calcaneal fractures

Anatomy

3 facets

1.  Posterior facet (STJ)

2.  Middle facet (sustenaculum tali)

3.  Anterior facet (on distal medial aspect)

Anterior process 

- forms calcaneocuboid (CCJ) articulation

Thalamic portion 

- under lateral process talus

Tuberosities

Posterior tuberosity 

- posterior process / T Achilles attachment

Operative v Nonoperative Literature

1.  Buckley etal JBJS Am 2002

Prospective multi-centred RCT

- 309 displaced intra-articular fractures

- operative v non operative management

- 2 year follow up

Findings

- used patient orientated functional outcomes

- overall VAS and SF36 not significantly different between 2 groups

Improved Operative Outcome if

- not workers compensation

- women

- < 29