Abstract
Introduction: The avulsion fractures of the calcaneal tuberosity represent a rare model of injury that is caused by a powerful tension force of the Achilles tendon associated with or not a direct shock to the calcaneus
Case report: We report a case of direct trauma to the heel on the edge of the swimming pool at the sport stroke of swimming.
Percutaneous reduction by bone reduction forceps under fluoroscopy with osteosynthesis by two percutaneous cannula screws on Kirchner wires. Equine cast immobilization after removal of the threads. Good clinical and functional radiological evolution.
Conclusion: The percutaneous screw under fluoroscopy is the best technique with good results anatomical and functional and aesthetic.
References
Sanders R, Rammelt S. Fractures of the calcaneus in Mann’s Surgery of the Foot & Ankle, M. J. Coughlin, C. R. Saltzman, and J. B. Anderson, Eds., pp. 2041–2100, Elsevier, St. Louis, MO, USA, 9th edition. 2012.
Lee SM, Huh SW, Chung JW, Kim DW, Kim YJ, Rhee SK. Avulsion fracture of the calcaneal tuberosity: classification and its characteristics. Clinics Orthopedic Surg. 2012; 4(2):134–138. https://doi.org/10.4055/cios.2012.4.2.134
Banerjee R, Chao JC, Taylor R, Siddiqui A. Management of calcaneal tuberosity fractures. J Amer Acad Orthopaedic Surg. 2012; 20(4): 253–258. https://doi.org/10.5435/jaaos-20-04-253
Rammelt S, Zwipp H. Calcaneus fractures: facts, controversies and recent developments. Injury. 2004 May;35(5):443-61.https://doi.org/10.1016/j.injury.2003.10.006
Gardner MJ, Nork SE, Barei DP, Kramer PA, Sangeorzan BJ, Benirschke SK. Secondary soft tissue compromise in tongue-type calcaneus fractures. J Orthop Trauma. 2008 Aug;22(7):439-45. https://doi.org/10.1097/bot.0b013e31817ace7e
Dieterle JO. A case of so-called “open-beak” fracture of the os calcis. J Bone & Joint Surg Americ. 1940; 22 (3): 740.
Hedlund LJ, Maki DD, Griffiths HJ. Calcaneal fractures in diabetic patients J Diabetes Complications. 1998 Mar-Apr;12(2):81-7. https://doi.org/10.1016/s1056-8727(97)00052-4
Squires B, Allen PE, Livingstone J, Atkins RM. Fractures of the tuberosity of the calcaneus. J Bone Joint Surg Br. 2001 Jan;83(1):55-61. https://doi.org/10.1302/0301-620x.83b1.11184
Biehl WC 3rd, Morgan JM, Wagner FW Jr, Gabriel R. Neuropathic calcaneal tuberosity avulsion fractures. Clin Orthop Relat Res. 1993 Nov;(296):8-13.
Rammelt S. Management of acute hindfoot fractures in diabetics. in The Surgical Management of the Diabetic Foot and Ankle: Surgical Management, D. Herscovici Jr., Ed. Springer International Publishing, Switzerland, 2016; 85-102.
Khazen GE, Wilson AN, Ashfaq S, Parks BG, Schon LC. Fixation of calcaneal avulsion fractures using screws with and without suture anchors: a biomechanical investigation. Foot Ankle Int. 2007 Nov;28(11):1183-6. https://doi.org/10.3113/fai.2007.1183
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