1. Anterior process
Part of complex sprain / easily missed
- non operative if small
- ORIF if large and displaced
2. Tuberosity fractures
Need ORIF if displaced
- have T Achilles attached and can put skin under threat
- ORIF (usually closed reduction and screw)
3. Body fractures
Non operative treatment
4. Sustentacular fractures
ORIF if displaced
- medial approach with buttress plate