Avulsion Fracture of the Calcaneal Tuberosity: Case Report and Literature Review

Rauer, Thomas; Twerenbold, Raphael; Flückiger, Roman; Neuhaus, Valentin

doi:10.1053/j.jfas.2017.07.016

Cited by 13 publications

(7 citation statements)

References 28 publications

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“…The variations in injury mechanisms between the two groups could impact the occurrence of TFCC injuries [28]. Additionally, avulsion fractures in areas like calcaneal tuberosity exhibit peak incidence in elderly patients and are associated with decreased BMD [41,42]. Similarly, in osteoporotic patients, when TFCC injury occurs predominantly on the volar aspect of the forearm during a fall with an outstretched arm, where torsional forces are applied, it is possible that the compromised bone quality may lead to the occurrence of fragile fractures rather than ligament injuries.…”

Section: Discussionmentioning

confidence: 99%

Fracture Severity and Triangular Fibrocartilage Complex Injury in Distal Radius Fractures with or without Osteoporosis

Lee,

Kim,

Lee

et al. 2024

JCM

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The purpose of this study was to investigate the fracture morphology of distal radius fractures (DRFs) with the status of triangular fibrocartilage complex (TFCC) foveal insertion in patients with or without osteoporosis and to identify the relationship between osteoporosis and foveal tear. Seventy-five patients who underwent surgery for DRF from January 2021 to September 2023 were included. All patients were evaluated by standard radiography and dual-energy X-ray absorptiometry and underwent a 3.0 T magnetic-resonance imaging examination of the involved wrist to identify TFCC foveal tear. Patients were allocated into two groups according to the presence of osteoporosis: patients with osteoporosis (group I) and those without osteoporosis (group II). Group I showed a significantly larger displacement of fractures compared to group II (radial inclination; 13.7 ± 5.4 vs. 17.9 ± 4.2; p < 0.001, dorsal angulation; 22.2 ± 12.1 vs. 16.5 ± 9.4; p = 0.024, ulnar variance; 4.15 ± 2.1 vs. 2.2 ± 1.9; p < 0.001). Dorsal angulation and ulnar variance were found to be independent prognostic factors for TFCC foveal tear in logistic regression analysis. Displacement of fractures was related to osteoporosis, and dorsal angulation and ulnar variance were independent prognostic factors for TFCC foveal tear. However, osteoporosis was not identified as a factor associated with TFCC foveal tears.

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Section: Discussionmentioning

confidence: 99%

Fracture Severity and Triangular Fibrocartilage Complex Injury in Distal Radius Fractures with or without Osteoporosis

Lee,

Kim,

Lee

et al. 2024

JCM

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“…Lag screw fixation is a most common surgical procedure [ 13 , 14 ]. However, this procedure is difficult to fix bone fragments rigidly enough to resist the tensile force of the gastrocnemius–soleus complex when bone fragments are small and osteoporotic [ 1 , 7 , 8 ]. Squires et al.…”

Section: Discussionmentioning

confidence: 99%

Avulsion fracture of the calcaneal tuberosity treated with novel surgical technique using the combination of the side-locking loop suture technique and ring pins: a case report

Morimoto

Tachibana

Iseki

2023

Journal of Surgical Case Reports

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A 78-year-old woman complained of right heel pain when tripping during walking. Radiographs revealed an avulsion fracture of the calcaneal tuberosity. Because the bone fragment was displaced, a novel osteosynthesis using the side-locking loop suture (SLLS) and ring pins was performed. At 3 months after the surgery, non-contrast computed tomography revealed complete bone union. At 2 years postoperatively, she had no symptoms and dysfunctions. Here, we describe a case of avulsion fracture of the calcaneal tuberosity in a 79-year-old female who treated with a novel surgical technique using combination the SLLS technique and ring pins. This surgical technique may be a useful option in the treatment for avulsion fractures of the calcaneal tuberosity.

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“…Fracture of the calcaneus is a common fracture usually caused by falling from a height, landing on the heel, and vertical force to the heel. As a result, excessive swelling of the heel, the shallowing of the posterior sulcus of the ankle, and the compression as well as pain of the heel occur [14,15]. The patients with fracture of the calcaneus with the calcaneal articular surface unaffected and inconspicuous displacement can be performed with nonoperative external fixation [16].…”

Section: Discussionmentioning

confidence: 99%

Treatment of Fracture of the Calcaneus via Bone Axial X-Ray Image-Based Minimally Invasive Approach

Xiao

Xin

et al. 2022

Computational and Mathematical Methods in Medicine

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To discuss the values of two bone axial X-ray image-based minimally invasive approach surgeries in the diagnosis and treatment of fracture of the calcaneus, 80 patients diagnosed with fracture of the calcaneus by bone axial X-ray examination were selected and divided equally into the minimally invasive longitudinal approach (MILA) group (40 cases) and the sinus tarsal approach (STA) group (40 cases). Besides, the duration of operation, the incidence of complications, the time-to-start weight training, and the American Orthopaedic Foot and Ankle Society (AOFAS) foot function scoring system between the patients in the two groups were compared. The results showed that the duration of operation and incidence of complications among the patients in the MILA group ( 42.87 ± 5.12 minutes, 20%) were both superior to those among the patients in the STA group ( 60.43 ± 7.31 minutes, 32.5%). The time-to-start weight training in the MILA group was 5.2 weeks, which was obviously shorter than that in the STA group (5.7 weeks). The difference in AOFAS scores between the two groups was not significant. The walking pavement score in the MILA group ( 4.2 ± 0.37 points) was slightly higher than that in the STA group ( 3.3 ± 0.45 points), and the differences demonstrated statistical meaning ( P < 0.05 ). To sum up, the bone axial X-ray image is an essential examination method of diagnosing fracture of the calcaneus. The two minimally invasive methods both showed good clinical therapeutic effects. The operation of MILA was relatively shorter with fewer complications and is worthy of being promoted as an effective treatment method of fracture of the calcaneus.

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Avulsion Fracture of the Calcaneal Tuberosity: Case Report and Literature Review

Cited by 13 publications

References 28 publications

Fracture Severity and Triangular Fibrocartilage Complex Injury in Distal Radius Fractures with or without Osteoporosis

Fracture Severity and Triangular Fibrocartilage Complex Injury in Distal Radius Fractures with or without Osteoporosis

Avulsion fracture of the calcaneal tuberosity treated with novel surgical technique using the combination of the side-locking loop suture technique and ring pins: a case report

Treatment of Fracture of the Calcaneus via Bone Axial X-Ray Image-Based Minimally Invasive Approach

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