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Postgraduate Medical Journal 2004;80:241
© 2004 Fellowship of Postgraduate Medicine

SELF ASSESSMENT QUESTION

Orthopaedics

Calcifying cystic lesion of calcaneum

H Sharma 1, G R Taylor 2

1 Department of Trauma and Orthopaedics, Monklands Hospital, Airdrie, Lanarkshire, UK
2 Department of Trauma and Orthopaedics, Southampton General Hospital, Southampton, UK

Correspondence to:
Correspondence to:
MrSharma
himanshusharma1@hotmail.com

Submitted 12 October 2002
Accepted 18 May 2003

Answers on p 244.

The first 150 words of the full text of this article appear below.

A 28 year old woman of Asian origin presented with a seven year history of intermittent right heel pain. She had no history of trauma. She had suffered from intestinal tuberculosis in childhood, which was confirmed after a histological examination of the appendix. There were no other musculoskeletal sites involved. Systemic examination was unremarkable, but examination of the foot and ankle disclosed a significant medial calcaneal tenderness without limitation of ankle and subtalar motion. Haematological and biochemical markers were within normal limits. Lateral (fig 1Go) and axial (fig 2Go) radiographic views of the calcaneum revealed a large lytic lesion, with generous calcifying margins, occupying the posteroinferomedial portion of the calcaneum.


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  		Figure 1 Lateral view of calcaneum.

 

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  		Figure 2 Axial view of calcaneum.

 
Magnetic resonance imaging (MRI) showed heterogenous low signal intensity in the posterior part of calcaneum measuring 2.5 x 2.5 x 2.5 cm, with a small breach in the cortex. . . . [Full text of this article]


Relevant Article

Calcifying cystic lesion of calcaneum
Postgrad. Med. J. 2004 80: 244. [Extract] [Full Text] [PDF]





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