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Scholars Journal of Medical Case Reports | Volume-5 | Issue-12
A Calcaneal Osteochondroma an Atypical Localization
Ashwinkumar K Barsagade, Pradeep Male, Ahilya Dhadas, Ajay Jungare, Dilip Sarate, Pradeep Umap
Published: Dec. 30, 2017 | 137 146
DOI: 10.36347/sjmcr.2017.v05i12.007
Pages: 834-836
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Abstract
Calcaneal osteochondroma is extremely rare, less than 1% osteochondromas which arise from tarsal bone. We are reporting a case of osteochondroma of calcaneum in a 33years old male who presented with chief complaints of mass over left heel and difficulty in walking from two years. The patient had traumatic injury two years back over left heel and after that he noticed swelling which was gradually increasing in size. There was no history of fever and spontaneous regression during the entire period of presentation. On clinical examination he was found to have swelling over calcaneal bone. On radiographic evalution an irregular, sessile, lytic mass which arose from calcaneum? The patient was offered surgery in view of duration and severity of his symptoms. On histopathological examination on gross it was 8x6cm in size with 0.5cm smooth cartilage cap over it and microscopically it is dignosed as osteochondroma. Osteohondromas of the skeleton are common in age group of 30 years but osteochondromas which involve calcaneum are relatively rare presentation. Cartilage cap thickness greater than 1-2cm in adults suggests malignant transformation. It is therefore necessary to manage these lesions through an appropriate, surgical, timely intervention, to prevent malignant transformation