A Rare Case of Aneurysmal Bone Cyst of Calcaneum: A Case Report

Aneurysmal bone cysts (ABC) are common benign expansile lytic lesions of bone usually presenting in the 2nd decade of life. They are locally aggressive lesions. The most common site of lesion is metaphyseal lesions of long bones like the femur, tibia, and radius. However, they can occur in flat bone...

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Bibliographic Details
Main Authors: Chayan K Pal, RP Raghavendra Raju, Athmaram Meda, Chennur Shaik Mohammed Sibghatulla Mazhar, Navya Pulimi, Y Kiran Kumar
Format: Article
Language:English
Published: Jaypee Brothers Medical Publisher 2024-06-01
Series:Journal of Orthopedics and Joint Surgery
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Online Access:https://www.jojs.in/doi/JOJS/pdf/10.5005/jojs-10079-1166
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Summary:Aneurysmal bone cysts (ABC) are common benign expansile lytic lesions of bone usually presenting in the 2nd decade of life. They are locally aggressive lesions. The most common site of lesion is metaphyseal lesions of long bones like the femur, tibia, and radius. However, they can occur in flat bones like the spine and pelvis. The most common symptom is pain and swelling of the affected site. Here, we are presenting a rare case of ABC of calcaneum who has presented to us with pain and swelling of the heel for 3 months. There was no significant history of trauma. Clinical examination showed swelling and tenderness of the calcaneum. Radiographs were taken which showed lytic lesions of calcaneum with multiple cysts. A magnetic resonance imaging (MRI) scan was done which showed a lytic lesion with multiple fluid levels in the lesion. The patient was taken for an open biopsy and fibula and iliac bone grafting. Bone biopsy confirmed the diagnosis of ABC, and the patient was pain-free after 2 months of surgery. This case report gives insight into the diagnosis of ABC at unusual sites and treatment protocol.
ISSN:2582-7863