Abstract
Background: Sever’s is the most common cause of heel pain in the pediatric population and increases the risk of calcaneal apophyseal avulsion fractures. This is an uncommon fracture that faces problems with tenuous soft tissue coverage and high shear forces at the fracture site. Multiple fixation techniques have been employed in addressing this injury, with no one method standing out as superior. Case Presentation: We present a case of a 13-year-old male with a calcaneal apophyseal avulsion fracture in which cannulated headless compression screws were used for fixation. This was found to provide adequate compression across the fracture with minimal hardware prominence. This also allowed for the injection of radiopaque solution through the cannulated screw to rule out subtalar intraarticular penetration. We believe this represents a novel method of addressing these injuries. Conclusion: Cannulated headless compression screws are a suitable fixation technique for pediatric apophyseal avulsion fractures that provide the added benefit of assessment of intra-articular penetration of the subtalar joint by the injection of radiopaque solution through the cannulated screw.
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