Is the occurrence of extra-articular calcaneal fractures of the joint depression type related to osteoporosis and aging?

Autor: Park CH; Department of Orthopedic Surgery, College of Medicine, Yeungnam University, Daegu, Republic of Korea. chpark77@yu.ac.kr., Na HD; Department of Orthopaedic Surgery, MS Jaegeon Hospital, Daegu, Republic of Korea., Woo IH; ROKA 7th Artillery Brigade, Namyangju-si, Republic of Korea., Park KH; Severance Children's Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.
Jazyk: angličtina
Zdroj: International orthopaedics [Int Orthop] 2024 Oct; Vol. 48 (10), pp. 2727-2734. Date of Electronic Publication: 2024 Jul 26.
DOI: 10.1007/s00264-024-06253-x
Abstrakt: Purpose: The authors experienced several cases of extra-articular calcaneal fracture accompanied by joint depression involving the entire posterior facet without joint involvement. This type of fracture and its characteristics and treatment outcomes have not been previously reported. The study was performed to analyze the characteristics of extra-articular calcaneal fractures of the joint depression type and their postoperative clinical and radiographic results and complications.
Methods: Between February 2013 and March 2021, 23 extra-articular calcaneal fractures of the joint depression type were consecutively treated by a single surgeon. Relationships between fracture characteristics and patient demographics were assessed. Clinical results were quantified using visual analog scale, American Orthopaedic Foot and Ankle Society ankle-hindfoot scale, and Foot Function Index, radiographic results were evaluated using Böhler's angles, and calcaneal widths were determined using calcaneal axial and lateral radiographs obtained preoperatively and at last follow-up.
Results: Twenty (87%) of the 23 cases occurred in women, and the mean age of all patients was 65.8 years (43-90). The three men were older than 65. Five (21.7%) patients had osteopenia, and 12 (52.2%) had osteoporosis. Bone mineral density testing could not be performed in the other six patients. Clinical and radiographic results were significantly improved after surgery.
Conclusion: Extra-articular calcaneal fractures of the joint depression type are much more common in women and occur at an older age than calcaneal fractures commonly occur. These fractures are also more common in patients with a low bone mineral density.
Level of Evidence: Level IV.
(© 2024. The Author(s) under exclusive licence to SICOT aisbl.)
Databáze: MEDLINE
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