Diagnosis Fracture calcaneum with compression and reduced Bohler's angle.
Teaching
Points • Understand Bohler's angle. Refer: Accident & Emergency Radiology: a survival guide (Page 228).
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• Assessing Bohler's angle makes you think - is there a calcaneal fracture?"
• A normal Bohler's angle does not exclude a fracture.
• Always look at the cortex of an injured bone for any cortical breaks.
• Calcaneal fractures do not always result from a fall from a height. Some occur as a result of twisting the ankle.