1. Dan Preece DPM PGY-2 09/07/2010

3.  CC: right rearfoot pain  HPI: 21 yo semi-professional motorcycle jump “specialist” presents to the ED immediately after aborting a jump approximately 30-40 feet in the air. Pt landed on feet and had immediate severe pain to the.  PMH: unremarkable, denies smoking.

4.  PE:  MSK: pain with palpation of right rearfoot including talus and calcaneus. Pain limited exam significantly.  Neuro/Vasc: DP/PT pulses 2/4, protective sensation intact.  Derm: diffuse right rearfoot ecchymosis, no blistering, blanching of skin or break down.

13.  Talar neck fracture: ORIF  Hawkins Classification: I (non displaced neck Fx)  Calcaneal sustentaculum tali fracture: ORIF and anterior process fracture: ORIF and Diastasis with mini-rail.  Rowes Calc Fx Classification: Type I BC.

34.  FDL tendon running directy over sustentaculum tali screw heads? Graft jacket for coverage?  Mini rail necessary?