Management Extra-articular Fractures

1.  Anterior process


Part of complex sprain / easily missed

- non operative if small

- ORIF if large and displaced


2.  Tuberosity fractures


Need ORIF if displaced

- have T Achilles attached and can put skin under threat

- ORIF (usually closed reduction and screw)


Calcaneum Tuberosity Fracture


Tongue typeTongue type calcaneumSkin displaced tongue fracture


ORIF tongue type 1ORIF tongue type 2


3.  Body fractures


Non operative treatment


4.  Sustentacular fractures


Sustenaculum Fracture CT 1Sustenaculum Fracture CT 2


ORIF if displaced

- medial approach with buttress plate