Challenge of the Week / Foot & Ankle / 10.15.2021

A 52-year-old female patient develops heel pain while doing a 20-mile charity walk. She is diagnosed with a calcaneal stress fracture. Which of the following treatments are appropriate?  
    • Open reduction and internal fixation of the calcaneus
    • This would be indicated in certain displaced acute fractures.


    • Immobilization in a controlled ankle motion (CAM) boot
    • Calcaneal stress fractures should be treated with immobilization in a CAM boot.


    • Placement of a long-leg cast
    • The use of a long-leg cast would be excessive and impose unnecessary risks (e.g., deep vein thrombosis).


    • Use of a bone stimulator
    • While this may be indicated for delayed or nonunions, it is not necessary for the primary treatment of a calcaneal stress fracture, especially in a healthy individual.



Previous Post
Challenge of the Week / Knee / 09.24.2021
Next Post
Challenge of the Week / Hand & Wrist / 10.22.2021
Sign up for the JBJS Clinical Classroom Challenge of the Week

Fill out the form below to receive the Challenge of the Week to your inbox

By submitting this form, you are consenting to receive marketing emails from: JBJS, Inc., 20 Pickering St., Needham, MA, 02492, US, You can unsubscribe at any time using the link found at the bottom of every email.

%d bloggers like this: