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Calcaneus fracture associated injury — ABEM Board MCQ

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ModerateMusculoskeletal/Orthopedic emergenciesCalcaneus fracture associated injuryABEM Board

A 40-year-old roofer lands on his feet after a fall. Triage acuity is ESI 2; BP 136/82 mm Hg, HR 98/min. He has bilateral heel pain and midline lumbar tenderness. Foot radiographs show calcaneal fractures. Neurologic exam is intact. Which of the following is the most appropriate next step in management?

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Correct answer: C — Evaluate the spine for associated compression fracture

Calcaneal fractures after axial loading are associated with thoracolumbar compression fractures and warrant spine evaluation.

Reference: ATLS musculoskeletal trauma guidance