Search
calcaneus stress fracture
Epidemiology:
- marathon runners
Clinical manifestations:
- tenderness or pain to palpation or percussion of bone
- pain with hopping on affected foot
Radiology:
- X-ray of calcaneus may show fracture line
- follow-up X-ray in 4 weeks to document healing
Management:
- calcaneal stress fractures are at low risk for non-union [1]
- walking boot is appropriate for calcaneal stress fracture
- rest, crutches &/or footwear padding may be appropriate
- when ambulation is pain-free, & pain is not ellicited with provocative examination, activity can he gradually resumed
- prognosis
- most patients can resume running in 8-12 weeks
Related
calcaneus (heel bone)
General
calcaneus fracture
stress fracture (fatigue fracture)
References
- Medical Knowledge Self Assessment Program (MKSAP) 19.
American College of Physicians, Philadelphia 2021