Clinical Relevance of Calcaneal Bone Cysts

Pogoda, Pia; Priemel, Matthias; Linhart, Wolfgang E.; Stork, Alexander; Adam, Gerhard; Windolf, Joachim; Rueger, Johannes M.; Amling, Michael

doi:10.1097/01.blo.0000128297.66784.12

Cited by 72 publications

(92 citation statements)

References 20 publications

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“…Osteoid osteoma was predominant followed by chondroblastoma. In contrast, the spectrum of disease affecting the calcaneus in our study was diverse, although in keeping with the literature [20], unicameral bone cysts accounted for one-fourth of all benign pathology and onethird of these presented with pathological fracture, reinforcing their clinical relevance. Murrari et al [16] reported a benign to malignant ratio of 5:1; however, our series suggests a much lower benign to malignant ratio (ratio, 1.6:1).…”

Section: Discussionsupporting

confidence: 84%

Primary Osseous Tumors of the Hindfoot: Why the Delay in Diagnosis and Should We Be Concerned?

Young

Bell

MacDuff

et al. 2013

Clinical Orthopaedics &Amp; Related Research

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Background Bony tumors of the foot account for approximately 3% of all osseous tumors. Diagnosis is frequently delayed as a result of lack of clinician familiarity and as a result of their rarity. The reasons for the delays, however, are unclear. Questions/purposes We therefore determined (1) how hindfoot tumors present and the specific reasons for delay in diagnosis; (2) whether the spectrum of disease varies between the talus and calcaneus; and (3) how these patients were treated. Methods We retrospectively reviewed the medical notes and imaging for all patients with 34 calcaneal and 23 talar tumors recorded in the Scottish Bone Tumour Registry. Demographics, presentation, investigation, histology, management, recurrence, and mortality were recorded.

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Section: Discussionsupporting

confidence: 84%

Primary Osseous Tumors of the Hindfoot: Why the Delay in Diagnosis and Should We Be Concerned?

Young

Bell

MacDuff

et al. 2013

Clinical Orthopaedics &Amp; Related Research

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“…Even histological examination seems to be limited sometimes, because it does not routinely reveal the correct diagnosis. Several factors may contribute to this, since in contrast to other locations differing biological behaviour of calcaneal osteosarcoma has been noted before [2,3,12,13,24]. Some authors suggest that osteosarcoma of the foot may represent a distinct subgroup with clinical features that differ highly from conventional osteosarcoma [5,22].…”

Section: Discussionmentioning

confidence: 98%

“…Often, the best policy for these lesions is a radiological examination after three and nine months, followed by annual examination in the context of a "watch and wait" approach [14]. According to our data, curettage seems to be an adequate treatment option for benign lesions that are symptomatic or at risk of fracture [2,3,10,[17][18][19]. As this paper is based on multicentric data, we can only assume that all treatment regimes for benign lesions were appropriate as there was no control group in this retrospective study.…”

Section: Discussionmentioning

confidence: 99%

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Osteolytic lesions of the calcaneus: results from a multicentre study

Weger

Фрингс

Friesenbichler

et al. 2013

International Orthopaedics (SICOT)

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Purpose Tumours of the calcaneus are exceedingly rare and the correct diagnosis is often missed. X-rays are the standard clinical examination tool and therefore we wanted to discover whether X-rays alone were a sufficient diagnostic tool for these tumours. Diard's classification was applied to define whether different types of lesions were characteristically distributed in the bone and in addition we analysed whether type and/or duration of symptoms were possible indicators of malignancy. Methods Ninety-two patients' files (59 men and 33 women) were retrospectively reviewed. Seventy-five patients with a mean age at surgery of 28 years (range five to 78) were surgically treated. Parameters analysed were sex, age at surgery, side, type and duration of symptoms, tentative diagnosis, biopsy prior to surgery, operative procedure, recurrence rate, revision and localisation of the lesion according to Diard. For each lesion the first documented radiological diagnosis andin cases of malignancy-Enneking's classification was applied.Results Discrepancies between the radiological and definitive histological diagnosis occurred in 38 (41 %) of 92 cases. In eight (osteosarcoma n =5, Ewing's sarcoma n =2, metastases n =1) of 17 malignant cases radiological examination initially gave no evidence of malignancy, resulting in an unplanned excision ("whoops procedure") in three cases of osteosarcoma. Applying Diard's system trabecular area 6 (radiolucent area) was highly affected in 64 (80 %) of 80 investigated plain Xrays, whereas areas 1 and 5 were affected in nine (11 %) and 16 (20 %) cases only. Conclusions In each case of an osteolytic lesion of the calcaneus a malignant tumour must be ruled out, and thus preoperative plain X-rays in two planes alone are not sufficient and should therefore be followed by magnetic resonance imaging. Applying the Diard system different types of lesions are not characteristically distributed in the bone. Increasing pain for more than ten days without previous trauma should always justify further examinations.

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“…The most appropriate treatment for intraosseous calcaneal lipoma is likely to depend on symptoms, location and size (12)(13)(14). Intraosseous calcaneal lipoma 'of critical size' has been defined as a lesion extending the full breadth of the calcaneus in the coronal plan, and occupying ≥30% of the anteroposterior length of the calcaneus (15).…”

Section: Discussionmentioning

confidence: 99%

Internal fixation combined with bone grafting for large intraosseous calcaneal lipoma: A case report

Cao

2017

Molecular and Clinical Oncology

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Abstract. Intraosseous lipoma is a rare benign bone tumor that has been reported to occur in the calcaneus and long bones. The etiology of intraosseous lipoma is unknown, although several theories have been proposed. The majority of the cases of intraosseous calcaneal lipoma reported in the literature were localized in the anterior portion of the calcaneus and were treated by curettage and bone grafting. However, for larger lipomas, no specific treatment protocol has been developed to date. We herein present a rare case involving a large intraosseous lipoma of the calcaneus in a 36-year-old man following hindfoot trauma. The lesion was treated by decortication followed by bone grafting and internal fixation, a surgical approach that, to the best of our knowledge, has not been previously described in the literature.

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Clinical Relevance of Calcaneal Bone Cysts

Cited by 72 publications

References 20 publications

Primary Osseous Tumors of the Hindfoot: Why the Delay in Diagnosis and Should We Be Concerned?

Primary Osseous Tumors of the Hindfoot: Why the Delay in Diagnosis and Should We Be Concerned?

Osteolytic lesions of the calcaneus: results from a multicentre study

Internal fixation combined with bone grafting for large intraosseous calcaneal lipoma: A case report

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