The evaluation of a calcaneus fracture begins with a history and physical examination.

Physical findings in someone with a calcaneus fracture may include:

• Tenderness overlying the heel
• Bruising of the skin overlying the heel
• Swollen heel
• Laceration or puncture wound
• Inability to walk
• Inability to move the foot
• Foot weakness (unilateral)
• Foot numbness (unilateral)

Tests are required to make the diagnosis of calcaneus fracture.

Tests that may be used to evaluate calcaneus fracture include:

• Foot x-rays:
• Used to detect a fracture or dislocation.
• Bone scanning:
• Detects hairline fractures (stress fractures) you cannot see on x-ray