Tounge Type Calcaneal Fracture



- Discussion:
    - if secondary frx line travels parallel w/ plantar aspect of foot, exiting at posterior border of  the calcaneus, tounge frx will develop;
    - secondary fracture line extends posteriorly from superior part of primary frx line (at crucial  angle), creating 1 single posterior, superior, & lateral fragment;
    - hence, the coronal fracture occurs posterior to the tuberosity;
    - includes:
           - sustenacular fragment: - contains medial aspect of posterior articlar fragment
           - tounge fragment: contains tuberosity & lateral aspect of posterior articular fragment
           - inferior portion of body of the calcaneus;
           - fragmenation of the lateral wall is often mild;
           - comminution anterior to the Angle of Gissane will often be severe;
           - tongue fracture fragment will include portion of achilles tendon;

- Treatment:
   - with displacement of tongue fragment there will be excessive tension on the posterior skin which can lead to necrosis



Pathoantomy of intra-articular articular fractures of the calcaneus.     

The Essex-Lopresti reduction for calcaneal fractures revisited

Secondary soft tissue compromise in tongue-type calcaneus fractures

Late sequelae of secondary Haglund's deformity after malunion of tongue type calcaneal fracture: report of two cases.

Congruity of the subtalar joint in tongue fracture of the calcaneus: an anatomical study.



Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Wednesday, September 5, 2012 1:24 pm