Plantar calcaneal tumor as a differential diagnosis of plantar fasciitis: A case report
DOI:
https://doi.org/10.33448/rsd-v14i5.48802Keywords:
Plantar fasciitis; Hindfoot; Benign tumor; Differential diagnosis; Surgical treatment.Abstract
Plantar fasciitis is a common orthopedic complaint, especially among athletes, obese individuals, and people over 40 years old. Despite its prevalence, it is crucial to explore other potential causes of similar symptoms. The hindfoot, particularly the calcaneus bone, is a rare site for tumors, with benign tumors being the most common. The scarcity of studies on tumors in this region complicates diagnosis and may lead to inadequate clinical management. This study presents a case that illustrates the challenge of diagnosing a plantar tumor in the hindfoot and other possible differential diagnoses. The symptoms of both conditions are similar, with pain during physical exertion in the subcalcaneal region, requiring imaging exams and rheumatological marker analysis for exclusion purposes. Treatment for plantar fasciitis consists of conservative therapy, based on the use of anti-inflammatory drugs and physical therapy. For tumors in the hindfoot region, such measures are not effective, with persistent pain being a characteristic feature. In this case, surgical treatment should be considered, and the article discusses the methods for surgical removal of the tumor.
References
American Academy of Orthopaedic Surgeons. (n.d.). Plantar fasciitis and bone spurs. OrthoInfo. https://orthoinfo.aaos.org/en/diseases--conditions/plantar-fasciitis-and-bone-spurs
Baxter, D. E., & Thigpen, C. M. (1984). Heel pain—operative results. Foot & Ankle, 5(1), 16–25.
Bavarian, B. (n.d.). A guide to the differential diagnosis of heel pain. HMP Global Learning Network. https://www.hmpgloballearningnetwork.com/site/podiatry/a-guide-to-the-differential-diagnosis-of-heel-pain
Berlin, S. (1995). Statistical analysis of 307,601 tumors and other lesions of the foot. Journal of the American Podiatric Medical Association, 85(11), 699–703.
Crawford, F., & Thomson, C. (2003). Interventions for treating plantar heel pain. Cochrane Database of Systematic Reviews, 2003(3), CD000416.
Ferreira, R. C. (2014). Talalgia: Plantar fasciitis. Revista Brasileira de Ortopedia (English Edition), 49(3), 213–217. https://doi.org/10.1016/j.rboe.2014.03.012
Gill, L. H., & Kiebzak, G. M. (1996). Outcome of nonsurgical treatment for plantar fasciitis. Foot & Ankle International, 17(9), 527–532. (Erratum published 1996, Foot & Ankle International, 17(11), 722)
Goff, J. D., & Crawford, R. (2011). Diagnosis and treatment of plantar fasciitis. American Family Physician, 84(6), 676–682.
Hsiao, M. Y., Hung, C. Y., Chang, K. V., Chien, K. L., Tu, Y. K., & Wang, T. G. (2015). Comparative effectiveness of autologous blood-derived products, shock-wave therapy and corticosteroids for treatment of plantar fasciitis: A network meta-analysis. Rheumatology, 54(9), 1735–1743.
Karthik, K., & Aarthi, S. (2011). Intraosseous lipoma of the calcaneus mimicking plantar fasciitis. Foot and Ankle Surgery, 17(1), e25–e27.
Kumar, R., Anjana, & Kundan, M. (2016). Retrocalcaneal bursitis due to rare calcaneal osteochondroma in adult male: Excision and outcome. Journal of Orthopaedic Case Reports, 6(1), 16–19.
Li, J., & Wang, Z. (2014). Surgical treatment of malignant tumors of the calcaneus. Journal of the American Podiatric Medical Association, 104(1), 71–76.
Oommen, A. T., Madhuri, V., & Walter, N. M. (2009). Review of foot tumors seen in a university tumor institute. Indian Journal of Cancer, 46(3), 234–236.
Rhee, J. H., Lewis, R. B., & Murphey, M. D. (2008). Primary osseous tumors of the foot and ankle. Magnetic Resonance Imaging Clinics of North America, 16(1), 71–91.
Theodorou, D. J., Theodorou, S. J., Kakitsubata, Y., Lektrakul, N., Gold, G. E., Roger, B., & Resnick, D. (2000). Plantar fasciitis and fascial rupture: MR imaging findings in 26 patients supplemented with anatomic data in cadavers. Radiographics, 20(Suppl. 1), 181–197. https://doi.org/10.1148/radiographics.20.suppl_1.g00oc01s181
Toassi, R. F. C. & Petry, P. C. (2021). Metodologia científica aplicada à área da Saúde. 2ed. Editora da UFRGS.
Pereira A. S. et al. (2018). Metodologia da pesquisa científica. [free e-book]. Ed.UAB/NTE/UFSM. Estrela, C. (2018)
Tu, P. (2018). Heel pain: Diagnosis and management. American Family Physician, 97(2), 86–93. https://www.aafp.org/pubs/afp/issues/2018/0115/p86.html
Welck, M. J., Hayes, T., Pastides, P., Khan, W., & Rudge, B. (2017). Stress fractures of the foot and ankle. Injury, 48(8), 1722–1726.
Wolgin, M., Cook, C., Graham, C., & Mauldin, D. (1994). Conservative treatment of plantar heel pain: Long-term follow-up. Foot & Ankle International, 15(3), 97–102.
Wright, D. G., & Rennels, D. C. (1964). A study of the elastic properties of plantar fascia. The Journal of Bone and Joint Surgery (American Volume), 46, 482–492.
Yan, L., Zong, J., Chu, J., Wang, W., Li, M., Wang, X., Song, M., & Wang, S. (2018). Primary tumours of the calcaneus (Review). Oncology Letters. https://doi.org/10.3892/ol.2018.8487
Young, P. S., Bell, S. W., MacDuff, E. M., & Mahendra, A. (2013). Primary osseous tumors of the hindfoot: Why the delay in diagnosis and should we be concerned? Clinical Orthopaedics and Related Research, 471, 871–877.
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