Natural History of the Calcaneal Avulsion Fracture in Neuropathic Arthropathy in a Young Diabetic Patient (A Case Report).
- Author:
Young Chul KO
1
;
Il Soo EUN
;
Chul Young JUNG
;
Jin Wan KIM
;
Hyeon Soo CHOI
;
Ok Gul KIM
Author Information
1. Department of Orthopedic Surgery, Busan Medical Center, Busan, Korea. dreun7@hanmail.net
- Publication Type:Case Report
- Keywords:
Diabetes mellitus;
Neuropathic arthropathy;
Calcaneal avulsion fracture;
Natural history
- MeSH:
Diabetes Mellitus;
Diabetic Neuropathies;
Displacement (Psychology);
Female;
Follow-Up Studies;
Humans;
Joints;
Natural History;
Osteoporosis
- From:Journal of Korean Foot and Ankle Society
2008;12(2):230-233
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The avulsion fracture of the calcaneal tuberosity is rare injury. Usually, it occurs from indirect trauma in old patients with osteoporosis or in patients with diabetic neuropathy. Especially, the bone and joint damage occurred in active patient with severe sensory loss or arthropathy related to nerve damage regardless of the cause is referred to neuropathic arthropathy. Generally, a patient with nondisplacement or minimally displacement is treated by conservative therapy and a patient with severe displacement is treated by open reduction and internal fixation. We experienced a 33 years-old woman with diabetes mellitus who had the displaced avulsion fracture of the calcaneal tuberosity without significant trauma and did not treat. We report upon this case at the 2 years follow-up.