Fractures of the calcaneus and talus, collectively termed “hindfoot fractures” are typically caused by high-impact forces like falls or motor vehicle accidents. Calcaneus fractures are more common. Talus fractures though less common, are often associated with greater morbidity owing to the bone’s tenuous blood supply of the talus and the associated problem of osteonecrosis. Hindfoot fractures are caused by axial load, and therefore can be seen in conjunction with more proximal injuries, such as fracture of the pelvis or spine – so much so, that a calcaneus fracture should prompt a detailed exam of the spine and pelvis.
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