Calcaneal osteochondroma masquerading as plantar fasciitis: An approach to plantar heel pain-A case report and literature review

作     者：Don Koh Yvonne Goh Nicholas Yeo 

作者机构：Department of Orthopaedic SurgerySingapore General HospitalSingapore 169856Singapore NUS Yong Loo Lin School of MedicineNUHS Tower BlockSingapore 119228Singapore 

出 版 物：《World Journal of Orthopedics》 (世界骨科杂志（英文版）)

年 卷 期：2019年第10卷第9期

页      面：339-347页

学科分类：10[医学] 

主　　题：Chronic heel pain Recalcitrant heel pain Osteochondroma Diagnostic challenge Case report 

摘      要：BACKGROUND Heel pain is a common orthopaedic complaint,and if left untreated can be a source of chronic *** diagnosis can be challenging,owing to the complex anatomy and multiple pain generators present in the *** aim to share our clinical experience managing an unusual case of chronic heel pain secondary to *** SUMMARY A 41-year-old obese male who works as a porter presented with a long-standing history of left plantar heel *** was assessed to have point tenderness over the plantar insertion of the calcaneus as well as a positive Silfverski?ld *** was treated for plantar fasciitis and tight gastrocnemius but failed conservative therapies as well as surgical *** resonance imaging revealed the presence of a pedunculated bony protrusion over the plantar aspect of the *** decision was made for excision of the osteochondroma,and the patient has been pain-free *** Osteochondromas are rarely symptomatic in skeletally mature *** most are benign with a very low risk of malignant transformation,surgical excision can yield excellent results and significant pain relief in symptomatic patients.