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Calcaneus Stress Fracture
Aka: Calcaneus Stress Fracture, Calcaneal Stress Fracture
- See Also
- Stress Fracture
- Calcaneus Compression Fracture
- Calcaneus Anterior Process Fracture
- Epidemiology
- Second most common foot Stress Fracture (behind Metatarsal Stress Fracture)
- Pathophysiology
- Repetitive heel overload
- Most commonly occurs posterior to the posterior facet of subtalar joint
- Risk Factors
- Beginning runner
- Runners on concrete surface
- Ballet dancers
- Increases in weight bearing on hard surfaces
- Symptoms
- Sudden onset of pain at base of foot
- Initially pain only with activity ultimately progresses to pain at rest
- Signs
- Localized Ecchymosis and swelling
- Point tenderness at the Fracture site
- Positive calcaneal Squeeze Test
- Pain on squeezing Calcaneus from medial and lateral aspects
- Differential diagnosis
- Acute Calcaneal Fracture with fall from height
- Plantar Fasciitis
- Imaging
- Foot XRay
- High False Negative Rate
- Thin cortex makes Fracture identification difficult
- Bone Scan
- Foot CT
- Foot MRI
- Management
- Limit weight bearing activity for up to 6 weeks
- Consider complete non-weight bearing
- Consider CAM Walker boot
- References
- Tu (2018) Am Fam Physician 97(2):86-93 [PubMed]