Clinical features Pain, swelling and deformity. A markedly displaced ankle fracture should be immediately reduced in Casualty before Theatre. Treatment Early and accurate reduction with fixation are essential to avoid instability and secondary osteoarthritis. Mechanism of injury Foot Fractures of the calcaneus result from a high fall and can be devastating. Surgery is difficult.
Early movement is important.
Non-union with pain may result. Reduction and fixation with K-wires is often required. Achilles Tendon Rupture Violent contraction of the gastrocnemius-soleus muscle may rupture the Achilles tendon. It occurs in the push-off phase of running or racket sports. The patient often reports having been shot or kicked in the calf.