Intraosseous ganglion cyst is a rare bone tumor and the lesion could often be missed. The diagnosis could be delayed so proper radiologic investigation and index of suspicion is necessary .Differential diagnoses of painful cystic radiolucent carpal lesion are osteoid osteoma, osteoblastoma and intraosseous ganglion. Curettage of the scaphoid lesion and filling of void with bone graft provides good functional outcomes. The cyst contains mucoid viscous material without epithelial or synovial lining. We present a case of 30 years old male with intraosseous ganglion cyst of scaphoid which was treated with curettage and bone grafting. Rarely ganglion cyst is found in small bones of hand and should be considered as differential diagnosis of chronic radial wrist pain.
Pain around the foot and ankle joint is often misdiagnosed as plantar fasciitis and may lead to delayed diagnosis of osteosarcoma in foot. Delay in diagnosis can lead to adverse prognosis and poor survival outcomes. We present a patient who had primary osteosarcoma of the calcaneum that was initially diagnosed and treated for plantar fasciitis, resulting in a delay of diagnosis. The patient eventually was treated with neo-adjuvant chemotherapy followed by below-knee amputation and adjuvant chemotherapy. This case highlights the need to maintain an index of suspicion with close scrutiny of the radiographs. We suggest few clinical recommendations and need for a great suspicion while evaluating a mass arising from the calcaneum.
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