Pediatric Calcaneal Fracture

- Discussion:
     - in the study by
Ceccarelli, et al, the authors compared surgical and non-surgical treatment of 46 calcaneal fractures in children aged 3-17 years;
            - patients were divided into: Group A ranging 3-14 years and Group B 15-17 years, and classified according to surgical or non-surgical treatment; (mean follow-up was 22.8 years);
            - extra-articular fractures were treated non-surgically and all results were satisfactory;
            - results of articular fractures in Group A were satisfactory regardless of the type of treatment;
            - articular fractures surgically treated in group B were satisfactory, and those non-surgically treated were mainly poor;
            - extra-articular fractures can be treated non-surgically.
            - articular fractures in skeletally immature children can be treated non-surgically; conversely, those in children with skeletal maturity must be treated surgically;
     - in the report by Mora, et al, the authors reviewed 22 skeletally immature patients with 23 calcaneal fractures;
            - 18 (78%) of these fractures were intraarticular and five (22%) were extraarticular;
            - 9 patients were followed for an average of 4.4 years;
            - of these 9 fractures, 8 were treated non-operatively and one was treated with ORIF;
            - 7 of the 9 patients were free of pain, had unrestricted foot function, and possessed no apparent gait abnormalities;
            - the authors point out that the immature talus and calcaneus has a superior capacity to remodel



Calcaneus fracture in the child.

Fractures of the calcaneal apophysis.

Good prognosis after calcaneal fracture in childhood.

Fractures of the os calcis in children.
 
Calcaneal fractures in children. An evaluation of the nature of the injury in 56 children.

Surgical versus non-surgical treatment of calcaneal fractures in children: a long-term results comparative study.

Pediatric calcaneal fractures



Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Friday, January 11, 2013 1:28 pm