The JBJS Quiz of the Month is a collection of 10 relevant questions from each orthopaedic subspecialty. The questions are drawn from JBJS Clinical Classroom, which houses over 4,500 questions and 3,100 learning resources. Take the Quiz to see how you score against your peers!

NOTE: This quiz does not earn users CME credits. The questions must be answered within Clinical Classroom to earn CME credits.

A 52-year-old female patient develops heel pain while doing a 20-mile charity walk. She is diagnosed with a calcaneal stress fracture. Which of the following treatments are appropriate?  
    • Open reduction and internal fixation of the calcaneus
    • This would be indicated in certain displaced acute fractures.

 

    • Immobilization in a controlled ankle motion (CAM) boot
    • Calcaneal stress fractures should be treated with immobilization in a CAM boot.

 

    • Placement of a long-leg cast
    • The use of a long-leg cast would be excessive and impose unnecessary risks (e.g., deep vein thrombosis).

 

    • Use of a bone stimulator
    • While this may be indicated for delayed or nonunions, it is not necessary for the primary treatment of a calcaneal stress fracture, especially in a healthy individual.

 

 

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