calcaneal tuberosity avulsion fracture orthobullets

This site needs JavaScript to work properly. funny responses to hackers ldap null bind. Objectives: The goal of this investigation was to determine the incidence of complications and revision surgery after calcaneal tuberosity avulsion fractures, to describe experience with different fixation constructs, and to compare revision surgery rates between tuberosity and tongue-type fractures of the calcaneus. Disclaimer, National Library of Medicine Epub 2019 Mar 6. abdominal cardiovascular. Rauer T, Twerenbold R, Flckiger R, Neuhaus V. J Foot Ankle Surg. 8600 Rockville Pike Causes Fractures of the greater tuberosity are often caused by direct trauma to the shoulder. The Treatment of Avulsion Fracture of the Calcaneal Tuberosity: A New Technique of 180-Degree Annular Internal Fixation. doi: 10.1097/BOT.0000000000001533. The .gov means its official. 2021 Dec 2;5(12). The primary fracture line runs obliquely through the posterior facet forming two . Xiong and colleagues (1998) stated that manipulation . Please enable it to take advantage of the complete set of features! CMAJ. There is a strong association with diabetes, where they may occur spontaneously, and are thought to be due to peripheral neuropathy. In this report, we describe an unusual presentation of a calcaneal avulsion fracture involving 2 displaced fragments in a male patient who did not seek treatment for 1 month after the original injury. Overview This condition is a fracture of the bony bump that is located opposite of the head of the humerus. Yu GR, Pang QJ, Yu X, Chen DW, Yang YF, Li B, Zhou JQ. Epub 2017 Nov 15. An official website of the United States government. 25% of all calcaneus fractures; Avulsion injury of: Anterior process by bifurcate ligament; Sustenaculum tali; Calcaneal tuberosity (Achilles tendon avulsion) Intra-articular. Calcaneal fractures can be divided broadly into two types depending on whether there is articular involvement of the subtalar joint 2,7,8: extra-articular: 25-30%. Calcaneal fractures have characteristic appearances based on the mechanism of injury and are divided into two major groups, intraarticular and extraarticular. HHS Vulnerability Disclosure, Help Fractures of the calcaneal tuberosity treated with suture fixation through bone tunnels. 2021 Jan-Feb;60(1):218-220. doi: 10.1053/j.jfas.2020.09.001. Bethesda, MD 20894, Web Policies These injuries are most often sustained through forced dorsiflexion of a maximally plantar-flexed foot [ 6 ]. Disclaimer, National Library of Medicine PMC This decrease in vascularity contin-ues to. Type in at least one full word to see suggestions list. Careers. Blood Supply and Neuroanatomic Findings At birth, the entire meniscus is vascular; by age 9 months, the inner one third has become avascular. Clin Orthop Surg. 2012 Apr;20(4):253-8. doi: 10.5435/JAAOS-20-04-253. J Foot Ankle Surg 2019;58:423-426. Abstract Calcaneal tuberosity fractures involve the posterosuperior aspect of the calcaneus and may involve the insertion of the Achilles tendon. The secondary fracture line runs in one of two planes: "Tongue-Type" Fracture Percutaneous Fixation of Calcaneal Tuber J Orthop Trauma. The typical patient is an adolescent male approaching skeletal maturity with well-developed quadriceps. 2009;15(2):58-61. doi: 10.1016/j.fas.2008.06.004. The primary fracture line runs obliquely through the posterior facet forming two fragments. Bookshelf Careers. Results: Arthritis of the hip, knee, or foot. 2021 Feb 15;16:275-280. doi: 10.2147/CIA.S291497. 2017 Jun;31:35-39. doi: 10.1016/j.foot.2017.04.002. Accessibility Calcaneal tuberosity fractures have traditionally been classified into 2 types, depending on the location and involvement of the insertion of the Achilles tendon 7, 8. Bethesda, MD 20894, Web Policies 2019. government site. (OBQ20.15) Figure A is the radiograph of a 55-year-old female who is a poorly-controlled diabetic with neuropathy and peripheral vascular disease (PVD) that underwent ankle open reduction internal fixation (ORIF) two years ago at an outside facility. Banerjee R, Chao J, Sadeghi C, Taylor R, Nickisch F. J Orthop Trauma. 2013 Aug;5(3):196-202. doi: 10.1111/os.12058. The calcaneus is the most commonly fractured tarsal bone, representing 60 percent of all tarsal fractures in adults [ 1 ]. 2023 Bobby Menges Memorial HSS Limb Reconstruction Course, Blum LE, Table representation of search results timeline featuring number of search results per year. Research Support, American Recovery and Reinvestment Act. Calcaneus Fractures Key Points: Fractures of the pediatric calcaneus are rare injuries and are frequently missed. This case series presents 3 posterior tuberosity calcaneal avulsion fractures that led to skin necrosis because of a delay in treatment. By David Tuckman 52 Videos FEATURING David Tuckman. Federal government websites often end in .gov or .mil. Bosman WM, Leijnen M, van den Bremer J, Ritchie ED. government site. 2019 Aug;33 Suppl 1:S44-S45. Beavis RC, Rourke K, Court-Brown C: Avulsion fracture of the calcaneal tuberosity: A case report and literature review. After reduction and healing, the patient recovered fully without clinical weakness of the triceps surae. The most common etiology is a forceful axial load to the hindfoot, frequently occurring during a fall. These patients are at risk for skin breakdown of the posterior heel and tissue necrosis if they do not receive urgent treatment. An avulsion fracture of the calcaneal tuberosity: delay of treatment causes the 'Achilles heel' of optimal recovery. Epidemiology These fractures have an incidence 0.4% to 2.7%, and males are affected more-so than females. The .gov means its official. gastrointestinal central nervous system. Sagittal T2 fat sat. Using CT and operative findings we have defined the different patterns of fracture of the calcaneal tuberosity. Calcaneal tuberosity avulsions are relatively rare, constituting 1-3% of all calcaneal fractures [ 1 - 3 ]. JOT Foot (Edinb). Avulsion fractures of the calcaneal tuberosity are rare, accounting for only 3% of all calcaneal fractures. 75% of calcaneus fractures; 2 classification systems. wm. MeSH These injuries are typically avulsion fractures caused by concentric contraction of the gastrocnemius-soleus muscle complex. However, studies have suggested that differences in the behavior of the fracture fragments are due to normal variations in the site of insertion of the Achilles tendon 9, 10, 11. 2022 Mar;53(3):1276-1282. doi: 10.1016/j.injury.2021.12.046. J Am Acad Orthop Surg Glob Res Rev. The larger fragment contained the insertion of the Achilles tendon, and tendon lengthening was required in addition to fixation of the fracture fragments with cannulated lag screws and washers. It indicates, "Click to perform a search". 2017;2017:9150538. doi: 10.1155/2017/9150538. MeSH The _____9 can stop working and can start to die. These fractures should be treated in a timely fashion, especially in older individuals. Most calcaneal fractures are occupational, and are caused by axial loading from a fall [ 2 ]. J Foot Ankle Surg 2012;51:123-127. HHS Vulnerability Disclosure, Help eCollection 2021. Bookshelf Fixation of tendo Achilles avulsion fracture. Federal government websites often end in .gov or .mil. Foot Ankle Int 2008;29:863-866. PMC Do not wait, do emergency surgery. Pathology There are three mechanisms of action 4: fall during plantarflexion ankle hyperextension feet fixed on the ground with sudden muscular contraction Associations Percutaneous fixation of tongue-type calcaneus fractures was first reported by Weshues and Gissane in their description of the Essex Lopresti maneuver as an alternative to open approaches to minimize the risk of soft-tissue complications and flap necrosis and provide a means of improving reductions in smokers and diabetics who may not otherwise be good operative candidates. Avulsion fracture of the calcaneal tuberosity often occurs in elderly osteoporotic patients; therefore, fixation of the displaced fragment is difficult. However, this injury can often be quite subtle and can easily be missed. Open reduction and internal fixation with two 3.5-mm cannulated cortical screws with washers was performed, and anatomic reduction was achieved. Three were similar to the type of avulsion fracture which has been well-defined but the remainder represent a group which has been unrecognised previously. Most calcaneal fractures are closed injuries that are treated nonoperatively, or if treated operatively, surgery is delayed to allow subsidence of swelling. Case Discussion. J Foot Ankle Surg. Being overweight. Copyright 2022 Lineage Medical, Inc. All rights reserved. Olivia was first diagnosed with breast cancer 25 years ago in 1992 and underwent treatment as well as a partial mastectomy for the disease. Avulsion Fracture of the Calcaneal Tuberosity: Case Report and Literature Review. Management of calcaneal tuberosity fractures. Before government site. Please enable it to take advantage of the complete set of features! 2022 Mar;53(3):1276-1282. doi: 10.1016/j.injury.2021.12.046. 2021. doi: 10.5435/JAAOSGlobal-D-21-00172. 2008 Aug;29(8):863-6. doi: 10.3113/FAI.2008.0000. Epub 2021 Dec 31. Carnero-Martn de Soto P, Bautista-Enrique D, Gmez-Cceres A, Rodrguez-Len A, Bravo-Zurita MJ, Santos-Maraver MT: Avulsion fractures of posterior calcaneal tuberosity: Identification of prognostic factors and classification. This type of fracture can interfere with the rotator cuff. Most calcaneal fractures are closed injuries that are treated nonoperatively, or if treated operatively, surgery is delayed to allow subsidence of swelling. She was noncompliant with her immediate postoperative weight-bearing instructions and went on to fixation failure. It has two smaller inferior tubercles, the medial and lateral processes. Revision surgery was more common in the tuberosity group (26% versus 7%, P = 0.013). Avulsion fracture of the calcaneus is an emergency. anterior calcaneal process fracture; calcaneal tuberosity avulsion fracture; extra-articular body fracture. FOIA Injury. Calcaneus fractures in children younger than 10 years of age, are usually extra-articular. The finger extension procedure may be repeated a 2nd or 3rd time at 5- to 10-min intervals. An official website of the United States government. (SBQ12FA.1) Fractures of the calcaneal tuberosity are usually avulsion fractures caused by coaxial contraction of the gastrocnemius-soleus complex. An ankle avulsion fracture is a bone chip caused by a ligament or tendon that tears away a part of the bone. Scaphoid Nonunion Repair with an Intercalated Iliac Crest Bone Graft. respiratory intestines. Hess M, Booth B, Laughlin RT: Calcaneal avulsion fractures: Complications from delayed treatment. Paget's disease. Fractures of the calcaneal tuberosity are relatively uncommon and are seen most frequently in elderly and diabetic patients. 1 Calcaneal fractures represent approximately 2% of all fractures, of which 25% to 40% are classified as extra-articular in nature. fracture (stress) Endocrine/Metabolic. A calcaneal spur, or commonly known as a heel spur, occurs when a bony outgrowth forms on the heel bone. lover's fracture medial sustentaculum; intra-articular: 70-75% Bone spurs on the hip. Foot Ankle Surg. Lee SM, Huh SW, Chung JW, Kim DW, Kim YJ, Rhee SK. J Foot Ankle Surg. 2012 Jun;4(2):134-8. doi: 10.4055/cios.2012.4.2.134. Dr. Tuckman Presents Scaphoid Nonunion Repair with an Intercalated Iliac Crest Bone Graft. Before The .gov means its official. Calcaneal spurs can be located at the back of the heel (dorsal heel spur) or under the sole (plantar heel spur). Objectives: Before Thickening and increased signal intensity are seen indicating underlying tendinosis. Conclusions: Calcaneal avulsion fractures have a high incidence of soft tissue problems, failure of fixation, and need for additional surgeries. The purpose of this article is to highlight a subset of calcaneal fractures that should be addressed urgently. Please enable it to take advantage of the complete set of features! The peak incidence occurs in younger males [ 2 ]. Foot Ankle Surg. Orthop Surg. Would you like email updates of new search results? Clin Interv Aging. In this report, we describe an unusual presentation of a calcaneal avulsion fracture involving 2 displaced fragments in a male patient who did not seek treatment for 1 month after the original injury. Doany M, Garcia A, Komatsu D, Divaris N, Kottmeier S, Paulus M. J Am Acad Orthop Surg Glob Res Rev. No patients with implant failure noted in the tongue-type group. The majority are displaced intraarticular fractures (60 to 75 percent) [ 2 ]. GTPS can be caused by: Overuse or stress on the hip from exercising or standing for long periods. abnormally coma. Talus fractures (other than neck) are rare fractures of the talus that comprise of talar body fractures, lateral process fractures, posterior process fractures, and talar head fractures. sharing sensitive information, make sure youre on a federal Epub 2012 May 17. Epub 2019 Feb 8. Clipboard, Search History, and several other advanced features are temporarily unavailable. Injury. 8600 Rockville Pike - main goal is to regain calcaneal height and width and to take the calcaneus out of varus alignment; - no attempt is made to reconstruction the articular surface; - technique: - manual position across the calcaneal body; - large threaded Steinman pin is placed through the posterior superior portion of the calcaneal tuberosity; Epub 2020 Sep 5. doi: 10.1136/bcr-2015-211581. For joint depression fracture, wait for swelling to go down before surgery. Epub 2017 Nov 15. Tibial tuberosity avulsion fractures are uncommon. A fracture of the calcaneus, or heel bone, can be a painful and disabling injury. Xiong and colleagues (1998) stated that manipulation under anesthesia (MUA) is an important method to reduce cervical spinal dislocations in the acute stage. We describe 24 fractures of the tuberosity of the calcaneus in 22 patients. 2018 Feb;24(1):45-48. doi: 10.1016/j.fas.2016.11.006. It can be confirmed by a CT or an MRI, which will show the small fracture fragment (Figure 4). Calcaneal avulsion fracture is an important topic. An official website of the United States government. Discussion: The bulbous proximal end is the calcaneal tuberosity, and it serves as the attachment of the Achilles tendon. Calcaneal tuberosity fractures involve the posterosuperior aspect of the calcaneus and may involve the insertion of the Achilles tendon. Copyright 2022 Lineage Medical, Inc. All rights reserved. It might take up to 12 weeks for you to fully heal. It accounts for 25% to 50% of all broken bones and is most commonly seen in older females and young males. Calcaneus Fractures - Trauma - Orthobullets ORTHO BULLETS Join nowLogin Select a Community MB 1Preclinical Medical Students MB 2/3Clinical Medical Students ORTHOOrthopaedic Surgery IMInternal Medicine ENTEar, Nose and Throat GSGeneral Surgery PRSPlastic Surgery About Bullet Health Join Our Team ORTHOBULLETS Events You might be sprinting, hitting, sliding or doing other sports activities that involve quick movements and sudden changes in direction. hyperparathyroidism. Unable to load your collection due to an error, Unable to load your delegates due to an error. J Orthop Trauma. Type I is a "sleeve" fracture in which the shell of the cortical bone is avulsed . Adams MR, Koury KL, Mistry JB, Braaksma W, Hwang JS, Firoozabadi R. Foot Ankle Int. 2021 Feb 15;16:275-280. doi: 10.2147/CIA.S291497. 2018 Nov 12;190(45):E1337. Rauer T, Twerenbold R, Fluckiger R, Neuhaus V: Avulsion fracture of the calcaneal tuberosity: Case report and literature review. Avulsion fractures usually happen to young athletes. official website and that any information you provide is encrypted The anterior part of the calcaneus is tapered distally. doi: 10.1503/cmaj.180248. The avulsion patterns of the calcaneal tuberosity fractures are the result of several factors including the bony density level, the mechanism of injury and the fibers of the Achilles tendon. Disclaimer, National Library of Medicine Citations may include links to full-text content from PubMed Central and publisher web sites. Epub 2017 Mar 5. Epub 2020 Sep 5. Do not wait, do emergency surgery. Epub 2021 Dec 31. 2018 Jan-Feb;57(1):191-195. doi: 10.1053/j.jfas.2017.07.016. Both injuries involve similar considerations regarding skin compromise and need for urgent management with similar percutaneous techniques to minimize further soft-tissue injury. One of the first things you should notice about sclerotic bone lesions is whether they are single and focal, multifocal, or diffuse. Methods: Out of 764 cases of calcaneal fractures, we examined 20 cases (2.6%) that involved the tuberosity of the calcaneus. Trauma. Bookshelf MRI. She recovered and then became an advocate for breast. Avulsion fracture of the calcaneus is an emergency. 75% of calcaneus fractures; 2 classification systems. Rauer T, Twerenbold R, Flckiger R, Neuhaus V. J Foot Ankle Surg. 2019 Jun;40(6):634-640. doi: 10.1177/1071100719830948. Associations patella tendon or quadriceps tendon rupture Calcaneal tuberosity fractures showed significantly higher rate of revision surgery and failure of fixation compared with tongue-type fractures. 2021 Jan-Feb;60(1):218-220. doi: 10.1053/j.jfas.2020.09.001. 2019 Aug;33 Suppl 1:S44-S45. Foot Ankle Int. This classification is based on the number of intraarticular fracture lines and their location on semicoronal CT images. 2023 Bobby Menges Memorial HSS Limb Reconstruction Course, Hess M, J Foot Ankle Surg. The goal of this investigation was to determine the incidence of complications and revision surgery after calcaneal tuberosity avulsion fractures, to describe experience with different fixation constructs, and to compare revision surgery rates between tuberosity and tongue-type fractures of the calcaneus. and transmitted securely. 2019 May;58(3):423-426. doi: 10.1053/j.jfas.2018.09.002. The site is secure. BMJ Case Rep. 2016 Jan 11;2016:bcr2015211581. Clipboard, Search History, and several other advanced features are temporarily unavailable. The displacement of the fracture block causes local excessive tension or soft tissue irritation, which can easily lead to local flap necrosis. The Sanders classification system is used to assess intraarticular calcaneal fractures, which are those involving the posterior facet of the calcaneus. sharing sensitive information, make sure youre on a federal Essex-Lopresti Classification. The dorsal spurs are often associated with achilles Tendinopathy, while spurs under the sole are associated with Plantar fasciitis. The https:// ensures that you are connecting to the Accessibility Would you like email updates of new search results? A piece of bone attached to a ligament or tendon breaks away from the main part of the bone. An avulsion fracture of the tuberosity of the calcaneus is a rare injury that needs to be operated on, preferably on the day of the injury. Calcaneal tuberosity (Achilles tendon avulsion) Intra-articular . CeCT and 18 F-FDG PET were performed within 28 d before treatment initiation, and BS was within 50 d, according to the protocol. official website and that any information you provide is encrypted HHS Vulnerability Disclosure, Help Avulsion fractures of the calcaneal tuberosity are rare, accounting for only 3% of all calcaneal fractures. Fragment size and initial displacement were not associated with revision surgery. Having one leg that is longer than the other. Innovative Fixation Technique for Avulsion Fractures of the Calcaneal Tuberosity. 8600 Rockville Pike Patients older than 70 years are more at risk of these fractures and especially for their skin complications. The https:// ensures that you are connecting to the _____8 problems arise from a lack of blood supply . Hip injury, such as from a fall. Bethesda, MD 20894, Web Policies Copyright 2012 American College of Foot and Ankle Surgeons. Most calcaneal fractures (70%-75%) are intraarticular and result from axial loading that produces shear and compression fracture lines. 2011 Nov;25(11):685-90. doi: 10.1097/BOT.0b013e3181ffe61e. Twenty-nine tuberosity fractures (23 surgical and six nonsurgical) and 37 tongue-type fractures (29 surgical and eight nonsurgical) were treated during the study period. sharing sensitive information, make sure youre on a federal Banerjee R, Chao JC, Taylor R, Siddiqui A. J Am Acad Orthop Surg. A broken wrist or distal radius fracture is an extremely common type of fracture . PMC cy It is important to see your doctor as soon as the accident takes place to prevent more damage.. official website and that any information you provide is encrypted Diagnosis is made radiographically with foot radiographs but CT scan is often needed for full characterization of the fracture. Epub 2017 Apr 15. Greenhagen RM, Highlander PD, Burns PR: Double row anchor fixation: A novel technique for a diabetic calanceal insufficiency avulsion fracture. Essex-Lopresti Classification. Federal government websites often end in .gov or .mil. Prabhakar G, Kusnezov N, Rensing N, Abdelgawad A. Carnero-Martn de Soto P, Bautista-Enrique D, Gmez-Cceres A, Rodrguez-Len A, Bravo-Zurita MJ, Santos-Maraver MT. and transmitted securely. Complete avulsion fracture of the calcaneal tuberosity with very thin osseous fragment resulting in proximal retraction of the achilles tendon from calcaneal attachment. Clin Interv Aging. Beavis et al ( 1) proposed type I to III classification for avulsion fractures of the calcaneal tuberosity. Outcomes of operatively treated calcaneal tuberosity avulsion fractures. This was a retrospective study at a single level 1 trauma center between 2001 and 2019, including patients with calcaneal tuberosity avulsion fractures compared with patients with calcaneal tongue-type fractures. Assessment of Bone Lesions. This is a view taken from the side. Unable to load your collection due to an error, Unable to load your delegates due to an error. The site is secure. Copyright 2021 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Orthopaedic Surgeons. Plantar Medial Avulsion Fragment Associated With Tongue-Type Calcaneus Fractures. Calcaneal tuberosity avulsion fractures often compromise the thin posterior skin that covers the insertion of the Achilles tendon. The calcaneal tuberosity is an essential component of the heel that serves a vital function in the maintenance of the arch of the foot as well as in the buffering of load. Bone marrow edema is seen in the posterior calcaneal tuberosity. Calcaneal avulsion fractures need urgent reduction and internal fixation to prevent skin complications. There are little data published regarding percutaneous fixation of calcaneal tuberosity avulsion fractures, but tongue-type calcaneal fracture literature can be extrapolated to these injuries because they can be considered the extra-articular form of a tongue-type calcaneus fracture. These should be repaired in order to preserve meniscal biomechanics and protect from future chondral. Am J Emerg Med 2008;26:254 e251-254. Would you like email updates of new search results? Read the text and complete the sentences with these words: dangerously blood pressure. Careers. Published by Elsevier Inc. All rights reserved. Reattachment using the suture bridge augmentation for Achilles tendon avulsion fracture with osteoporotic bony fragment. "Bucket handle meniscal tears can be diagnosed on MRI as a double PCL sign on sagittal imaging. Calcaneal tuberosity avulsions are relatively rare, constituting 1-3% of all calcaneal fractures [1-3]. Figure A is a radiograph of a healthy, independent 51-year-old male. However, manipulation under general anesthesia is not necessary to accomplish this procedure. There are little data published regarding percutaneous fixation of calcaneal tuberosity avulsion fractures, but tongue-type calcaneal fracture literature can be extrapolated to these injuries because they can be considered the extra-articular form of a tongue-type calcaneus fracture. MeSH Two dedicated musculoskeletal radiologists . and transmitted securely. Avulsion fractures of the calcaneal tuberosity are common in people of advanced age as well as in sportsmen. PubMed comprises more than 26 million citations for biomedical literature from MEDLINE, life science journals, and online books. In the tuberosity group, 35% experienced some degree of implant failure, with 13% catastrophic loss of reduction and 22% loss of initial reduction with eventual union. This site needs JavaScript to work properly. Comorbid conditions and increased age portend a poor prognosis with a significant association with wound complications and need for additional surgeries. We propose a modified classification scheme that presents the four types of calcaneal avulsion fracture as described by surgical and magnetic resonance imaging (MRI) findings, and evaluation of their specific features. A fracture of the anterior process of the calcaneus can usually be seen on a plain x-ray lateral view of the foot (Figure 3). eCollection 2021. Accessibility Dual Fixation of Calcaneal Tuberosity Avulsion with Concomitant Achilles Tendon Rupture: A Novel Hybrid Technique. They also occur in osteoporosis and hyperparathyroidism. rethinking narcissism test x ben abbott net worth x ben abbott net worth This site needs JavaScript to work properly. Painful problems of the foot, such as a bunion, callas, plantar fasciitis, or Achilles. September 1, 2020. Increasing age, diabetes mellitus, and reduced bone mineral density portend an increased risk of tuberosity avulsion [4, 5]. J Foot Ankle Surg 2018;57:191-195. Design: Clipboard, Search History, and several other advanced features are temporarily unavailable. The https:// ensures that you are connecting to the Calcaneal avulsion fractures need urgent reduction and internal fixation to prevent skin complications. A person who falls with an outstretched arm may experience this fracture. Epub 2016 Nov 17. FOIA FOIA 2008. He is treated with immediate open reduction internal fixation to prevent which of the following complications? When this occurs, the heel can widen, shorten, and become deformed. These injuries are most often sustained through forced dorsiflexion of a maximally plantar-flexed foot [6]. Calcaneus Fractures - Trauma - Orthobullets orthoBULLETS MBBULLETSStep 1For 1st and 2nd Year Med Students MBBULLETSStep 2 & 3For 3rd and 4th Year Med Students ORTHOBULLETSOrthopaedic Surgeons & Providers JOIN NOWLOGIN Home Topics Techniques Cards QBank Evidence Cases Videos Podcasts Groups Products Trauma Spine Shoulder & Elbow Knee & Sports Calcaneal avulsion fracture is an important topic. Case Rep Orthop. Avulsion fracture of the calcaneal tuberosity: a case report and literature review. Unable to load your collection due to an error, Unable to load your delegates due to an error, OBJECTIVES: The goal of this investigation was to determine the incidence of complications and revision surgery after, BACKGROUND: To review the efficacy of lag screw fixation in management of, We presented a new technique for the treatment of, OBJECTIVE: To discuss the operative methods and curative effect of, There are little data published regarding percutaneous fixation of, (avulsion fracture of the calcaneal tuberosity) O - PubMed. Increasing age, diabetes mellitus, and reduced bone mineral density portend an increased risk of tuberosity avulsion [ 4, 5 ]. Superiorly, there are three articular facets covered by hyaline cartilage. This type of fracture commonly occurs during a high-energy event such as a car crash or a fall from a ladder when the heel is crushed under the weight of the body. Calcaneal fractures represent approximately 2% of all fractures, of which 25% to 40% are classified as extra-articular in nature. The severity an ankle avulsion fracture can result in anything from a minor issue to something that requires surgery. 2018 Jan-Feb;57(1):191-195. doi: 10.1053/j.jfas.2017.07.016. The site is secure. We present a case of a closed displaced avulsion fracture of the calcaneal tuberosity due to blunt trauma to the calf in a 74-year-old female. A magnifying glass. For joint depression fracture, wait for swelling to go down before surgery. 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