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Llanol
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[size=4][b]Llanol - Calcaneal Fractures[/b][/size][hr]Fractures of the calcaneus (heel bone) is the most common tarsal bone fracture. Most calcaneal fractures occur as the result of a fall from a height more than 14 feet. Calcaneal fractures are common among roofers and rock climbers. The second most common contributing cause to these kinds of traumatic fractures are car accidents. Calcaneal fractures are most commonly found in males age 30-50 y/o. Wink

Three phase technitium bone scan can help differentiate the location and degree of inflammation in the calcaneus thereby helping to identify a calcaneal stress fracture. Bone scans are a test where a radioactive nucleotide is injected into the patient and a scan is taken of the injured area three times over the course of three hours. Each of the tests show a different amount of inflammation based upon the increased blood flow to the swollen area. In the case of a calcaneal fracture, a bone scan can help in many ways. First, the scan will locate the area of the crack based upon the inflammation seen in fracture healing. Second, the bone scan will help to differentiate between a number of other potential issues with the heel such as plantar fasciitis. And lastly, a check may help to determine the acuteness of an injury. For instance, we may see a questionable area on an x-ray but we'll not be able to tell whether the diagnosed injury is old or new. The bone scan will help us in that a new injury will 'light up' on the scan due to its' current swelling. An old injury on the other hand won't lighting up' on the scan due to its' insufficient current inflammation.

[size=large][b]Treatment of Calcaneal Fractures[/b][/size][hr]As previously mentioned, calcaneal fractures can be very difficult to manage. Closed reduction is a term used when doctors will manipulate the break under anesthesia without surgery. Closed reduction can be successful in treating calcaneal fractures in many cases depending upon the stage of fracture. Open reduction (surgical reduction of the fracture) is not guaranteed to produce more successful outcomes. Calcaneal fractures can range from simple to be able to explosive. Follow-up following reduction (whether close or open) differs but will include a period of non-weight bearing, splinting or throwing to allow for fracture healing. Self-praise is no praise. So we don't want to praise ourselves on the effort put in writing on Gout. instead, we would like to hear your praise after reading it!

The most common symptom of a calcaneal stress fracture, and the one indicator that can help to differentiate anxiety fractures from fasciitis, is the nature of the pain. Stress fracture pain is constant. It hurts when a person's body weight is first applied and continues in order to hurt. Pain due to plantar fasciitis is sharp at the start of weight bearing but soon subsides, to be able to a degree, over 5-10 minutes.

Quote:[list][*]Biomechanics: The biomechanics of calcaneal stress fractures has not been defined.[*]Due to the fact that most calcaneal stress fractures occur due to a random traumatic incident, no defined pathway to the bony injury has been set up.[*]Symptoms: The diagnosis of a calcaneal stress fracture is usually based upon pain which proceeds following an incident of trauma.[*]Sometimes a calcaneal stress crack will have a great insidious onset, but most with have got an acute onset.[*]Edema (swelling) and erythema redness) may or may not be present.[*]Some of the matter found here that is pertaining to Gout seems to be quite obvious.[*]You may be surprised how come you never knew about it before![/list]

[list][*]MRI's are also helpful in differentiating calcaneal fractures from plantar fasciitis.[*]MRI's can identify small areas of bone edema suggestive of a crack.[/list]

[i]Rheumatoid arthritis Rheumatic Fever Septic Arthritis Sero-negative arthropathies like Reiter's Syndrome Sever's Disease - and inflammatory situation typically found in young over weight boys age 10 to 15 years old :o[/i]

[size=large][b]The Location of Pain is Also Important[/b][/size][hr]Stress fracture pain will usually (and not always) be in the body of the calcaneus. Pressure to the medial and lateral walls of the calcaneus result in pain. Plantar fascial pain is specific to the bottom of the heel and is reasonable with direct pressure, but intense with weight bearing. We find great potential in Gout. This is the reason we have used this opportunity to let you learn the potential that lies in Gout.

[size=large][b]Heel Spur Syndrome[/b][/size][hr]See plantar fasciitis Plantar fasciitis - a common condition of the heel that results in pulling from the plantar fascia and a tearing pain at the attachment of the fascia on the bottom of the heel. Pain is serious with the first few steps out of bed in the morning or after a brief period of rest. Big Grin.

Calcaneal fractures have a track record of being difficult to handle and have frustrated doctors for years. The problem in treating calcaneal fractures is in trying to rebuild the fracture so that therapeutic may take place. The actual calcaneus is much like an egg; an outer firm shell and soft on the inside. As a result, the calcaneus frequently shatters when broken. Calcaneal repair not only demands re-apposition of multiple crack patterns, but also demands restoration of the subtalar joint. The actual subtalar joint is the interface between the calcaneus and talus and is a main load bearing joint of the feet. In some cases, additional joint surfaces may be affected (the calcaneal cuboid joint) but are of lesser importance because of their limited weight bearing functions.

Nomenclature: Calcaneus - The actual bone of the heel Subtalar Joint - (STJ) the joint between the two major bones of the rearfoot, the talus and calcaneus. The actual STJ is a common site of residual arthritis pursuing calcaneal fractures. The presentation of an article on Gout plays an important role in my reliable the gout remedy report test in reading it. This is the reason for this presentation, which has gotten you interested in reading it!

[b]Differential Diagnosis: Baxter's nerve entrapment - a great entrapment of the recurrent branch of the posterior tibial nerve Gout - deposition of monosodium urate crystals (hyperuricemia) [/b]

Parker JC. Injuries of the hindfoot. Clin Orthop 1977; Palmer I. The mechanism and also treatment of fractures of the calcaneus: open reduction with the use of cancellous grafts. J Bone Joint surg 1948;30-A( :2-8 We did not write too elaborate an article on Gout as it would be then difficult for the common man to read it. We have written this article in such a way that everyone will be able to read and understand it! Wink

Type 1c - Fracture of the anterior process of the calcaneus Type 2A - Beak crack of the posterior calcaneus Type 2b - Avulsion crack involving the insertion with the tendo-Achillles It is always better to have compositions with as little corrections in it as possible. This is why we have written this composition on Gout with no corrections for the reader to be more interested in reading it.

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