Young fitness man holding his sports leg injury, muscle painful during training. Asian runner having foot ache and problem after running and exercise outside in summer
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.
