Calcaneus fracture


Bones of the foot.
  • Associated injuries are common


  • Intra-articular (75%)
    • Sclerotic line may be only evidence of impacted fracture
  • Extra-articular (25%)
    • Anterior process fracture is most common

Clinical Features

  • Foot pain after trauma - often from axial load such as fall from height or motor vehicle accident

Differential Diagnosis

Foot and Toe Fracture Types





(A) Normal Boehler's angle and (B) Abnormal Boehler's angle
  • Plain X-ray imaging
    • Decreased Boehler's angle (<25') may be only sign of fracture (compare with opposite side)
    • Harris view to tuberosity
  • Up to half of patients with calcaneus fractures have concomitant injuries including compression fractures of thoracolumbar spine [1]

Management & Disposition

General Fracture Management

Intra-articular fracture

  • Immobilization with posterior ankle splint
  • Non-weight bearing
  • Elevation (very important - fracture has high rate of severe swelling)
  • Ortho consult

Extra-articular fracture

See Also




  1. Sanders RW, Clare MP. Calcaneous fractures. In: Rockwood and Green's Fractures in Adults, 7th, Bucholz, RW, Heckman JD, Court-Brown CM, Tornetta P (Eds), Lippincott Williams & Wilkins, Philadelphia 2010. p.2064.