Fractures of the calcaneum: the anterolateral fragment [see comments]. ³
Langdon IJ. Kerr PS. Atkins RM. Comment in: J Bone Joint Surg Br 1994 Sep;76(5):851 Journal of Bone & Joint Surgery - British Volume. 76(2):303-5, 1994 Mar. Our previous reports on the pathological anatomy and operative treatment of intra-articular fractures of the calcaneum failed to take account of the fracture pattern anterior to the posterior facet of the subtalar joint. We have reviewed our experience of 63 operative cases and have * studied fractures with axial and coronal CT scans reconstructed onto plastic model bones. A constant anterolateral fragment exists, which is displaced by an extended lateral approach to the fracture. If it is unrecognised and unreduced, union in a displaced position may limit Á hindfoot eversion and disrupt the calcaneocuboid joint. We describe techniques for reduction and fixation of the fragment. * Á
Original Text by Clifford R. Wheeless, III, MD.
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