Benign tumors and tumor-like lesions of the calcaneum: A study of 12 cases

Abstract

The calcaneum is an uncommon site for most bone tumors, and in our series, bone cysts were the most common benign lesions. Curettage and bone grafting or the use of bone substitutes can be effectively used in the treatment of symptomatic bone cysts of the calcaneum.

Primary tumours of the calcaneus (Review)

“…Upon physical examination, patients who suffer from severe pain and swelling may experience difficulty in weight bearing, presenting an antalgic gait pattern ( 64 , 65 ). Motion of the subtalar, midtarsal and ankle joints may be limited or painful only if the tumour is in close proximity to the joint ( 121 ). Certain symptoms including atrophy of the calf, enlargement of the heel and visible dilated subcutaneous veins may additionally be observed ( 1 , 2 , 10 ).…”

“…Upon palpation, a soft or hard mass may be detected in the region surrounding the lesion. Furthermore, local redness, effusion, heat or even superficial ulcers is a specific sign of a malignant and aggressive tumour ( 10 , 121 , 122 ). A vibratory exam may elicit pain, particularly if the tumour involves cortical or subchondral bone ( 22 ).…”

“…A vibratory exam may elicit pain, particularly if the tumour involves cortical or subchondral bone ( 22 ). In general, symptoms and physical examinations are nonspecific, potentially resulting in misdiagnosis including plantar fasciitis, chronic ankle sprain, os-trigonum syndrome, calcaneal apophysitis, retained foreign bodies and fractures ( 2 , 26 , 30 , 32 , 64 , 121 ). Therefore, a comprehensive history and physical examination should be completed for any patient with pain and swelling of the foot to obviate the delay in diagnosis and allow an early and accurate diagnosis.…”

“…It is essential to carefully examine imaging changes, including the extent, location, calcification, sclerosis cortical violation, permeative destruction, periosteal reaction, pathological fracture and soft tissue mass of the tumour ( 10 , 57 ). A well-defined osteolytic area with a sharp and sclerotic margin is mainly presented in benign tumour types ( 121 ). For malignant and aggressive tumour types, a ‘moth-eaten’ (multiple erosions with coalescence into larger lesions) or permeative (multiple, small lytic areas) pattern are typical ( 100 , 102 ).…”

Douleurs plantaires chez une femme de 43ans

“…Milgram Le cas présenté dans cet article pourrait être classé stade 3. Il s'agit du kyste osseux essentiel, du kyste anévrysmal et du chondroblastome [2,5]. À la radiographie, les lipomes du stade 1 sont radiotransparents avec interruption des trabéculations osseuses.…”