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Iran Red Crescent Med J. 2013 Oct;15(10):e11378. doi: 10.5812/ircmj.11378. Epub 2013 Oct 5.

Comparative study of peroneal tenosynovitis as the complication of intraarticular calcaneal fracture in surgically and non-surgically treated patients.

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  • 1Mashhad Orthopedic and Trauma Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran.
  • 2Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran.
  • 3Orthopedic and Trauma Research Center, Mashhad University of Medical Sciences, Mashhad, IR Iran.
  • 4Department of Orthopedic Surgery, Mashhad University of Medical Sciences, Mashhad, IR Iran.
  • 5York University, School of Kinesiology & Health Sciences, Toronto, Canada.



Calcaneus has the most fracture prevalence among tarsal bones. About 3/4 of calcaneal fractures are intra-articular fractures with displacement. The majority of calcaneal fractures occur in 21 - 35 year old young men, and that are mostly active people, these fractures cause complete disability for 15 months. Moreover, inappropriate treatment leads to lots of social and economical damages.


In this study we compared the incidence and the severity of peroneal tenosynovitis as a complication of non-operative and operative treatment of intra-articular calcaneal fractures. In this study, some other complications of this fracture were also analyzed and the prevalence of the complication was higher in non-operated patients.


A total of 140 patients with intra-articular calcaneal fracture were analyzed prospectively. These patients were divided into 2 groups: operated group and non-operated group.


In non-operated group (56 patients), 22 patients were complicated by peroneal tenosynovitis. In operated group (84 patients), 8 patients had the same complication. Statistical analysis revealed that the prevalence, and the severity of this complication in the mentioned groups had a meaningful difference. The results in operated group were much better than the non-operated one.


Although some of the orthopedic surgeons are not interested to manage these fractures surgically and most of them treat these cases conservatively (casting, etc.), in most displaced intra-articular calcaneal fractures, surgical treatment is the method of choice. Moreover, in non-surgical treatment the prevalence of these complications among the patients is more and as a result, inevitable social, occupational and familial damages occur.


Boehelr Angle; Calcaneus; Gissane Angle; Tenosynovitis; Zygapophyseal Joint

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