背景:儿童脚跟疼痛是一种常见病。病因可以归因于骨折,骨软骨病,肌腱炎,跟骨-舟骨或距骨-跟骨联盟,骨髓炎,风湿性疾病,解剖变异,恶性肿瘤(骨肉瘤,尤因肉瘤),和良性病变(骨囊肿,动脉瘤骨囊肿,骨样骨瘤,或外生症)。特别是,本手稿的重点是儿科年龄的跟骨外生症,旨在突出它的稀有性。骨软骨瘤是骨表面和上覆软骨的良性肿瘤。它们生长直到骨骼成熟,并可能导致僵硬,疼痛,化妆品改动,肌腱炎,神经血管压迫.跟骨是这些肿瘤极为罕见的部位。仅有2例小儿跟骨外生症的病例报告。
方法:我们描述了一个16岁女孩的案例,受多发性软骨外生症影响,在跟骨区域的脚下缘出现疼痛的肿块,被诊断为外生体。新结构被切除,女孩接受了临床随访。
结果:患者迅速出院,情况良好,在术后第25天,她完全没有疼痛,可以负重。
结论:在对保守治疗无效的足跟疼痛的情况下,在排除更常见的原因后,应考虑骨软骨瘤的存在。如果有症状,跟骨骨软骨瘤可能需要手术切除。
BACKGROUND: Heel pain in children is a common condition. The aetiology can be ascribed to fractures, osteochondrosis, tendinitis, calcaneal-navicular or talo-calcaneal coalition, osteomyelitis, rheumatic diseases, anatomic variants, malignant tumours (osteosarcoma, Ewing\'s sarcoma), and benign lesions (bone cyst, aneurismal bone cyst, osteoid osteoma, or exostosis). In particular, this manuscript focuses on a case of calcaneal exostosis in the paediatric age, aiming to highlight its rarity. Osteochondromas are benign tumours of the surface of the bone and the overlying cartilage. They grow until skeletal maturity and can cause stiffness, pain, cosmetic alterations, tendinitis, and neuro-vascular compression. The calcaneus is an extremely rare site for these tumours. Only two case reports of paediatric exostosis of the calcaneus bone are available.
METHODS: We describe a case of a girl of 16 years of age, affected by multiple cartilaginous exostosis, who presented with a painful mass on the inferior margin of the foot in the calcaneal region, which was diagnosed as an exostosis. The neoformation was excised, and the girl underwent clinical follow-up.
RESULTS: The patient was promptly discharged in good condition, and on the 25th postoperative day, she was completely pain-free and allowed weight bearing.
CONCLUSIONS: In the case of heel pain resistant to conservative treatment, the presence of an osteochondroma should be considered after excluding more common causes. If symptomatic, calcaneal osteochondromas could require surgical excision.