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Calcaneal fractures in children
J D de Beer1, S Maloon, D A Hudson
1Department of Orthopaedic Surgery, University of Cape Town.
Summary
Pediatric calcaneal fractures are uncommon but require clinical suspicion due to subtle presentations. Despite fracture type, children generally experience an excellent prognosis for these injuries.
Area of Science:
- Orthopedic surgery
- Pediatric orthopedics
- Traumatology
Background:
- Calcaneal fractures are relatively rare in the pediatric population.
- Distinguishing between intra-articular and extra-articular fractures may not significantly impact outcomes in children.
Purpose of the Study:
- To review cases of calcaneal fractures in children.
- To assess the relevance of fracture classification in pediatric cases.
- To highlight diagnostic considerations and prognosis for pediatric calcaneal fractures.
Main Methods:
- Retrospective review of eight pediatric patients with nine calcaneal fractures.
- Analysis of fracture characteristics (intra-articular vs. extra-articular).
Main Results:
- Six intra-articular and three extra-articular fractures were identified.
- The distinction between intra- and extra-articular fractures showed little relevance to treatment or prognosis in this pediatric cohort.
- Subtle clinical presentation necessitates high index of suspicion for diagnosis.
Conclusions:
- Calcaneal fractures in children, though uncommon, have an excellent overall prognosis.
- Early clinical suspicion is crucial for timely diagnosis of pediatric calcaneal fractures.