• 1.

    Weber JM, Vidt LG, Gehl RS, et al: Calcaneal stress fractures. Clin Podiatr Med Surg 22: 45, 2005.

  • 2.

    van Oostwaard M: “Osteoporosis and the Nature of Fragility Fracture: An Overview,” in Fragility Fracture Nursing: Holistic Care and Management of the Orthogeriatric Patient, edited by Hertz K, Santy-Tomlinson J, Springer, 2018.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3.

    Arni D, Lambert V, Delmi M, et al: Insufficiency fracture of the calcaneum: Sonographic findings. J Clin Ultrasound 37: 424 2009.

  • 4.

    Serrano S, Figueiredo P, Páscoa Pinheiro J: Fatigue fracture of the calcaneus: From early diagnosis to treatment: A case report of a triathlon athlete. Am J Phys Med Rehabil 95: e79, 2016.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    Michael JP, Springorum H, Okrassa M, et al: Fatigue fracture of the calcaneus - a rare occurrence. Z Rheumatol 68: 340, 2009.

  • 6.

    Baumbach SF, Pfahler V, Bechtold-Dalla Pozza S, et al: How we manage bone marrow edema-an interdisciplinary approach. J Clin Med 9: 551, 2020.

  • 7.

    Oehler N, Mussawy H, Schmidt T, et al: Identification of vitamin D and other bone metabolism parameters as risk factors for primary bone marrow oedema syndrome. BMC Musculoskelet Disord 19: 451, 2018.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 8.

    Ma S, Goh EL, Jin A, et al: Long-term effects of bisphosphonate therapy: perforations, microcracks and mechanical properties. Sci Rep 7: 43399, 2017.

  • 9.

    Barp EA, Hall JL, Reese ER, et al: Subchondroplasty of the foot: Two case reports. J Foot Ankle Surg 58: 989, 2019.

  • 10.

    Bernhard K, Ng A, Kruse D, et al: Surgical treatment of bone marrow lesion associated with recurrent plantar fasciitis: A case report describing an innovative technique using subchondroplasty®. J Foot Ankle Surg 57: 811, 2018.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11.

    McWilliams GD, Yao L, Simonet LB, et al: Subchondroplasty of the ankle and hindfoot for treatment of osteochondral lesions and stress fractures: Initial imaging experience. Foot Ankle Spec 13: 306, 2020.

    • PubMed
    • Search Google Scholar
    • Export Citation

Percutaneous Injection of Calcium Phosphate Bone Substitute into a Chronic Calcaneal Bone Marrow Lesion Associated with a Fragility/Insufficiency Fracture: A Case Report

Tarak H. Amin Westside Regional Medical Center Reconstructive Foot and Ankle Fellowship, Plantation, FL

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Clive Woods Westside Regional Medical Center Reconstructive Foot and Ankle Fellowship, Plantation, FL

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Warren Windram Westside Regional Medical Center Reconstructive Foot and Ankle Fellowship, Plantation, FL

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Pathologic fractures and marrow lesions of bones in the human foot and ankle can occur secondary to a variety of risk factors. The calcaneus is a rearfoot bone that provides support during weightbearing activities and walking. Although low-risk stress injuries to the bones in the foot and ankle are predominantly treated conservatively in low-demand patients, there are situations where surgical intervention is warranted. Surgical treatment options for calcaneal bone marrow lesions (BML) secondary to stress fractures are dearth with limited evidence supporting the use of the subchondroplasty (SCP) technique. This case report discusses surgical treatment with SCP of a chronic calcaneal BML sustained secondary to a insufficiency/fragility fracture.

Corresponding author: Tarak H. Amin, DPM, AACFAS, FACPM, Westside Regional Medical Center Reconstructive Foot and Ankle Fellowship, 8201 W Broward Blvd, Plantation, FL 33324. (E-mail: tarak3191@gmail.com)
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