足と足首の臨床研究

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Intra-Articular Calcaneal Fracture in Patient of 11 Years, What Treatment is the Most Adequate?

Peña Fernández MP, Quijada Rodríguez JL

Calcaneal fractures in children are uncommon injuries. Most of such injuries are due to low impact traumas, and are usually slightly displaced and extra-articular. However, in the case of high impact trauma (a fall from a high place or a traffic accident), displaced intra-articular injuries can occur. Currently, there is no consensus about the most appropriate treatment for such injuries. We present the case of an 11-year-old patient who suffered a fall from 2 m high, having pain and functional impotence in the left foot. After a radiological study by simple radiography and CT, he is diagnosed of intra-articular fracture of displaced calcaneus. It was decided to apply a conservative treatment by immobilization and discharge during 8 weeks, obtaining satisfactory clinical and functional results after more than one year of follow-up.