Orthopaedics
Fractures, joint pain and the limping patient.
Use as a study guide only. These notes are part of a free open-access medical education (FOAMed) project and may contain errors or outdated information. Always verify against current guidelines (e.g. eTG, RACGP, local health district policies) and reputable sources before applying anything to patient care. See the full disclaimer.
Clinical pearls & learnings
Tips and tricks collected over the years — a living list that grows with every rotation. Use as a study guide only and check current guidelines before acting on anything.
Fall from height
Calcaneal and lumbar spine fractures — check both
Both injuries share the same axial-loading mechanism (a fall from height landing on the feet) — a calcaneal fracture should prompt screening for a concurrent lumbar spine fracture, and vice versa.
Böhler's angle helps assess the calcaneus on a lateral X-ray — normal is roughly 20–40°; an angle below 20° suggests a compression fracture.