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Karin M Eggink, Eric EJ Raven and Pieter HJ Bullens
We describe the clinical presentation of a 47-year old woman, presenting with heel pain and swelling around the calcaneus. No trauma had occurred, but radiographic evaluation showed a calcaneal fracture. The conservative treatment resulted in a malunion in varus which lead to multiple ankle sprains necessitating surgical correction. A spontaneous calcaneus fracture is a rare diagnosis, can be easily misdiagnosed and may result in malunion. Different risk factors exist for the predisposition of spontaneous calcaneus fracture and should be investigated.