Calcaneal (Heel Bone) Fracture Treatment Miami, FL
Calcaneal (Heel Bone) Fracture
A calcaneal fracture is a break in the heel bone, the largest bone in the foot. This injury often results from high-impact events such as a fall from height or motor vehicle accident. Calcaneal fractures can be severe and disabling, and without proper treatment may lead to long-term pain, limited motion, swelling, or arthritis.
Anatomy of the Calcaneus
The calcaneus forms the heel and contributes to the subtalar joint, which allows inward and outward motion of the foot. Fractures can disrupt the joint, affect surrounding tendons and nerves, and change heel shape or alignment.
Types of Calcaneal Fractures
- Intra-articular fractures: Involve the subtalar joint and cartilage. These are the most severe and often require surgery.
- Extra-articular fractures: Do not involve the joint but may include fractures from trauma, crush injuries, avulsion fractures, or stress fractures from overuse.
Causes
- Falls from height (e.g., ladder, roof)
- Motor vehicle accidents
- Crushing injuries
- Severe ankle sprains or repetitive stress
Signs and Symptoms
- Sudden heel pain
- Swelling and bruising around the heel
- Edema or skin discoloration at the sole
- Difficulty bearing weight
- Reduced inward/outward foot motion
- Deformity of the foot
- Trouble walking
Diagnosis
Diagnosis starts with a physical examination to assess swelling, motion, and blood supply. Imaging is essential:
- X-rays: Identify fractures and changes in Bohler's angle
- CT scans: Provide detailed views of complex fractures
- MRI scans: Evaluate surrounding soft tissue and cartilage if needed
Treatment
Treatment depends on fracture type and severity.
Non-Surgical
- R.I.C.E.: Rest, Ice, Compression, Elevation to reduce swelling and pain
- Immobilization: Casting or splinting for non-displaced fractures; crutches to avoid weight-bearing
Surgical
For displaced or intra-articular fractures, surgery (Open Reduction Internal Fixation, ORIF) may be required:
- Small or standard incisions are made to expose the heel
- Fractured bone fragments are realigned and fixed with plates and screws
- Stabilization preserves subtalar joint function and reduces arthritis risk
- Postoperative immobilization is followed by physical therapy to restore range of motion, strength, and flexibility
Postoperative Recovery
- Foot elevation and controlled weight-bearing as instructed
- Physical therapy includes toe-walking, stair exercises, and strengthening routines
- Full recovery can take several months, depending on fracture severity and adherence to rehabilitation
Why Choose Dr. Alejandro Pino
Dr. Pino specializes in state-of-the-art surgical techniques for calcaneal fractures, including precise bone realignment with secure fixation through smaller incisions. His approach minimizes tissue trauma, improves healing, and allows earlier return to normal activity. Patients benefit from individualized care, expert rehabilitation planning, and a focus on restoring pain-free motion and optimal foot function.
