Calcaneal fracture

• XR as first test but can easily be occult
• CT if high suspicion
• If XR positive for fracture, will need CT anyway for ortho planning
• Associated with high L/low T-spine compression fractures – consider but don’t need to automatically get imaging unless there is clinical suspicion

Lis Franc

• Base of 2nd metatarsal disruption
• leads to unstable mid-foot and needs ORIF
• CT for surgical planning

Jones fracture

• 5th metatarsal fracture
• Important part is how proximal/distal it is to tuberosity at the base of the metatarsal
• If it’s close to the proximal tuberosity, okay for non-operative management
• If it’s distal, out in the shaft, it is unstable and at high risk for non-union and needs ORIF