Kumar Rupesh, Kundan Meghraj
Department of Orthopedics, IQ city Medical College, Durga pur, West Bengal. India.
Department of Pathology, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand. India.
J Orthop Case Rep. 2016 Apr-Jun;6(2):16-19. doi: 10.13107/jocr.2250-0685.410.
Osteochondroma is the most common benign tumour of the bone and is considered as developmental lesion of the bone. Common site of osteochondroma presentation is around the knee but calcaneal osteochondroma as such is a rare entity. Osteochondromas grow during childhood through adolescence, but usually the growth of osteochondroma ends when the epiphyseal plates close. In an adult, growth of an osteochondroma suggests the diagnosis of a malignant transformation. However, it can also present as pressure symptom in later phase of life. Here, we presented a case of retrocalcaneal bursitis in late phase of life of a male farmer due to late growth of osteochondroma.
We report a case of calcaneal osteochondroma which is an extremely rare site of occurrence with painful swelling of ankle causing limitation of walking in a 58-year-old male. Surgical excision of tumour followed by a histological confirmation reported negative for any malignant changes.
There may be chances of osteochondroma being a reason for retrocalcaneal bursitis. It is possible of late detection of benign osteochondromas which show symptomatic growth and pressure effect in skeletally mature patients without malignant transformation.
骨软骨瘤是最常见的骨良性肿瘤,被认为是骨的发育性病变。骨软骨瘤常见的发病部位是膝关节周围,但跟骨骨软骨瘤本身是一种罕见的实体。骨软骨瘤在儿童期至青春期生长,但通常在骨骺板闭合时骨软骨瘤的生长就会停止。在成年人中,骨软骨瘤的生长提示恶性转化的诊断。然而,它在生命后期也可能表现为压迫症状。在此,我们报告一例男性农民在生命后期因骨软骨瘤生长延迟导致跟腱后滑囊炎的病例。
我们报告一例跟骨骨软骨瘤病例,这是一个极为罕见的发病部位,一名58岁男性因踝关节疼痛肿胀导致行走受限。肿瘤手术切除后经组织学证实无任何恶性改变。
骨软骨瘤有可能是跟腱后滑囊炎的病因。在骨骼成熟的患者中,良性骨软骨瘤可能会很晚才被发现,它们在没有恶性转化的情况下出现症状性生长和压迫效应。