© 2004 Fellowship of Postgraduate Medicine
SELF ASSESSMENT QUESTION
Orthopaedics
Calcifying cystic lesion of calcaneum
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
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 1
) and axial (fig 2) radiographic views of the calcaneum revealed a large lytic lesion, with generous calcifying margins, occupying the posteroinferomedial portion of the calcaneum.
[in a new window] Figure 1 Lateral view of calcaneum.
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[in a new window] Figure 2 Axial view of calcaneum.
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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.
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Calcifying cystic lesion of calcaneum
Postgrad. Med. J. 2004 80: 244.[Extract] [Full Text] [PDF]
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