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Calcaneal Fractures — Sanders & Essex-Lopresti

Sanders classification: based on CT coronal posterior facet fractures. Essex-Lopresti: tongue vs joint depression patterns. Operative indications: displacement >2 mm, malalignment, large fragment involvement. ORIF via extensile lateral or sinus tarsi approach; primary subtalar fusion in severe comminution. Complications: wound breakdown, infection, subtalar arthritis.

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Sanders classification: based on CT coronal posterior facet fractures. Essex-Lopresti: tongue vs joint depression patterns. Operative indications: displacement >2 mm, malalignment, large fragment involvement. ORIF via extensile lateral or sinus tarsi approach; primary subtalar fusion in severe comminution. Complications: wound breakdown, infection, subtalar arthritis.
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Question 1

Which classification system is primarily based on CT imaging and assesses posterior facet fractures in calcaneal fractures?

Question 2

In the Essex-Lopresti classification of calcaneal fractures, which type is characterized by a separate depressed fragment of the posterior facet?

Question 3

What is the operative indication for surgical intervention in calcaneal fractures based on displacement?

Question 4

Which surgical approach is commonly used for open reduction and internal fixation (ORIF) of calcaneal fractures?

Question 5

What is the primary goal of surgical intervention in joint depression type calcaneal fractures?

Question 6

What is a common complication associated with calcaneal fractures following surgery?

Question 7

Which angle is assessed on plain X-rays to evaluate the severity of calcaneal fractures?

Question 8

Which of the following is NOT a common associated injury with calcaneal fractures?

Question 9

In which type of Essex-Lopresti fracture is the posterior tuberosity typically elevated and the posterior facet depressed?

Question 10

What clinical feature is indicative of a 'tongue type' Essex-Lopresti fracture?