Posterior Calcaneal Tuberosity Fractures

Fractures of the posterior tuberosity of the calcaneus represent a unique variant of hindfoot injury. In the absence of urgent treatment, displacement of the tuberosity may result in posterior soft tissue compromise, ultimately resulting in full-thickness soft tissue necrosis. Many of these fractures are amenable to closed and/or percutaneous reduction techniques, followed by lag screw fixation. The following case illustrates the presentation and treatment of a displaced posterior tuberosity fracture with overlying soft tissue compromise.