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Review Question - QID 2886

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QID 2886 (Type "2886" in App Search)
A 42-year-old male sustains the injury seen in figure A. What negative sequelae would occur with displacement of this fracture in the characteristic fashion?
  • A

Post-traumatic subtalar arthrosis

4%

58/1631

Stress fracture of the fibula

0%

6/1631

Reflex sympathetic dystrophy

1%

11/1631

Achilles tendon rupture

3%

50/1631

Posterior skin necrosis

92%

1499/1631

  • A

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The radiograph shows a tongue-type calcaneus fracture, with major displacement of the posterior calcaneal body/tuberosity. The Achilles tendon insertion here causes characteristic proximal and posterior displacement, and with increasing displacement, posterior skin necrosis can be caused in a short period. Per the references, this should be treated urgently to prevent this sequelae. Lag screw fixation is appropriate for this fracture pattern, placed perpendicular to the fracture.

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