Summary
- Bone tumours in the foot account for less than 2% of all bone tumours, and approximately 80% are benign. The calcaneus and metatarsals are the most common sites.
Diagnostic tips
- Most calcaneal tumours are discovered on routine radiological examination for an unrelated condition.
- Previous breast, bladder, lung, kidney and colorectal disease most frequently metastasize to the foot.
- Benign lesions include Unicameral Bone Cyst, Aneurysmal Bone Cyst, Osteoblastoma, Chondroblastoma, Giant Cell Tumour, Interosseous Lipoma, Enchondroma.
- Malignant lesions include Ewing’s Sarcoma, Osteogenic Sarcoma, Condrosarcoma, Synovial Sarcoma.
Tests and Imaging
- Plain radiographs, MRI and CT will provide detailed information prior to Biopsy.
Immediate Treatment
- Non weightbearing may assist in the prevention of fractures.
Possible Referral
- Podiatry for cam walker immobilisation.
- Oncology prior to biopsy or other invasive procedures.
- Appropriate medical/surgical specialists for resection or amputation.
