Department of Orthopedics, Guangzhou Institute of Traumatic Surgery, Guangzhou Red Cross Hospital, Medical College, Jinan University, Guangzhou, China.
Department of Orthopedics, Guangzhou Institute of Traumatic Surgery, Guangzhou Red Cross Hospital, Medical College, Jinan University, Guangzhou, China.
Injury. 2024 Feb;55(2):111207. doi: 10.1016/j.injury.2023.111207. Epub 2023 Nov 14.
Calcaneal tuberosity avulsion fracture, an extra-articular injury, is a rare fracture caused internally by Achilles tendon driven following intense contraction of gastrocnemius-soleus complex, and externally by low-energy (possibly high-energy). Moreover, the risk of injuries of the skin and Achilles tendon around calcaneal tuberosity is closely related to Lee classification and Carnero-Martín de Soto Classification of calcaneal tuberosity avulsion fracture. Although the diagnosis confirmed by X-ray, digital imaging and computed tomography (CT), magnetic resonance imaging (MRI) should also be used to evaluate soft tissue. In recent years, the understanding of this fracture has witnessed the development of different internal fixation devices and surgical procedures. These advances have been further elaborated scientifically in terms of their ability to provide stable fracture reduction ad resistance to Achilles tendon forces. In order to obtain a comprehensive knowledge of the disease, this article reviewed the new understanding of the anatomy, typing, risk factors, and treatment modalities of calcaneal tuberosity avulsion fracture in recent years.
跟腱止点撕脱骨折，一种关节外损伤，是一种罕见的骨折，由跟腱在腓肠肌-比目鱼肌复合体强烈收缩时的内部驱动以及低能（可能高能）的外部驱动引起。此外，跟腱止点周围皮肤和跟腱损伤的风险与 Lee 分类和 Carnero-Martín de Soto 分类密切相关。尽管 X 射线、数字成像和计算机断层扫描（CT）可以确诊，但磁共振成像（MRI）也应该用于评估软组织。近年来，对这种骨折的认识见证了不同内固定装置和手术程序的发展。这些进展在提供稳定的骨折复位和抵抗跟腱力方面的能力方面得到了更科学的阐述。为了全面了解这种疾病，本文综述了近年来跟腱止点撕脱骨折的解剖学、分型、危险因素和治疗方法的新认识。
