کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5653848 1589105 2017 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Calcaneus Fractures: A Possible Musculoskeletal Emergency
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی طب اورژانس
پیش نمایش صفحه اول مقاله
Calcaneus Fractures: A Possible Musculoskeletal Emergency
چکیده انگلیسی

BackgroundCalcaneal fractures are commonly seen and treated in the emergency department. There are subsets of calcaneal fractures that pose a high risk to the adjacent soft tissue of the heel and can result in full-thickness tissue necrosis.ObjectiveTo identify which calcaneal fractures need to be managed within hours and triaged to the orthopedic team and which can be temporized in a neutral or plantarflexed ankle splint and seen in an outpatient setting.DiscussionTongue-type calcaneal fractures and tuberosity fractures must be triaged appropriately within the first few hours of presentation to prevent skin compromise. This requires the emergency physician to understand the radiographic morphology of the fracture as well as the clinical signs of skin compromise. Communication with the orthopedic surgery service is essential and splinting in a specific manner is important to stabilize the soft tissue envelope.ConclusionRecognizing the calcaneal injury pattern and implementing the correct treatment strategy is paramount to having successful patient outcomes. A delay or error in treatment can turn a closed fracture into an open fracture.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Journal of Emergency Medicine - Volume 52, Issue 1, January 2017, Pages 28-33
نویسندگان
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