Akademik Veri Yönetim Sistemi
18.Ulusal Acil Tıp Kongresi 9th intercontinental Emergency Medicine Congress 9th international Critical Care And Emergency Medicine Congress, Antalya, Türkiye, 27 - 30 Ekim 2022, ss.392
The calcaneus is the most common tarsal bone prone to fracture, representing 60 percent of all tarsal fractures in adults. The clinical presentation of a calcaneal fracture depends on its
location and the severity of the injury. Most calcaneal fractures result from axial loading of the foot after significant trauma, typically from a fall or jump from a height. The pain is usually quite
severe and weight bearing is often impossible. Swelling and tenderness are typically prominent and can be severe. Deformation of the heel may be evident.
CASE: A 42-year-old male patient was brought to us by 112 staff due to a fall from a height. In the first examination, the patient’s vital signs were stable, gcs 15 oriented and cooperative. The
second examination of the patient, whose pathology was not observed in the first examination, was started. On examination, there was tenderness on the soles of the bilateral feet. Peripheral
pulses were open, and distal capillary filling was normal. Neuromotor examination was suboptimal due to pain on. External system examination revealed unremarkable fiuding. The patient’s
examinations were requested and imaging was performed. Stabilization of the patient with bilateral calcaneal fracture (Figure 1) was achieved in the lower extremity CT. He was admitted to
the orthopedic clinic after consultation.
CONCLUSION: Although calcaneus fracture is rare, it is one of the first condifious that should be considered in patients presenting with a fall from a height. Especially the presence of bilateral
calcaneal fracture indicates high-energy trauma and requires multisystem evaluation.
KEYWORD : calcaneus fracture, fall from height, orthopedic emergencies