Calcaneal Insufficiency Avulsion Fracture in a Well-Controlled Type 2 Diabetic Patient: A Case Report.
10.14193/jkfas.2015.19.2.73
- Author:
Seong Tae KIM
1
;
Myung Sang MOON
;
Ki Tae KWON
;
Bong Keun PARK
;
Chang Won HA
;
Jungtae AHN
Author Information
1. Department of Orthopaedic Surgery and Traumatology, Cheju Halla General Hospital, Jeju, Korea. jtahnos@gmail.com
- Publication Type:Case Report
- Keywords:
Diabetes mellitus;
Calcaneus;
Insufficiency fracture
- MeSH:
Adult;
Amyloidosis;
Biopsy;
Calcaneus;
Diabetes Mellitus;
Fractures, Stress;
Humans;
Male;
Middle Aged;
Osteoporosis
- From:Journal of Korean Foot and Ankle Society
2015;19(2):73-76
- CountryRepublic of Korea
- Language:English
-
Abstract:
The calcaneal insufficiency avulsion fracture usually occurs in an area of fused apophysis in adults without significant history of trauma or overuse activities. It is an uncommon injury which has been described in patients with complicated diabetes, Charcot neuroarthropathy, amyloidosis with neuropathy, severe osteoporosis, and other conditions. Discussion of the issue of fracture location is still not sufficient. We report on a case of a 50-year-old male who experienced a non-traumatic diabetic calcaneal insufficiency fracture. Intraoperatively, a biopsy specimen was obtained from the exposed fracture site for histological study. We assume that the calcaneal fused apophyseal line is the weak point of failure due to various incomplete mixtures of trabecular bone, woven bone, and cartilaginous tissues, and may fail when repeated tensile stress is imposed.
