Bone Tumours

 

GCTOCEnchondroma foot ABC

 

Benign

 

Giant cell tumour

Osteochondroma

Osteoid osteoma

Enchondroma

ABC

UBC

 

Malignant

 

Osteosarcoma - young age, calcaneum

Chondrosarcoma - middle age, slow growing

Ewing's - metatarsal

Metastatic Tumours - <1% all bony metastases, often lung

 

Giant cell tumour

 

Painful swollen foot / ankle

Lytic area on X-ray

Calcaneus > talus

Curettage and bone grafting

 

www.boneschool.com/giant-cell-tumour

 

GCTGCTGCT

 

Osteochondromas

 

Can occur in foot and ankle

Solitary osteochondroma

Multiple hereditary exostosis

 

www.boneschool.com/solitary-osteochondroma

 

www.boneschool.com/multiple-hereditary-exostosis

 

OCOCOC

 

Osteoid osteoma

 

Especially common in hindfoot

Difficult to diagnose on x-ray - CT / MRI / bone scan

CT guided RF ablation

 

www.boneschool.com/osteoid-osteoma

 

Osteoid Osteoma 2nd Toe Bone ScanOsteoid Osteoma 2nd Toe CTOsteoid Osteoma 2nd Toe MRI

 

Enchondroma

 

Single or multiple

 

www.boneschool.com/enchondroma

 

Enchondroma foot Enchondroma foot 2

 

Aneurysmal bone Cyst

 

Metatarsal metaphysis most common site, followed by calcaneum

Treat with curettage and BG / excision

 

www.boneschool.com/aneurysmal-bone-cyst

 

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calccalccalc

 

Unicameral Bone Cyst

 

Infrequent in foot

Calcaneum

Treat with curettage and bone graft

 

www.boneschool.com/unicameral-bone-cyst