4. Leaping from the roof -- There are fractures of both calcanei and compression fractures of the lumbar spine
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Calcaneal Fracture
General Considerations
Calcaneous is the most commonly fractured tarsal bone
A so-called “lover’s Fracture” is an intra-articular fracture produced by an axial loading force typically produced by a leap from a height with person landing on heels (also called a “Don Juan” fracture)
Why is it called a “Lover’s fracture?”
Because it is the type of fracture that could presumably be caused by a lover jumping out of the bedroom window to escape from a surprised and enraged spouse
Bilateral in up to 10%
The same axial load is transmitted to the spine and may produce associated burst fractures of the lumbar or thoracic spine in up to 10% of patients
Frequently occur at the thoraco-lumbar junction at L1, L2, T12 and T11
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