Calcaneal Osteochondroma – A Case Report

Authors

  • Ahmad Shams Nasir Resident, Department of Orthopedic Surgery Unit-1, Services Hospital, Lahore
  • Muhammad Zahid Shafique Senior Registrar, Department of Orthopedic Surgery Unit-1, Services Hospital Lahore
  • Jawad Asghar Chishty Medical Officer, Department of Orthopedic Surgery Unit-1, Services Hospital Lahore
  • Aliza Latif Aftab House Surgeon, Department of Surgery, Sir Ganga Ram Hospital Lahore
  • Aiza Latif Aftab Resident, Department of Plastic Surgery, Sheikh Zayed Hospital Lahore

Keywords:

Bone tumor, Calcaneal Osteochondroma, Chondrosarcoma

Abstract

Osteochondroma is the most common benign chondrogenic lesion of the skeleton. Arising mostly in the long bones of the appendicular skeleton but may involve flat bones as well. Calcaneum however, is an uncommon site. True incidence is still unknown as many are asymptomatic, growing during childhood through adolescent until skeletal maturity. These are managed conservatively in majority of cases. If persists or grows during adulthood with acute onset of pain should raise suspicion of malignant transformation to a chondrosarcoma which warrants its surgical excision. We present the clinical and radiological finding of a 15-year-old male with a solitary osteochondroma (35mm x 26mm) on the inferolateral aspect of right calcaneus, followed by surgical excision. Histopathology showed no malignancy and there was no recurrence at 1 year follow up.

References

Alabdullrahman LW, Byerly DW. Osteochondroma. Treasure Island(FL): StatPearls Publishing;2020.p 124-131.

Galasso O, Mariconda M, Milano C. An enlarging distal tibia osteochondroma in the adult patient. J Am Podiatr Med Assoc.2019 ;99 (2):157-61.

Murphey MD, Choi JJ, Kransdorf MJ, Flemming DJ, Gannon FH. Imaging of osteochondroma: Variants and complications with radiologic pathologiccorrelation.Radiographics.2000;20:1407-1434.

Nogier A, De Pinieux G, Hottya G, Anract P. Case reports: Enlargement of a calcaneal osteochondroma after skeletal maturity. Clin Orthop Relat Res. 2006;447:260-266.

Garrison RC, Unni KK, McLeod RA, Pritchard DJ, Dahlin DC. Chondrosarcoma arising in osteochondroma. Cancer. 1982;49:1890-1897.

Krieg JC, Buckwalter JA, Peterson KK, el-Khoury GY, Robinson RA. Extensive growth of an osteochondroma in a skeletally maturea patient: a case report. J Bone Joint Surg. 1995;77:269–273

Calafiore G, Bertone C, Urgelli S, Rivera F, Maniscalco P. Osteochondroma: A case report with atypical localization and symptomology. Acta Biomed AtenacParemense.2001; 72: 91-96

Karasick D, Schweitzer ME, Eschelman DJ. Symptomatic osteochondromas: Imaging features. AJR Am J Roentgenol. 1997;168:1507-1512.

Blitz NM, Lopez KT. Giant solitary osteochondroma of the inferior medial calcaneal tubercle: A case report and review of the literature. J Foot Ankle Surg. 2008;47:206-212.

Hudson TM, Springfield DS, Spanier SS, Enneking WF, Hamlin DJ. Benign Exostosis and exostotic chondrosarcomas: evaluation of cartilage thickness by CT. Radiology. 1984;152 (3):595-9

Malghem J, Vande Berg B, Noel H, Maldague B. Benign osteochondromas and exostotic chondrosarcomas: evaluation of cartilage cap thickness by ultrasound. Skeletal Radiol. 1992;21:33-37.

Lange RH, Lange TA, Rao BK. Correlative radiographic, scintigraphic, and histological evaluation of exostoses. J Bone Joint Surg Am. 1984;66(9):1454-9.

Woertler K, Lindner N, Gosheger G, Brinkschmidt C, Heindel W. Osteochondroma: MR imaging of tumor-related complications. Eur Radiol. 2000;10:832-840.

Koplay M, Toker S, Sahin L, Kilincoglu V. A calcaneal osteochondroma with recurrence in a skeletally mature patient: A case report. Cases Journal 2009, 2:7-13.

Jung HG, Carag JA, Park JY, Bae EJ, Lim SD, Kim HS. Osteochondroma of the calcaneus presenting as Haglund's deformity. Foot Ankle Surg. 201;3-9.

Day FN, Ruggieri C, Britton C. Recurrent osteochondroma. J Foot Ankle Surg. 1998;37(2):162-4.

Rajappa S, Kumar MM, Shanmugapriya S. Recurrent solitary osteochondroma of the metacarpal: A case report. J Orthop Surg (Hong Kong). 2013;21 (1):129-31.

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Published

2020-07-01

How to Cite

Ahmad Shams Nasir, Muhammad Zahid Shafique, Jawad Asghar Chishty, Aliza Latif Aftab, & Aiza Latif Aftab. (2020). Calcaneal Osteochondroma – A Case Report. Journal of Pakistan Orthopaedic Association, 32(02), 66–69. Retrieved from http://jpoa.org.pk/index.php/upload/article/view/405