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.
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- The plantar ecchymosis sign in fractures of the calcaneus.Clin Orthop Relat Res. 1986; 207: 122-125
- Plantar ecchymosis sign: a clinical aid to diagnosis of occult Lisfranc tarsometatarsal injuries.J Orthop Trauma. 1996; 10: 119-122
- Multidetector CT evaluation of calcaneal fractures.Radiographics. 2011; 31: 81-92
Published online: June 19, 2019
Accepted: April 24, 2019
Received in revised form: April 11, 2019
Received: March 21, 2019
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