Volume 6 | Issue 2 | May – Aug 2018 | Page: 42-44| Jose Austine, Atmananda Hegde, Deepa Adiga.
Authors: Jose Austine , Atmananda Hegde , Deepa Adiga .
 Department of Orthopaedic Surgery, Kasturba Medical College, Mangalore Manipal Academy of Higher Education (MAHE), Karnataka, India.
 Department of Pathology, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education (MAHE), Karnataka, India.
Address of Correspondence
Dr. Jose Austine,
Department of Orthopaedic Surgery,
K.M.C. Hospital Attavar, Attavar, Mangalore – 575 001, Karnataka, India.
Introduction: Osteoblastoma is a benign tumor which constitutes around 1% of primary bone tumors. The incidence of an osteblastoma of the calcaneum is <0.8% among all.
Case Report: We report a 17-year-old boy who presented with unremitting heel pain of 4 months’ duration associated with a swelling which was clinically and radiologically diagnosed as either an aneurysmal bone cyst or giant-cell tumor. The patient was treated with an extended curettage and cementing of cavity. The final diagnosis of an osteoblastoma of calcaneum was established post-operatively following histopathological examination of biopsy.
Discussion: The prevalence and behavior of calcaneal osteoblastomas are yet to be reported in the Indian population. Lack of clinician familiarity and a rare incidence translate into a delay in the diagnosis of tumors and tumor-like lesions of the calcaneum, as seen in our case. Their recognition is imperative to avoid mistaking the condition for an aneurysmal bone cyst, giant-cell tumor, or even an osteogenic sarcoma and be managed more aggressively than required.
Conclusion: An adolescent presenting with chronic unremitting heel pain should undergo early and detailed radiographic evaluation. A high index of suspicion is needed to diagnose this condition early. Outcome largely depends on early diagnosis and prompt surgical intervention.
Keywords: Osteoblastoma, Calcaneum, Heel pain.
1. E. Santini-Araujo. Ricardo KK, Franco B, editors. Tumors and Tumor-Like Lesions of Bone: For Surgical Pathologists, Orthopedic Surgeons and Radiologists. London: © Springer-Verlag; 2015.
2. Khan Z, Hussain S, Carter SR. Tumours of the foot and ankle. Foot (Edinb) 2015;25:164-72.
3. Lichtenstein L. Benign osteoblastoma. A category of osteoid and bone forming tumor other than classical osteoid osteoma, which may be mistaken for giant cell tumor or osteogenic sarcoma. Cancer 1956;9:1044-52.
|How to Cite this article: Austine J, Hegde A, Adiga D. A rare case of Osteoblastoma of the Calcaneum – A Case Report. J Kar Orth Assoc. May-Aug 2018; 6(2): 42-44.|