Schindler A, Mason D E, Allington N J
Alfred I. duPont Institute, Wilmington, Delaware, USA.
J Pediatr Orthop. 1996 Mar-Apr;16(2):201-5. doi: 10.1097/00004694-199603000-00013.
Five children 14-33 months of age were treated for calcaneal fractures. All had a history of trauma with limping or refusal to walk. Physical examination could not localize the fracture. Initial radiographs were negative. There were no signs of systemic illness. They were treated with long-leg casts. Radiographs after 2 weeks revealed an arc of sclerosis across the tuberosity of the calcaneus. In no case was a bone scan instrumental in making the diagnosis. Awareness of calcaneal fractures in the child younger than 36 months can prevent the routine use of bone scans to make the diagnosis.
5名年龄在14至33个月的儿童接受了跟骨骨折治疗。所有患儿都有外伤史，伴有跛行或拒绝行走。体格检查无法确定骨折部位。最初的X线片结果为阴性。没有全身疾病的迹象。他们接受了长腿石膏固定治疗。2周后的X线片显示跟骨结节处有一条硬化弧线。在任何病例中，骨扫描对诊断均无帮助。认识到36个月以下儿童的跟骨骨折情况可避免常规使用骨扫描来进行诊断。
