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A 31-year-old man presented to the Emergency Department with right heel pain 1 day
after falling from a 12-foot ladder. He denied any other injuries or pain. A thorough
physical examination revealed only tenderness over the right heel and a central ecchymosis
on the mid-plantar aspect of the foot (Figure 1). There was no tenderness over the area of ecchymosis. Radiographs and computed tomographic
imaging were significant for a comminuted fracture of the calcaneus that extended
into the calcaneotalar joint (Figure 2). The patient was placed in a bulky splint, instructed not to bear weight, and given
orthopedic follow-up.
