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Sural nerve injury
2%
35/1943
Tethering of the flexor hallucis longus by fracture fragments
8%
149/1943
Medial plantar nerve neuropathy
4%
78/1943
Weakness of the tibialis posterior
43/1943
Unrecognized foot compartment syndrome
84%
1626/1943
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Contracture of the intrinsic flexor muscles of the foot can be the result of unrecognized foot compartment syndrome. Foot compartment syndrome is a known complication of calcaneus fractures. Myerson reported 3/43 patients in his series below had chronic foot compartment syndrome. There are 9 compartments in the foot: (1) medial, (2) superficial, (3) lateral, (4) adductor, (5-8) four interossei, and (9) calcaneal. The plantar fascia limits the space available for hematoma and swelling, causing damage to the intrinsic flexors of the foot (particularly the lumbricals and interossei), resulting in clawtoes.
4.4
(28)
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