Calcaneal Insufficiency Avulsion Fracture in a Well-Controlled Type 2 Diabetic Patient: A Case Report
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The calcaneal insufficiency avulsion fracture usually occurs in an area of fused apophysis in adults without significant history of trauma or overuse activities. It is an uncommon injury which has been described in patients with complicated diabetes, Charcot neuroarthropathy, amyloidosis with neuropathy, severe osteoporosis, and other conditions. Discussion of the issue of fracture location is still not sufficient. We report on a case of a 50-year-old male who experienced a non-traumatic diabetic calcaneal insufficiency fracture. Intraoperatively, a biopsy specimen was obtained from the exposed fracture site for histological study. We assume that the calcaneal fused apophyseal line is the weak point of failure due to various incomplete mixtures of trabecular bone, woven bone, and cartilaginous tissues, and may fail when repeated tensile stress is imposed
Abstract
The calcaneal insufficiency avulsion fracture usually occurs in an area of fused apophysis in adults without significant history of trauma or overuse activities. It is an uncommon injury which has been described in patients with complicated diabetes, Charcot neuroarthropathy, amyloidosis with neuropathy, severe osteoporosis, and other conditions. Discussion of the issue of fracture location is still not sufficient. We report on a case of a 50-year-old male who experienced a non-traumatic diabetic calcaneal insufficiency fracture. Intraoperatively, a biopsy specimen was obtained from the exposed fracture site for histological study. We assume that the calcaneal fused apophyseal line is the weak point of failure due to various incomplete mixtures of trabecular bone, woven bone, and cartilaginous tissues, and may fail when repeated tensile stress is imposed
참고문헌 (9)
- Biehl WC 3rd, "Neuropathic calcaneal tuberosity avulsion fractures", Clin Orthop Relat Res, 296, pp.8~13 (1993)
- Johnson JE, "Levin and O'Neal's the diabetic foot", pp.2008, Mosby
- Wren TA, "Influence of bone mineral density, age, and strain rate on the failure mode of human Achilles tendons", Clin Biomech(Bristol, Avon), 16, pp.529~534 (2001)
- Miki T, "Calcaneal stress fracture: an adverse event following total hip and total knee arthroplasty: a report of five cases", J Bone Joint Surg Am, 96, pp.e9~ (2014)
- Sang-Myung Lee, "Avulsion Fracture of the Calcaneal Tuberosity: Classifi cation and Its Characteristics", Clinics in Orthopedic Surgery, 4(2), pp.134~138 (2012), 대한정형외과학회
- Grey A, "Textbook of diabetes", pp.789~806 (2010), Wiley-Blackwell
- Cundy TF, "Osteopenia and metatarsal fractures in diabetic neuropathy", Diabet Med, 2, pp.461~464 (1985)
- Mascarenhas JV, "Pathogenesis and medical management of diabetic Charcot neuroarthropathy", Med Clin North Am, 97, pp.857~872 (2013)
- Viguet-Carrin S, "The role of collagen in bone strength", Osteoporos Int, 17, pp.319~336 (2006)