An Atypical Calcaneal Fracture in a Child: A Literature Review Concerning the Treatment

Abstract

Calcaneal fractures are considered uncommon accounting for 0.005-0.41% of all children fractures. Few reports concerning treatment are available. Most of these fractures are non-displaced/minimally displaced and are associated with a fall of less than 1 m. The aim of this case report was to discuss the diagnosis and treatment of a child calcaneal fracture, an atypical presentation despite the high energy mechanism of trauma. A 7-year-old child fell from a 5-m ladder with all his weight on his right heel. Significantly hind-foot reduced range of motion associated with a lateral/plantar calcaneal swelling and pain was found. Neurovascular examination and other parts of the body were normal. Radiograph showed an undisplaced calcaneal body fracture and computed tomography confirmed no subtalar joint involvement. A splint followed by plaster was applied. Weight bearing and deambulation were not allowed. After 4 weeks, no pain and limping was reported by the child’s parents. Plaster was removed and radiograph showed fracture consolidation. Patient had no complaints of pain, no restrictions in range of motion and normal walking. Limping in children is a difficult complaint to assess. Differential diagnoses of a calcaneal fractures should be performed, even without a history of trauma or a history of trivial trauma.

Diagnosing Sever Disease: Overview Of The Literature

“…One of the hindfoot related problems in childhood or adolescents is heel pain (1). While examining heel pain¸ acute conditions like friction blisters, plantar puncture wound, laceration, contusion, calcaneal fracture and, Achilles tendon rupture, overuse injuries (calcaneal apophysitis, plantar fasciitis, painful heel pad syndrome, Achilles tendinitis, retrocalcaneal bursitis, calcaneal stress fractures), bone conditions (bone cyst or tumors, deformities like tarsal coalition) and infectious or inflam-matory diseases should be kept in mind (2)(3)(4)(5)(6)(7)(8)(9). To discover the exact etiology, careful history and physical examination and appropriate imaging studies should be done.…”