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Foot Case 4 ED Management

Calcaneus fracture with loss of Bohler's angle

ED Management

Management of calcaneus fractures should be decided in consultation with orthopedics because there is little true consensus on management. In general, extraarticular fractures can be managed closed, while management of intraarticular fractures varies. CT scanning is often required to aid the orthopedist's decision. Any patient discharged from the ED with calcaneus fracture should be immobilized, non-weightbearing, and have orthopedics follow-up. Unless the fracture is open or causing compartment syndrome, surgery is typically delayed up to three weeks to allow swelling and fracture blisters to resolve.