S92.054

Clinical Causes: Falling from a significant height onto the heels Direct blow or trauma to the heel during an accident Sports injuries involving forceful impact to the heel Motor vehicle accidents Sudden twisting or hyperextension of the foot

Key Symptoms: Sharp pain in the heel, especially during weight-bearing activities Swelling and tenderness around the heel area Bruising or discoloration on the skin over the heel Difficulty walking or inability to put weight on the affected foot Feeling of firmness or mass at the injury site Possible deformity in some cases, although less common with nondisplaced fractures

Diagnosis Path: To confirm a nondisplaced fracture of the calcaneus, a healthcare provider typically conducts a physical examination focusing on pain and swelling. Imaging studies are essential, with X-rays being the primary method to visualize the fracture. In some cases, computed tomography (CT) scans may be used to assess the fracture's extent and rule out other injuries. Accurate diagnosis helps determine the most appropriate treatment approach.

Treatment Protocols: Management of a nondisplaced extraarticular calcaneal fracture generally involves conservative methods, including: - Rest and immobilization with a cast or boot to prevent movement and aid healing - Elevation of the foot to reduce swelling - Application of ice packs to relieve pain and decrease swelling - Use of non-steroidal anti-inflammatory drugs (NSAIDs) for pain relief - Weight-bearing limitations, often requiring crutches Recovery periods may vary based on the severity of the fracture and individual healing rates. In some cases, physical therapy may be recommended to restore strength and mobility once healing progresses. Surgical intervention is rarely needed when the fracture remains displaced or if complications arise, but it could be considered in complex cases.