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Fracture calcaneous lateral process
10 weeks ago I misstepped and rolled foot between two stairs.  MRI shows nondisplaced fracture of anterior lateral process of calcaneous, tissue damage and bone contussion.  

I'm wearing air cast and doing limited PT and while pain level is decreasing I know that fracture has not healed.   (I've had experience with ankle fractures.)  While barefoot, it's extremely painful to step on any uneven surface including clothes on the floor.  Also, I'm diabetic therefore a slow healer.

But enough kvetching.

I have 3 questions please:

Where is anterior lateral process and what bones does it articular with? I can't find in anatomical illustrations.

Is the lateral process fracture more complicated than a regular heel fracture?

How long would one wait until choosing surgery?  I have an excellent sports ortho but his PA says surgery won't help this condition.

Thank you!
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1711789_tn?1361311607
Hi there!

The anterior process is located towards the front and the lateral towards the outer side of the calcaneum. The anterior process articulates with the talus and the lateral process this related to the tendon of peroneus longus.
The lateral process fracture rarely complicates a regular fracture.
It may be advisable to consider conservative management for 3-6 months before considering surgical options.
Hope this is helpful.

Take care!
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