Patnala Ashok Kumar, Babu M Eswara, Naidu M Chandrasekharam, Kumar S Shyam, Kumar P Varun
Associate Professor, Department of Orthopaedics, Andhra Medical College, King George Hospital , Visakhapatnam ,Andhra Pradesh, India .
J Clin Diagn Res. 2013 Aug;7(8):1737-9. doi: 10.7860/JCDR/2013/4997.3253. Epub 2013 Aug 1.
Osteochondromas are common benign bone tumours. They usually occur in the patients who are below thirty years of age. They probably are developmental malformations rather than true neoplasms. They are believed to originate within the periosteum as small cartilaginous nodules. The foot is rarely a common site of presentation for these tumours. The calcaneum is one of the most unusual regions for the occurrence of osteochondromas 1. The osteochondromas which arise from the calcaneum, especially those which project onto the plantar surface, pose considerable problem to the ambulation. Malignant transformations are seen in less than 1% to 2% of the patients with solitary osteochondromas 2. We herewith present a case of osteochondroma which arose from the calcaneum, which was surgically excised to improve the patient's daily functioning. The patient was followed up for a period of one year. She is now able to walk comfortably.
骨软骨瘤是常见的良性骨肿瘤。它们通常发生在30岁以下的患者中。它们可能是发育畸形而非真正的肿瘤。据信它们起源于骨膜内的小软骨结节。足部很少是这些肿瘤常见的表现部位。跟骨是骨软骨瘤发生最不常见的部位之一。起源于跟骨的骨软骨瘤,尤其是那些向足底表面突出的,会给行走带来相当大的问题。孤立性骨软骨瘤患者中发生恶性转变的不到1%至2%。我们在此报告一例起源于跟骨的骨软骨瘤病例,该病例通过手术切除以改善患者的日常功能。对患者进行了为期一年的随访。她现在能够舒适地行走。