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Osteonecrosis of the calcaneum in a heart transplant recipient
F U Huwez1, P R Belcher, V L Pathi
1University Department of Cardiac Surgery, Royal Infirmary, Glasgow, Scotland.
The Thoracic and Cardiovascular Surgeon
|August 1, 1997
Insights
Avascular necrosis rarely affects the calcaneum in transplant recipients. This study documents this rare complication and its successful conservative management, showing no long-term issues.
Area of Science:
- Orthopedics
- Transplant Medicine
- Radiology
Background:
- Avascular necrosis (AVN) is a known complication in transplant recipients, affecting approximately 3% of this population.
- Lower limb involvement typically includes the femoral heads or condyles.
- The calcaneum is an unusual site for AVN.
Observation:
- This report details a previously undocumented case of avascular necrosis affecting the calcaneum in a transplant recipient.
- The patient presented with symptoms indicative of calcaneal bone compromise.
Findings:
- Conservative management strategies were implemented for the calcaneal avascular necrosis.
- The condition resolved successfully with this non-invasive approach.
Implications:
- This case expands the known spectrum of avascular necrosis presentation in transplant patients.
- Conservative management may be a viable and effective treatment option for calcaneal AVN, avoiding surgical intervention.
- Highlights the importance of considering rare sites for AVN in transplant recipients.
Abstract:
Avascular necrosis affects 3% of transplant recipients. In the lower limb, the femoral heads or condyles may be involved. We report the hitherto unrecorded complication of avascular necrosis of the calcaneum. Conservative management resulted in resolution without long-term complications.