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Os subcalcaneum.

G Varounis, W A Pasternack

    Journal of the American Podiatric Medical Association
    |October 1, 1989
    PubMed
    Summary
    This summary is machine-generated.

    A rare bony anomaly, os subcalcaneum, caused heel pain in an 11-year-old girl. Surgical removal of this calcaneal ossicle resolved her pain, confirming its clinical significance.

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    Area of Science:

    • Orthopedics
    • Pediatric Orthopedics
    • Foot and Ankle Surgery

    Background:

    • Heel pain is a common complaint in children and adolescents.
    • Accessory ossicles of the foot can sometimes cause symptomatic pain.
    • Os subcalcaneum is a rare accessory ossicle located posteromedial to the calcaneus.

    Observation:

    • An 11-year-old female presented with unilateral left heel pain.
    • Radiological imaging revealed a distinct bony mass separate from the posterior calcaneus.
    • Clinical examination showed a syndesmotic attachment of the ossicle to the calcaneus.

    Findings:

    • The bony mass was diagnosed as os subcalcaneum.
    • Surgical excision of the os subcalcaneum was performed.
    • The patient became asymptomatic following the surgical removal.

    Implications:

    • Os subcalcaneum can be a source of significant heel pain in pediatric patients.
    • Surgical intervention is an effective treatment for symptomatic os subcalcaneum.
    • Accurate radiological and clinical assessment is crucial for diagnosing this condition.