Fractures of heels: types, symptoms, treatment
The largest bone in the foot is the heelbone. Of all the fractures of the foot, fractures of the heels occur most often. Usually, the cause of injury is falling on the heels from the height, the talus bone (located on top) at the same time digs into the heel and it splits.
In general, fractures of heels differ in variety. They can be with a displacement of fragments and without it, isolated and marginal, ordinary and fragmented (including multibeam). The direction of the displacement of the fragments and the fracture line will depend on the position in which the foot was placed during the impact. With a strong compression there is a compression fracture, it can occur with simultaneous damage to the surfaces of the joints or without it. Sometimes it happens that both heel bones break simultaneously. In addition, heel fractures can be extraarticular and intraarticular.
The first symptom that appears for any fracture -this, of course, pain in the injured zone. The arch of the foot is more flat, and the heel area expands. With marginal and isolated fractures, the symptoms are not so pronounced, a person can even walk. The heaviest fractures of the heels are compression, when the heel bone under the traumatic factor is pressed against the ramming and splits. In this case, when pressing from the sides to the heel, there will be a strong pain, step on the foot is impossible, stand on the socks, too, will not work, while in the ankle the movements are preserved. With the strain of the gastrocnemius, painful sensations increase. In the subarachnoid region, soft tissue swells, hemorrhage occurs, these processes quickly spread to the Achilles tendon.
Fractures of heels are diagnosed by resultsX-ray study. On radiographs, it is not difficult to see them. But when heel fracture with displacement occurs, it is difficult to correctly determine the degree of displacement of fragments. In this case, make a radiograph of a healthy foot and compare the two shots.
If a heel fracture is diagnosed without bias,On the leg, to fix the bone in the desired position, impose a gypsum. They take it off when the bone is consolidated, that is, after about 1.5-2 months. Sometimes it takes more time to bond. If the bone fragments are displaced, it can not do without surgery. When the fracture is closed, the operation is performed after the edema subsides and the inflammation decreases. In order to speed it up, the foot is immobilized and raised for several days. Also, such measures contribute to the restoration of stretched skin. Open fractures of heels, complicated by displacement, should be operated immediately. During the operation, bone fragments are connected by means of special metal braces. After the operation, a gypsum is applied. The speed of recovery depends on the type of fracture. But even with the lightest (closed and without bias), the patient will be able to return to the previous level of activity only after 3-4 months. In severe fractures, recovery sometimes takes several years, and sometimes even with maximum diligence of doctors and the patient, it is not possible to fully restore the functions of the foot and shin.