Foot Anatomy

• Forefoot – phlanges, metatarsals, sesamoids
• Midfoot – cuneiform, cuboid, navicular
• Hindfoot – Talus and calcaneus

Calcaneal Fracture

• Bohler’s angle – 20 and 40 deg normal, decreased angle concerning for calcaneal fracture
• CT imaging of hindfoot and midfoot injuries b/c injuries often occult
• Usually operative
• Can have compartment syndrome

Lisfranc Injuries

Jones vs Pseudo Jones

• Jones fracture – 5th metatarsal shaft at least 15 mm distal to the base, transverse, needs to be NWB
• Pseudo jones – Avulsion at base of 5th metatarsal, can be WB as tolerated in a boot

Metatarsal fracture

• Non displaced fx of shafts of 2-5 usually ok in post op shoe
• Fx of 1st metatarsal shaft needs NWB, and will need casting
• Fx of metatarsal heads and necks generally displaced and will nee operative management

Ankle Fracture

• Ottawa Ankle
• Distal Weber A can be in a boot and WB as tolerated

Pilon Fractures

• Axial loading injury
• Anterior, posterior, middle

Subtalar Dislocation

• Post reduction CT to eval for occult fx
• Non-WB 4-6 weeks