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Calcaneal fractures in children
S Inokuchi1, N Usami, E Hiraishi
1Department of Orthopaedic Surgery, School of Medicine, Keio University, Tokyo, Japan.
Journal of Pediatric Orthopedics
|July 14, 1998
Summary
Pediatric calcaneal fractures, though rare, present differently than adult fractures, often being extraarticular. Early diagnosis is crucial as these fractures can be missed in children, impacting treatment and prognosis.
Area of Science:
- Orthopedic Surgery
- Pediatric Orthopedics
- Traumatology
Background:
- Calcaneal fractures are common in adults but considered rare in pediatric populations.
- Understanding pediatric calcaneal fracture characteristics is essential for accurate diagnosis and management.
- This study focuses on pediatric calcaneal fractures occurring before the closure of the distal tibial growth line.
Observation:
- Eighteen cases (20 feet) of pediatric calcaneal fractures were analyzed.
- A significant majority (60%) were extraarticular fractures.
- Intraarticular fractures with displacement were less common (20%).
Findings:
- Pediatric calcaneal fractures exhibit a higher proportion of extraarticular injuries compared to adults.
- Surgical intervention was performed in cases of significantly displaced avulsion fractures and intraarticular fractures.
- Good outcomes were observed in all treated cases, including those managed surgically.
Implications:
- The rarity of pediatric calcaneal fractures may stem from underdiagnosis; diagnostic vigilance is recommended.
- Treatment and prognosis may differ between pediatric and adult calcaneal fractures.
- Further research into pediatric calcaneal fracture management is warranted.