Nonunion of the calcaneum is a rare clinical situation, and it has not been observed in the pediatric age group. The authors hereby report a case of 14-year-old boy with a 6-month history of fall, treated by native bone setters by a below knee splint who had radio-logic evidence of calcaneal nonunion. He was treated by open reduction and internal fixation during which soft tissue interposition was seen intraoperatively. The fracture united uneventfully in 8 weeks after the surgical treatment. Histological analysis of the soft tissue showed the interposition of a cartilaginous fragment.
Buckley R., Tough S., McCormack R., et al. Operative compared with non operative treatment of displaced intra-articular calcaneal fractures: a prospective, randomized, controlled multicenter trial. J Bone Joint Surg Am. 2002 ;84-A:1733-1744.
2.
Molloy AP, Myerson MS, Yoon P.Symptomatic non-union after fracture of the calcaneum. Demographics and treatment . J Bone Joint Surg Br. 2007;89: 1218-1224.
3.
Essex-Lopresti P.The mechanism, reduction techniques, and results in fractures of the os calcis. Br J Surg. 1952;39:395-419.
4.
Inokuchi S., Usami N., Hiraishi E., Hashimoto T.Calcaneal fractures in children. J Pediatr Orthop. 1998;18:469-474.
5.
Schepers T., Patka P.Calcaneal nonunion: three cases and a review of the literature. Arch Orthop Trauma Surg. 2008; 128:735-738.
6.
Caputo AE, Burton KJ, Cohen MS, King GJArticular cartilage injuries of the capitellum interposed in radial head fractures: a report of ten cases. J Shoulder Elbow Surg. 2006;15:716-720.
7.
Tejweni N., DiGiovanni C., Kuo R., et al. Fractures of the os calcis in children: a study of 43 fractures . Paper presented at: The 67th Annual Meeting of the American Academy of Orthopaedic Surgeons; March 15-19, 2000; Orlando, FL.
8.
Schmidt TL, Weiner DSCalcaneal fractures in children: an evaluation of the nature of the injury in 56 children. Clin Orthop Relat Res. 1982 ;(171):150-155.
