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Updated: Jul 16, 2026
10:08
Pseudofracture: An Acute Peripheral Tissue Trauma Model
Published on: April 18, 2011
Calcaneal apophyseal avulsion fracture
Yuuki Imai1, Toshio Kitano, Keisuke Nakagawa
1Department of Orthopaedic Surgery, Osaka City University Graduate School of Medicine, 1-4-3 Asahimachi, Abenoku, Osaka 5458585, Japan.
Archives of Orthopaedic and Trauma Surgery
|March 22, 2007
Summary
This study details a rare calcaneal apophysis fracture in a child, successfully treated with surgery. Magnetic resonance imaging (MRI) confirmed the acute injury, leading to a full recovery with restored strength and motion.
Area of Science:
- Pediatric Orthopedics
- Sports Medicine
- Radiology
Background:
- Isolated calcaneal apophysis fractures are uncommon in pediatric patients.
- Avulsion fractures of the calcaneal apophysis can result from athletic activities.
Observation:
- A 9-year-old female gymnast presented with acute heel pain and a displaced calcaneal apophyseal avulsion fracture.
- Magnetic resonance imaging (MRI) was crucial in differentiating the acute injury from chronic changes.
Findings:
- The child underwent successful open reduction and internal fixation using bioabsorbable suture tacks, pins, and tension band wiring.
- At 2.5 years post-surgery, the patient achieved full range of motion and complete return of strength.
Implications:
- This case highlights the efficacy of surgical intervention for displaced calcaneal apophyseal avulsion fractures in children.
- The study represents the first reported case of such an injury evaluated and treated with MRI guidance.
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