Avulsion fracture of the calcaneal tuberosity

Case contributed by A.Prof Frank Gaillard

Avulsion fracture at the insertion of the Achilles tendon, with marked separation of fragments. 

Case Discussion

Avulsion fractures of the calcaneal tuberosity are rare, accounting for only 3% of all calcaneal fractures. There is a strong association with diabetes, where they may occur spontaneously, and are thought to be due to peripheral neuropathy. They also occur in osteoporosis and hyperparathyroidism. Treatment is typically with open reduction and internal fixation, although minimally displaced fractures may be treated in a closed fashion.

Credit: Laughlin Dawes, Sue Bachelor

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Case information

rID: 35974
Case created: 24th Apr 2015
Last edited: 26th Oct 2015
Inclusion in quiz mode: Included

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