Solitary Calcaneal Osteochondroma with Growth After Skeletal Maturity. Case Report and Literature Review
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Published:
Apr 16, 2024
Keywords:
Calcaneus, osteochondroma
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Abstract
Osteochondroma is the most common benign bone tumor, accounting for 35% of benign bone tumors and 8% of bone tumors. It is formed by an exostosis of trabecular bone covered with cartilage that affects the metaphyseal region of long bones, from the growth plate, around the knee, in the shoulder or wrist, and it is extremely rare in the phalanges of the hand or foot. It grows during childhood and adolescence until skeletal maturity. Therefore, its growth in an adult suggests a malignant transformation into chondrosarcoma, although there are also reports without malignancy. Furthermore, the calcaneus is a short bone, so the appearance of this type of injury would be pathophysiologically unexpected. Our objective is to present a case of solitary calcaneal osteochondroma with growth after skeletal maturity, its diagnosis and treatment, as well as a review of the literature. Its relevance stems from the scarcity of literature, its uncommon location, and the possibility of malignancy
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Trebino Molteni, J. M., Rodríguez, L. I., Paitampoma Álvarez , P., & Campoverde Imbaquingo, F. (2024). Solitary Calcaneal Osteochondroma with Growth After Skeletal Maturity. Case Report and Literature Review. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 89(2), 176-189. https://doi.org/10.15417/issn.1852-7434.2024.89.2.1855
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Case Presentations
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https://acikerisim.aybu.edu.tr:8443/server/api/core/bitstreams/fb79eefa-1718-42cf-babb-9e9c8dd2237f/content
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20. Bilekli AB. Stenozing peroneal tubercle osteochondroma associated with calcaneal bone marrow edema and
tear of both peroneal tendons: A rare case report and review of the literatura. Foot Ankle Surg Tech Rep Cases
2022;2(1):100109. https://doi.org/10.1016/j.fastrc.2021.100109
21. Avramidis K, Katounis C, Krikis P, Skoufogiannis P. A solitary, large calcaneal osteochondroma growing extensively after skeletal maturity: A case report and review of the literature. Cureus 2023;15(7):e42570.
https://doi.org/10.7759/cureus.42570
22. Garrison RC, Unni KK, McLeod RA, Pritchard DJ, Dahlin DC. Chondrosarcoma arising in osteochondroma.
Cancer 1982;49(9):1890-7. https://doi.org/10.1002/1097-0142(19820501)49:9<1890::aid-cncr2820490923>3.0.co;2-u
23. Willms R, Hartwig CH, Böhm P, Sell S. Malignant transformation of a multiple cartilaginous exostosis -- a case
report. Int Orthop 1997;21(2):133-6. https://doi.org/10.1007/s002640050136
24. Malik R, Kapoor N, Malik R. Transformation of solitary osteochondromacalcaneum to chondrosarcoma--a case report. Indian J Pathol Microbiol 2004;47(1):42-3. PMID: 15471126
2. Porter DE, Simpson AH. The neoplastic pathogenesis of solitary and multiple osteochondromas. J Pathol
1999;188:119-25. https://doi.org/10.1002/(SICI)1096-9896(199906)188:2<119::AID-PATH321>3.0.CO;2-N
3. Walling AK. Tumores óseos y de partes blandas. En: Coughlin, Mann, Saltzman. Pie y tobillo, 8ª. ed. Madrid:
Marbán; 2021, vol. 2, p. 606-31.
4. Parizzia W, Saá FL. Tumores músculo esqueléticos de pierna, tobillo y pie. En: Amor RT. Pierna, Tobillo y Pie.
Buenos Aires: Atlante; 2009:474-508.
5. Woertler K, Lindner N, Gosheger G, Brinkschmidt C, Heindel W. Osteochondroma: MR imaging of tumor-related complications. Eur Radiol 2000;10:832-40. https://doi.org/10.1007/s003300051014
6. Techner LM, DeCarlo RL. Peroneal tubercle osteochondroma. J Foot Surg 1992;31(3):234-7. PMID: 1619220
7. Martin MA, Garcia L, Hijazi H, Sanchez MM. Osteochondroma of the peroneal tubercle. A report of two cases. Int Orthop 1995;19(6):405-7. https://doi.org/10.1007/BF00178360
8. Sella EJ, Chrostowski JH. Calcaneal osteochondromas. Orthopedics 1995;18(6):573-5. https://doi.org/10.3928/0147-7447-19950601-12
9. Karakurum G, Oznur A, Atilla B. Bilateral peroneal tubercle osteochondroma of the calcaneus: case report. Foot Ankle Int 1998;19(4):259-61. https://doi.org/10.1177/107110079801900415
10. Sánchez-Mariscal Díaz F, Pizones Arce J, Martín Guinea JE, Nieva Navarro F. Peroneal tenosynovitis caused by
peroneal tubercle osteochondroma. Foot Ankle Surg 2001;7(4):249-52. https://doi.org/10.1046/j.1460-9584.2001.00276.x.
11. Akmaz I, Arpacioğlu MO, Pehlivan O, Solakoglu C, Kiral A, Kaplan H, et al. Calcaneal osteochondroma. J Am
Podiatr Med Assoc 2004;94(4):409-11. https://doi.org/10.7547/0940409
12. Nogier A, De Pinieux G, Hottya G, Anract P. Case reports: Enlargement of a calcaneal osteochondroma after
skeletal maturity. Clin Orthop Relat Res 2006;447:260-6. https://doi.org/10.1097/01.blo.0000203474.96549.80
13. Uğurlu M, Demirkale I, Bozkurt M, Doğan M, Tosun N. Osteochondroma: an unusual cause of stenosing
tenosynovitis of peroneus longus tendon associated with osperoneum. Turk Med J 2007;1:96-9. Disponible en:
https://acikerisim.aybu.edu.tr:8443/server/api/core/bitstreams/fb79eefa-1718-42cf-babb-9e9c8dd2237f/content
[Consulta: 25 de noviembre, 2023]
14. Blitz NM, Lopez KT. Giant solitary osteocondroma of the inferior medial calcaneal tubercle: a case report and
review of the literature. J Foot Ankle Surg 2008;47(3):206-12. https://doi.org/10.1053/j.jfas.2007.12.006
15. Koplay M, Toker S, Sahin L, Kilincoglu V. A calcaneal osteochondroma with recurrence in a skeletally mature
patient: a case report. Cases J 2009;23(2):7013. https://doi.org/10.4076/1757-1627-2-7013
16. Jung HG, Carag JA, Park JY, Bae EJ, Lim SD, Kim HS. Osteochondroma of the calcaneus presenting as Haglund’s
deformity. Foot Ankle Surg 2011;17(2):e20-2. https://doi.org/10.1016/j.fas.2010.08.007
17. Kumar R, Anjana, Kundan M. Retrocalcaneal bursitis due to rare calcaneal osteochondroma in adult male: Excision and outcome. J Orthop Case Rep 2016;6(2):16-9. https://doi.org/10.13107/jocr.2250-0685.410
18. Koh D, Goh Y, Yeo N. Calcaneal osteochondroma masquerading as plantar fasciitis: An approach to plantar heel pain - A case report and literature review. World J Orthop 2019;10(9):339-47. https://doi.org/10.5312/wjo.v10.i9.339
19. Raviraj A, Samson M, Sugumar K, Maalepati V. Unusual adult bilateral osteochondroma of the talus with severe peroneal tendinitis and adult bilateral osteochondroma of calcaneum with Haglund syndrome – A report of two cases and review of literature. J Adv Medicine Medical Res 2021;33(10):84-9. https://doi.org/10.9734/jammr/2021/v33i1030912
20. Bilekli AB. Stenozing peroneal tubercle osteochondroma associated with calcaneal bone marrow edema and
tear of both peroneal tendons: A rare case report and review of the literatura. Foot Ankle Surg Tech Rep Cases
2022;2(1):100109. https://doi.org/10.1016/j.fastrc.2021.100109
21. Avramidis K, Katounis C, Krikis P, Skoufogiannis P. A solitary, large calcaneal osteochondroma growing extensively after skeletal maturity: A case report and review of the literature. Cureus 2023;15(7):e42570.
https://doi.org/10.7759/cureus.42570
22. Garrison RC, Unni KK, McLeod RA, Pritchard DJ, Dahlin DC. Chondrosarcoma arising in osteochondroma.
Cancer 1982;49(9):1890-7. https://doi.org/10.1002/1097-0142(19820501)49:9<1890::aid-cncr2820490923>3.0.co;2-u
23. Willms R, Hartwig CH, Böhm P, Sell S. Malignant transformation of a multiple cartilaginous exostosis -- a case
report. Int Orthop 1997;21(2):133-6. https://doi.org/10.1007/s002640050136
24. Malik R, Kapoor N, Malik R. Transformation of solitary osteochondromacalcaneum to chondrosarcoma--a case report. Indian J Pathol Microbiol 2004;47(1):42-3. PMID: 15471126