Description of patient (type of occupation, indication of age, intensity of sport):
This patient referred to our department for pain at the hindfoot from six months, during walking.
History and previous treatment:
Cancer.
Current complaints:
Progressive pain during walking.
Physical examination:
Passive mobilization of the subtalar joint was painful.
Radiology:
X-ray:
Large calcaneal cyst.
Additional investigation (CT/MRI):
The patient underwent to a minimal invasive biopsy of the lesion. The histology confirmed the malignancy of the lesion.
[Picture 1]
Preoperative image shows a large calcaneal cyst.
[Picture 2]
Postoperative image after minimal invasive calcaneoplasty with bone cement.
Images:
Case summary:
The patient underwent to a minimal invasive calcaneoplasty with bone cement.
At one month of follow-up, the patient was free-pain. At two months of follow-up developed a superficial wound infection, which was treated with oral antibiotics.
Question(s) to this case:
Does this procedure can be performed percutaneously?
Expert:
If I understand well you performed a palliative filling of the cyst with bonecement. I take it that there was no connection to the subtalar joint, correct?
There is no problem in doing the procedure open like you did. In this way you can leave the subtalar joint unspoiled and it is more easy to curette the lesion fully and get an adequate filling with bone cement.