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Chondromyxoid Fibroma of the Calcaneus: A Rare Case Report
Koray Başdelioğlu1, Mustafa İsmet Tatar2, Burak Çağrı Aksu1
1Orthopedics and Traumatology, Faculty of Medicine, Yeditepe University, Istanbul, TUR.
Insights
Chondromyxoid fibroma (CMF) of the calcaneus is rare but treatable. Curettage and bone grafting effectively resolved pain and restored function in a patient, suggesting CMF should be considered in heel pain diagnoses.
Area of Science:
- Orthopedic Surgery
- Musculoskeletal Oncology
- Podiatric Medicine
Background:
- Chondromyxoid fibroma (CMF) is a rare benign bone tumor.
- CMF typically affects long bones, with calcaneal involvement being exceptionally uncommon.
- Accurate diagnosis and effective treatment are crucial for patient outcomes.
Observation:
- A 34-year-old female presented with a year of progressive heel pain and limping.
- Imaging confirmed a lesion consistent with CMF of the calcaneus.
- The patient underwent surgical treatment involving curettage and bone grafting.
Findings:
- Post-operative recovery was rapid, with mobilization and weight-bearing permitted the day after surgery.
- An 18-month follow-up revealed no signs of tumor recurrence.
- The patient experienced complete pain relief and restoration of daily activities.
Implications:
- Surgical curettage combined with bone grafting is an effective treatment for calcaneal CMF.
- This case suggests that CMF of the calcaneus may be underdiagnosed.
- Clinicians should consider CMF in the differential diagnosis for persistent heel pain.
Abstract:
Chondromyxoid fibroma (CMF) of the calcaneus is extremely rare. We report a case of CMF of the calcaneus in a 34-year-old female. She had foot pain for one year and had increased pain for the last two months. The patient complained of limping due to the pain she felt. CMF of the calcaneus was treated with curettage and bone grafting. The patient was allowed to mobilize the very next day of surgery with weight bearing as much as she could tolerate. No recurrence was encountered during the 18-month follow-up of the patient. The patient could perform activities in her daily life painlessly. Carefully performed curettage and bone grafting is an effective treatment method in the treatment of CMF of the calcaneus. CMF in the calcaneus may not be as rare as it is thought, and should be considered in the differential diagnosis.
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