علاج كسر العقب المغلق بدون إزاحة ملحوظة وبدون إشراك المفصل تحت الكعبي

References

DOI: 10.7759/cureus.54786

• Extra-articular fractures, in contrast, do not involve the subtalar joint and typically affect the body or process of the calcaneus.
• The absence of joint involvement may influence treatment choice, with non-surgical approaches being more feasible in some instances.
• Closed fractures are characterised by an intact skin surface, reducing the risk of infection compared to open fractures.
• Rest is the cornerstone of the initial management of calcaneal fractures, aiming to minimise weight-bearing on the affected foot.
• Immobilisation, often achieved through the use of crutches or a brace, serves to prevent further trauma to the injured area.
• Applying ice packs to the affected area in 20-minute intervals helps constrict blood vessels, reducing blood flow to the injured site and alleviating pain.
• Compression controls swelling and supports the injured foot.
• Elevating the foot above heart level, especially during rest periods, is a simple yet effective measure to minimise swelling associated with calcaneal fractures.
• Medications such as ibuprofen or naproxen are often prescribed to alleviate pain by inhibiting the production of prostaglandins, which contribute to pain and inflammation.
• Analgesics, including acetaminophen, are employed for pain control in individuals with calcaneal fractures, particularly in cases where NSAIDs may be contraindicated or not well-tolerated.