10세 남자 운동선수에서 발생한 아킬레스건 파열을 동반한 종골 골단의 견열 골절: 증례 보고
Calcaneal Apophyseal Avulsion Fractures with Achilles Tendon Rupture in a 10-Year-Old Patient: A Case Report
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Calcaneal apophysitis is a relatively common disease in young athletes. On the other hand, if not treated properly, it can lead to apophyseal avulsion fracture in rare cases. In the case of apophyseal avulsion fractures, it is often necessary to remove or preserve the bone fragment, which often requires a suture of the Achilles tendon. A 10-year-old badminton athlete visited the outpatients’ clinic with pain in both heels from 10 months ago without any trauma history. After conservative therapy, the pain in the left heel was relived but the right heel pain persisted. After 10 months of conservative therapy, the patient visited the outpatients’ clinic showing a calcaneal apophyseal avulsion fracture with a total rupture of the Achilles tendon. In the operation room, a bone fragment needed to be removed because of its poor viability and the fragment was too thin for fixation. After removing the bone fragment, the ruptured Achilles tendon was fixed with an anchor system.
Abstract
Calcaneal apophysitis is a relatively common disease in young athletes. On the other hand, if not treated properly, it can lead to apophyseal avulsion fracture in rare cases. In the case of apophyseal avulsion fractures, it is often necessary to remove or preserve the bone fragment, which often requires a suture of the Achilles tendon. A 10-year-old badminton athlete visited the outpatients’ clinic with pain in both heels from 10 months ago without any trauma history. After conservative therapy, the pain in the left heel was relived but the right heel pain persisted. After 10 months of conservative therapy, the patient visited the outpatients’ clinic showing a calcaneal apophyseal avulsion fracture with a total rupture of the Achilles tendon. In the operation room, a bone fragment needed to be removed because of its poor viability and the fragment was too thin for fixation. After removing the bone fragment, the ruptured Achilles tendon was fixed with an anchor system.
참고문헌 (8)
- Schmidt TL, "Calcaneal fractures in children. An evaluation of the nature of the injury in 56 children", Clin Orthop Relat Res, (171), pp.150~155 (1982)
- Mooney V, "Avulsion of the epiphysis of the os calcis", J Bone Joint Surg, 17, pp.1056~1057 (1935)
- Fernandez JA, "Epiphysiolysis of the great tuberosity of the calcaneum", J Bone Joint Surg Br, 71, pp.321~ (1989)[DOI]
- Imai Y, "Calcaneal apophyseal avulsion fracture", Arch Orthop Trauma Surg, 127, pp.331~333 (2007)[DOI]
- Lee KT, "Neglected Sever's disease as a cause of calcaneal apophyseal avulsion fracture: case report", Foot Ankle Int, 31, pp.725~728 (2010)[DOI]
- Cole RJ, "Avulsion fracture of the tuberosity of the calcaneus in children. A report of four cases and review of the literature", J Bone Joint Surg Am, 77, pp.1568~1571 (1995)[DOI]
- Paley KJ, "Severe displacement of a calcaneal apophyseal fracture", J Foot Ankle Surg, 33, pp.180~183 (1994)
- Ogden JA, "Sever's injury: a stress fracture of the immature calcaneal metaphysis", J Pediatr Orthop, 24, pp.488~492 (2004)[DOI]
