대한족부족관절학회지 (Journal of Korean Foot and Ankle Society)

  • 제19권2호
  • /
  • Pages.73-76
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  • 2015
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  • 1738-3757(pISSN)
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  • 2288-8551(eISSN)
대한족부족관절학회 (Korean Foot & Ankle Society)
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Calcaneal Insufficiency Avulsion Fracture in a Well-Controlled Type 2 Diabetic Patient: A Case Report

  • Kim, Seong-Tae (Department of Orthopaedic Surgery and Traumatology, Cheju Halla General Hospital) ;
  • Moon, Myung-Sang (Department of Orthopaedic Surgery and Traumatology, Cheju Halla General Hospital) ;
  • Kwon, Ki-Tae (Department of Orthopaedic Surgery and Traumatology, Cheju Halla General Hospital) ;
  • Park, Bong-Keun (Department of Orthopaedic Surgery and Traumatology, Cheju Halla General Hospital) ;
  • Ha, Chang Won (Department of Pathology, Cheju Halla General Hospital) ;
  • Ahn, Jungtae (Department of Orthopaedic Surgery and Traumatology, Cheju Halla General Hospital)
  • 투고 : 2014.11.14
  • 심사 : 2015.05.03
  • 발행 : 2015.06.15
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초록

The calcaneal insufficiency avulsion fracture usually occurs in an area of fused apophysis in adults without significant history of trauma or overuse activities. It is an uncommon injury which has been described in patients with complicated diabetes, Charcot neuroarthropathy, amyloidosis with neuropathy, severe osteoporosis, and other conditions. Discussion of the issue of fracture location is still not sufficient. We report on a case of a 50-year-old male who experienced a non-traumatic diabetic calcaneal insufficiency fracture. Intraoperatively, a biopsy specimen was obtained from the exposed fracture site for histological study. We assume that the calcaneal fused apophyseal line is the weak point of failure due to various incomplete mixtures of trabecular bone, woven bone, and cartilaginous tissues, and may fail when repeated tensile stress is imposed.

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참고문헌

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피인용 문헌

  1. The Fate of Fracture Fragment in Diabetic Calcaneal Insufficiency Avulsion Fracture vol.31, pp.2, 2018, https://doi.org/10.11637/kjpa.2018.31.2.65