Dan Preece DPM PGY-209/07/2010

CC: right rearfoot pain HPI: 21 yo semi-professional motorcycle

jump “specialist” presents to the ED immediately after aborting a jump approximately 30-40 feet in the air. Pt landed on feet and had immediate severe pain to the .

PMH: unremarkable, denies smoking.

PE:

MSK: pain with palpation of right rearfoot including talus and calcaneus. Pain limited exam significantly.

Neuro/Vasc: DP/PT pulses 2/4, protective sensation intact.

Derm: diffuse right rearfoot ecchymosis, no blistering, blanching of skin or break down.

Talar neck fracture: ORIF Hawkins Classification: I (non displaced neck Fx)

Calcaneal sustentaculum tali fracture: ORIF and anterior process fracture: ORIF and Diastasis with mini-rail.

Rowes Calc Fx Classification: Type I BC.

FDL tendon running directy over sustentaculum tali screw heads? Graft jacket for coverage?

Mini rail necessary?