern operative techniques continue to improve patient outcomes, "there still is no real consensus on, treatment, operative technique or postoperative management."