Bilateral heel pain in a patient with Diamond–Blackfan anaemia

Charles, Loren; Mehdi, Adil M.S.; Baker, D. A.; Edwards, Megan R.

doi:10.1016/j.foot.2015.03.002

Cited by 3 publications

(1 citation statement)

References 13 publications

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“…Criteria for starting weight-bearing on the heel with a symptomatic calcaneal insufficiency fracture have not yet been reported. Table 1 shows that the periods of nonweight-bearing and criteria for starting weight-bearing has varied between patients (2)(3)(4)(5)(6)(7)(8)11). This is presumably due to differences in each individual's constitution, periods from pathogenesis to consultation, and treatment environment.…”

Section: Discussionmentioning

confidence: 99%

Ideal Timing of Starting Weight-Bearing After Calcaneal Insufficiency Fracture: A Case Report and Review of the Literature

Imamura¹,

Mochizuki²,

Kawakami³

et al. 2016

Arch Trauma Res

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Introduction: Criteria for starting weight-bearing on the heel with a symptomatic calcaneal insufficiency fracture have not yet been reported. Case Presentation: We describe a rare case of a 52-year-old woman with a calcaneal insufficiency fracture who sustained a second ipsilateral calcaneal insufficiency fracture within a short time span. The initial fracture was not evident radiographically, but was detected using magnetic resonance imaging (MRI). The patient rejected our advice to avoid weight-bearing on the heel, instead opting to use a silicone heel orthosis. Although there were no abnormal local findings, the stand on heel test was positive at each subsequent visit until 2 months after her first medical examination. At this time, radiographs showed a sclerotic line; however, a second round of MRI showed a new calcaneal insufficiency fracture anterior to the initial calcaneal insufficiency fracture. The patient then agreed to stop weight-bearing on the heel. Three months after the initial visit, radiographs showed two sclerotic lines, and the stand on heel test became negative for the first time; hence, weight-bearing was permitted. There was radiographic evidence of fracture healing and complete resolution of symptoms 4 months after the initial visit. Conclusions: The callus formation seen on radiographs is helpful in determining when to start weight-bearing; however, fresh insufficiency fractures of the ipsilateral calcaneus may not be detected by radiography. Since local findings such as tenderness, swelling, and heat are subjective, the criteria for starting weight-bearing on the affected heel with an insufficiency fracture should be based on not only radiographs but also objective clinical findings such as the stand on heel test.

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Section: Discussionmentioning

confidence: 99%

Ideal Timing of Starting Weight-Bearing After Calcaneal Insufficiency Fracture: A Case Report and Review of the Literature

Imamura¹,

Mochizuki²,

Kawakami³

et al. 2016

Arch Trauma Res

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Calcaneal insufficiency fractures following total knee arthroplasty: Classification and clinical findings

Yamamoto¹,

Tsukada

Kawai

et al. 2019

Injury

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Analysis of Clinical Presentation and Investigative Findings in Plantar Fasciitis in Teritiary Care Hospital.

Kattoju

akeel²,

Shankar

et al. 2022

IJAR

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Plantar fasciitis is common condition causing severe plantar pain, and the its rst classical striking symptoms and signs are severe plantar pain tenderness of the rst few steps after awakening and causing gait difculty. The early clinical, sonography and laboratory diagnosis conrmation parameters will denitely help in preventing complex plantar fasciitis and its chronicity leading to degeneration, fasciosis and sequalae. The key nding in sonovascular imaging incudes measurement of plantar fascia thickness, echogenicity vascularity and reactive uid. plantar fascial thichkness in mean normal is 0.25 cm and mean abnormal is 0.6 cm suggesting thickness. Above 0.25 cm with associated clinical ndings is signicant and the planning of treatment depends on stage of disease proving the early diagnosis has denite important role in prognosis and follow-up . Aim: To detect and diagnose and establish the Plantar fasciitis. Objectives: Primary objective: Early detection of plantar fasciitis for early intervention in management and preventing the chronicity and its sequelae. Secondary objective: Utilising the signs and symptoms and conrming with sonography, vascular doppler imaging and laboratory data about plantar fasciitis. Site of the study: Department of internal medicine, Department of Radiology and Department of orthopaedics, Apollo Hospitals, Greams road, Chennai-600006. Study period: March 2021 to March 2022 Inclusion criteria: Patients with early morning plantar pain and-clinically suspicious plantar facial minor repitative injury with and with out history of co morbidities. Exclusion criteria: fractures, ischaemic changes, infective abscess.

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Bilateral heel pain in a patient with Diamond–Blackfan anaemia

Cited by 3 publications

References 13 publications

Ideal Timing of Starting Weight-Bearing After Calcaneal Insufficiency Fracture: A Case Report and Review of the Literature

Ideal Timing of Starting Weight-Bearing After Calcaneal Insufficiency Fracture: A Case Report and Review of the Literature

Calcaneal insufficiency fractures following total knee arthroplasty: Classification and clinical findings

Analysis of Clinical Presentation and Investigative Findings in Plantar Fasciitis in Teritiary Care Hospital.

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