J Korean Foot Ankle Soc.  2008 Dec;12(2):230-233.

Natural History of the Calcaneal Avulsion Fracture in Neuropathic Arthropathy in a Young Diabetic Patient (A Case Report)

• Ko YC
• Eun IS
• Jung CY
• Kim JW
• Choi HS
• Kim OG

Abstract

The avulsion fracture of the calcaneal tuberosity is rare injury. Usually, it occurs from indirect trauma in old patients with osteoporosis or in patients with diabetic neuropathy. Especially, the bone and joint damage occurred in active patient with severe sensory loss or arthropathy related to nerve damage regardless of the cause is referred to neuropathic arthropathy. Generally, a patient with nondisplacement or minimally displacement is treated by conservative therapy and a patient with severe displacement is treated by open reduction and internal fixation. We experienced a 33 years-old woman with diabetes mellitus who had the displaced avulsion fracture of the calcaneal tuberosity without significant trauma and did not treat. We report upon this case at the 2 years follow-up.

Keyword

Diabetes mellitus; Neuropathic arthropathy; Calcaneal avulsion fracture; Natural history

MeSH Terms

Diabetes Mellitus
Diabetic Neuropathies
Displacement (Psychology)
Female
Follow-Up Studies
Humans
Joints
Natural History
Osteoporosis