Pediatric calcaneus fractures are rare with reported incidences of 1 in 100,000 (Beaty JH, Kasser JR, Rockwood and Wilkins’ fractures in children. Lippincott Williams & Wilkins, Philadelphia, 2010). The majority of calcaneus fractures in children under 14 are extra-articular. However, high energy adult like fractures are known to occur in adolescents (Beaty JH, Kasser JR, Rockwood and Wilkins’ fractures in children. Lippincott Williams & Wilkins, Philadelphia, 2010). After falling out of a second story window, a 15-year-old male sustained a joint depression type calcaneus fracture. He was placed into a bulky posterior splint in the emergency department and then underwent open reduction internal fixation at 14 days post injury utilizing an extensile lateral approach. Subsequently, he achieved fracture union without complication and progressed to full weight bearing at 8 weeks.
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