Primary Osseous Tumors of the Hindfoot: Why the Delay in Diagnosis and Should We Be Concerned?

Young, P.S.; Bell, Stuart W.; MacDuff, Elaine; Mahendra, Ashish

doi:10.1007/s11999-012-2570-6

Cited by 35 publications

(61 citation statements)

References 18 publications

(45 reference statements)

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“…Case reports of missed osteosarcoma of the calcaneus have been reported [5,12]. The results of our study appear to be consistent with previous data [25,26].…”

Section: Discussionsupporting

confidence: 93%

Osteolytic lesions of the calcaneus: results from a multicentre study

Weger

Фрингс

Friesenbichler

et al. 2013

International Orthopaedics (SICOT)

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Purpose Tumours of the calcaneus are exceedingly rare and the correct diagnosis is often missed. X-rays are the standard clinical examination tool and therefore we wanted to discover whether X-rays alone were a sufficient diagnostic tool for these tumours. Diard's classification was applied to define whether different types of lesions were characteristically distributed in the bone and in addition we analysed whether type and/or duration of symptoms were possible indicators of malignancy. Methods Ninety-two patients' files (59 men and 33 women) were retrospectively reviewed. Seventy-five patients with a mean age at surgery of 28 years (range five to 78) were surgically treated. Parameters analysed were sex, age at surgery, side, type and duration of symptoms, tentative diagnosis, biopsy prior to surgery, operative procedure, recurrence rate, revision and localisation of the lesion according to Diard. For each lesion the first documented radiological diagnosis andin cases of malignancy-Enneking's classification was applied.Results Discrepancies between the radiological and definitive histological diagnosis occurred in 38 (41 %) of 92 cases. In eight (osteosarcoma n =5, Ewing's sarcoma n =2, metastases n =1) of 17 malignant cases radiological examination initially gave no evidence of malignancy, resulting in an unplanned excision ("whoops procedure") in three cases of osteosarcoma. Applying Diard's system trabecular area 6 (radiolucent area) was highly affected in 64 (80 %) of 80 investigated plain Xrays, whereas areas 1 and 5 were affected in nine (11 %) and 16 (20 %) cases only. Conclusions In each case of an osteolytic lesion of the calcaneus a malignant tumour must be ruled out, and thus preoperative plain X-rays in two planes alone are not sufficient and should therefore be followed by magnetic resonance imaging. Applying the Diard system different types of lesions are not characteristically distributed in the bone. Increasing pain for more than ten days without previous trauma should always justify further examinations.

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“…Case reports of missed osteosarcoma of the calcaneus have been reported [5,12]. The results of our study appear to be consistent with previous data [25,26].…”

Section: Discussionsupporting

confidence: 93%

Osteolytic lesions of the calcaneus: results from a multicentre study

Weger

Фрингс

Friesenbichler

et al. 2013

International Orthopaedics (SICOT)

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“…In a retrospective study by Young et al, 7 in which 57 patients were evaluated, the ratio between benign and malignant lesions was 1.6:1 in the calcaneus and 6.7:1 in the talus. In calcaneal lesions, the most common tumor was simple bone cyst (one-third of which with pathological fracture); in the talus, the most common lesion was osteoid osteoma, followed by chondroblastoma.…”

Section: Discussionmentioning

confidence: 97%

Hindfoot aneurysmal bone cyst: report of two cases

Bosco¹,

Nunes²,

Kim³

et al. 2018

Revista Brasileira de Ortopedia (English Edition)

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Osseous tumors of the hindfoot are not usual in the literature, the diagnosis in these cases is difficult and can often go unnoticed. Besides that, surgery and reconstruction are complicated due to the complexity of the local anatomy, which makes these lesions even more challenging for the orthopedic oncological professionals. On the following article two cases of aneurysmal bone cyst of the hindfoot are reported, as well as the alternatives and peculiarities in conducting these cases according to the oncological principles. When the subject are hindfoot tumor lesions, the early diagnosis is extremely important, as well as the proper staging and the management of the case by the orthopedic oncological professional according to oncological principles.

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“…In particular, primary malignancies located in the calcaneus are notably rare, accounting for 31% of benign and 35% of osseus tumor types in the foot. Current studies on calcaneus tumour types are limited, consisting mostly of individual case reports describing a single primary tumour of the calcaneus ( 2 – 4 ). Due to the rarity and lack of familiarity with calcaneal tumour types, delays in diagnosis and inadequate treatment are frequently reported ( 2 ).…”

Section: Introductionmentioning

confidence: 99%

Primary tumours of the calcaneus (Review)

et al. 2018

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The calcaneus is a rare location for the occurrence and development of primary tumour types. Clinicians are unfamiliar with calcaneal tumour types, which may result in a delay in diagnosis or a missed diagnosis, resulting in unnecessary morbidity and amputation. Heel pain and localized swelling of the ankle are the most common symptoms. X-ray is the first choice for a tentative diagnosis of a calcaneal tumour. The final diagnosis depends on a histological examination. The treatment of calcaneal tumour types varies depending on the Enneking system. The majority of patients with benign tumours heal, except for a few with a palindromia. For malignant tumours, the prognosis is comparatively poor, resulting in disability and a high rate of metastasis. This review describes the spectrum of calcaneal tumour types and specifically illustrates the epidemiology, symptomatology, imagology, histopathology and treatment options that may facilitate diagnosis and improve prognosis.

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Primary Osseous Tumors of the Hindfoot: Why the Delay in Diagnosis and Should We Be Concerned?

Cited by 35 publications

References 18 publications

Osteolytic lesions of the calcaneus: results from a multicentre study

Osteolytic lesions of the calcaneus: results from a multicentre study

Hindfoot aneurysmal bone cyst: report of two cases

Primary tumours of the calcaneus (Review)

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