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10세 남자 운동선수에서 발생한 아킬레스건 파열을 동반한 종골 골단의 견열 골절: 증례 보고

Calcaneal Apophyseal Avulsion Fractures with Achilles Tendon Rupture in a 10-Year-Old Patient: A Case Report

  • 이준영 (조선대학교 의과대학 정형외과학교실) ;
  • 박이규 (조선대학교 의과대학 정형외과학교실) ;
  • 임재환 (조선대학교 의과대학 정형외과학교실)
  • Lee, Jun Young (Department of Orthopaedic Surgery, School of Medicine, Chosun University) ;
  • Bak, Yi Gyu (Department of Orthopaedic Surgery, School of Medicine, Chosun University) ;
  • Lim, Jae Hwan (Department of Orthopaedic Surgery, School of Medicine, Chosun University)
  • 투고 : 2017.10.25
  • 심사 : 2018.03.09
  • 발행 : 2018.06.15

초록

Calcaneal apophysitis is a relatively common disease in young athletes. On the other hand, if not treated properly, it can lead to apophyseal avulsion fracture in rare cases. In the case of apophyseal avulsion fractures, it is often necessary to remove or preserve the bone fragment, which often requires a suture of the Achilles tendon. A 10-year-old badminton athlete visited the outpatients' clinic with pain in both heels from 10 months ago without any trauma history. After conservative therapy, the pain in the left heel was relived but the right heel pain persisted. After 10 months of conservative therapy, the patient visited the outpatients' clinic showing a calcaneal apophyseal avulsion fracture with a total rupture of the Achilles tendon. In the operation room, a bone fragment needed to be removed because of its poor viability and the fragment was too thin for fixation. After removing the bone fragment, the ruptured Achilles tendon was fixed with an anchor system.

키워드

참고문헌

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