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What is the Essex-Lopresti classification of calcaneus fractures?

Classifies calcaneus fractures into two types – Joint Depression-type and Tongue-type.


Primary fracture line is oblique from lateral to medial through the posterior facet dividing it into two fragments


The secondary fracture line determines the type:
Tongue-type – secondary fracture line exits at the posterior aspect of the tuberosity, articular fragment remains attached to the tuberosity fragment

Joint-depression-type – secondary fracture line exits posterior to the posterior facet, articular fragment is separate from the tuberosity fragment

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