© 2001 the Emergency Medicine Journal
Emergency casebook
A misdiagnosed fracture of the calcaneum
Warwick General Hospital, Lakin Road, Warwick CV34 5BW
Correspondence to:
Correspondence to: Dr Cutts (stevenfrcs@hotmail.com)
Seven days later in clinic, it was noted that the presumed defect in the Achilles tendon was unusually low and appeared to be demarcated by bone both above and below. Plain radiographs confirmed an avulsion fracture of the calcaneum (fig 1
). This was successfully treated by open reduction with internal fixation. Subsequently, dual x ray absorptiometry showed that the patient's
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