Foot Fracture

Aka: Foot Fracture

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II. Causes: Common Fractures

  1. Hindfoot Fracture
    1. Calcaneus Stress Fracture
  2. Midfoot Fracture
    1. Lisfranc Fracture Dislocation
    2. Tarsal Navicular Fracture
    3. Tarsal Navicular Stress Fracture
  3. Forefoot Fracture
    1. Metatarsal Fracture (esp. Fifth Metatarsal Fracture)
    2. Metatarsal Stress Fracture
    3. Foot Phalanx Fracture
    4. Toe Fracture

III. Causes: Uncommon Fractures

  1. Hindfoot Fracture
    1. Calcaneus Fracture (high mechanism Fracture such as fall from height)
    2. Talus Fracture
  2. Midfoot Fracture
    1. CuneiformFracture (crush injury)
    2. Cuboid Fracture
      1. Crush injury from forced food abduction (nutcracker Fracture)
      2. Chip Fractures, on the other hand, are minor Fractures by comparison
  3. Forefoot Fracture
    1. Sesamoid Fracture

IV. Causes: Stress Fractures

  1. High Risk Foot Stress Fractures
    1. Talar Stress Fracture
    2. Tarsal Navicular Stress Fracture
    3. Fifth Metatarsal Stress Fracture
  2. Low Risk Foot Stress Fractures
    1. Calcaneus Stress Fracture
    2. Cuneiform Stress Fracture
    3. Cuboid Stress Fracture

V. Management: Foot Fractures requiring urgent or emergent orthopedic Consultation

  1. Lisfranc Injury
  2. Tarsal Fractures (esp. displaced Fractures)
  3. Compartment Syndrome
    1. Seen especially with Calcaneal Fracture
    2. Lisfranc Injury
  4. Open Foot Fracture
  5. Neurovascular compromise

VI. References

  1. Feden and Kiel (2017) Crit Dec Emerg Med 31(11): 3-10
  2. Orman and Ramadorai in Herbert (2016) EM:Rap 16(12): 8-9

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