Cargando…

Open tuber calcaneus fracture caused by a meat cleaver: A case report

INTRODUCTION: Avulsion fractures of the tuber calcanei classically occur after falling on the foot, due to the forced dorsiflexion and the sudden contraction of the Achilles tendon. Direct trauma to the back of the leg and a direct penetrating injury are also infrequent causes and may be observed pr...

Descripción completa

Detalles Bibliográficos
Autores principales: Tuna, Serkan, Duymus, Tahir Mutlu, Mutlu, Serhat, Ketenci, Ismail Emre
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4624570/
https://www.ncbi.nlm.nih.gov/pubmed/26587228
http://dx.doi.org/10.1016/j.amsu.2015.07.003
_version_ 1782397816213078016
author Tuna, Serkan
Duymus, Tahir Mutlu
Mutlu, Serhat
Ketenci, Ismail Emre
author_facet Tuna, Serkan
Duymus, Tahir Mutlu
Mutlu, Serhat
Ketenci, Ismail Emre
author_sort Tuna, Serkan
collection PubMed
description INTRODUCTION: Avulsion fractures of the tuber calcanei classically occur after falling on the foot, due to the forced dorsiflexion and the sudden contraction of the Achilles tendon. Direct trauma to the back of the leg and a direct penetrating injury are also infrequent causes and may be observed predominantly in younger patients. PRESENTATION OF CASE: We present a case of an open tuber calcaneus fracture resulting from a penetrating trauma in a 37-year-old patient. The fracture was reduced through the open wound and fixed using two cannulated screws. Bone union was radiologically and clinically observed at the end of the first year. DISCUSSION: During a physical altercation, the posterior of the patient's heel was struck directly with a meat cleaver. The position of the patient during the trauma can be considered to have increased the severity and depth of the injury. In addition, even though the injury radiologically resembled an avulsion fracture and was caused by direct trauma, the fact that it was open and that the mechanism of injury differed from the norm means that it should not be evaluated as a classic avulsion fracture in the full sense. Emergency open reduction and internal fixation were applied to an open calcaneal tuberosity fracture, and the patient was started on intravenous antibiotic therapy. CONCLUSION: Surgical techniques are successful in the treatment of open tuber calcanei fractures and an open intervention is usually required. Using cannulated screws is a good treatment option.
format Online
Article
Text
id pubmed-4624570
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-46245702015-11-19 Open tuber calcaneus fracture caused by a meat cleaver: A case report Tuna, Serkan Duymus, Tahir Mutlu Mutlu, Serhat Ketenci, Ismail Emre Ann Med Surg (Lond) Case Report INTRODUCTION: Avulsion fractures of the tuber calcanei classically occur after falling on the foot, due to the forced dorsiflexion and the sudden contraction of the Achilles tendon. Direct trauma to the back of the leg and a direct penetrating injury are also infrequent causes and may be observed predominantly in younger patients. PRESENTATION OF CASE: We present a case of an open tuber calcaneus fracture resulting from a penetrating trauma in a 37-year-old patient. The fracture was reduced through the open wound and fixed using two cannulated screws. Bone union was radiologically and clinically observed at the end of the first year. DISCUSSION: During a physical altercation, the posterior of the patient's heel was struck directly with a meat cleaver. The position of the patient during the trauma can be considered to have increased the severity and depth of the injury. In addition, even though the injury radiologically resembled an avulsion fracture and was caused by direct trauma, the fact that it was open and that the mechanism of injury differed from the norm means that it should not be evaluated as a classic avulsion fracture in the full sense. Emergency open reduction and internal fixation were applied to an open calcaneal tuberosity fracture, and the patient was started on intravenous antibiotic therapy. CONCLUSION: Surgical techniques are successful in the treatment of open tuber calcanei fractures and an open intervention is usually required. Using cannulated screws is a good treatment option. Elsevier 2015-07-18 /pmc/articles/PMC4624570/ /pubmed/26587228 http://dx.doi.org/10.1016/j.amsu.2015.07.003 Text en © 2015 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Tuna, Serkan
Duymus, Tahir Mutlu
Mutlu, Serhat
Ketenci, Ismail Emre
Open tuber calcaneus fracture caused by a meat cleaver: A case report
title Open tuber calcaneus fracture caused by a meat cleaver: A case report
title_full Open tuber calcaneus fracture caused by a meat cleaver: A case report
title_fullStr Open tuber calcaneus fracture caused by a meat cleaver: A case report
title_full_unstemmed Open tuber calcaneus fracture caused by a meat cleaver: A case report
title_short Open tuber calcaneus fracture caused by a meat cleaver: A case report
title_sort open tuber calcaneus fracture caused by a meat cleaver: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4624570/
https://www.ncbi.nlm.nih.gov/pubmed/26587228
http://dx.doi.org/10.1016/j.amsu.2015.07.003
work_keys_str_mv AT tunaserkan opentubercalcaneusfracturecausedbyameatcleaveracasereport
AT duymustahirmutlu opentubercalcaneusfracturecausedbyameatcleaveracasereport
AT mutluserhat opentubercalcaneusfracturecausedbyameatcleaveracasereport
AT ketenciismailemre opentubercalcaneusfracturecausedbyameatcleaveracasereport