S92.05

Clinical Causes: Falls from a height landing on the feet Direct trauma or a blow to the heel Motor vehicle accidents impacting the foot Sports injuries involving excessive force on the heel Twisting or twisting injuries of the foot

Key Symptoms: Sudden pain at the back or bottom of the heel Swelling around the heel area Bruising or discoloration of the skin Difficulty walking or bearing weight on the affected foot Tenderness when pressing on the heel Possible deformity or abnormal shape of the heel

Diagnosis Path: Diagnosis typically involves a combination of physical examination and imaging tests. During the physical exam, a healthcare provider will look for swelling, tenderness, and deformity. Imaging studies are essential for confirming the fracture, determining its severity and exact location. Common diagnostic tools include: - X-rays: Primary method to visualize the fracture - CT scans: May be used for a detailed view if the fracture is complex - MRI: Occasionally employed if soft tissue injury is suspected Proper imaging helps to differentiate extraarticular fractures from intraarticular ones and guides treatment planning.

Treatment Protocols: Treatment strategies for an extraarticular calcaneus fracture vary based on the severity and displacement of the fracture. Options include: - Rest and immobilization: Using a cast or brace to keep the foot stable - Elevation and ice application: To reduce swelling and pain - Non-weight bearing: Using crutches or wheelchair to avoid putting weight on the foot - Pain management: Using medications as recommended by a healthcare professional - Surgical intervention: May be necessary for fractures that are displaced or unstable, to realign the bones and stabilize the heel with pins, screws, or plates Follow-up care involves physical therapy to restore strength and mobility, along with gradual return to normal activities. Healing time can vary, but most fractures take several weeks to months to recover fully.