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Calcaneus secundarius – a relevant differential diagnosis in ankle pain: a case report and review of the literature
INTRODUCTION: Accessory ossicles of the foot are a common finding. Although mostly asymptomatic, they can gain clinical relevance by trauma or stress on the complex biomechanical system of the foot. There are few reports on the entity of symptomatic calcaneus secundarius. Furthermore, the current li...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4456698/ https://www.ncbi.nlm.nih.gov/pubmed/26033079 http://dx.doi.org/10.1186/s13256-015-0595-7 |
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author | Krapf, Daniel Krapf, Sebastian Wyss, Christian |
author_facet | Krapf, Daniel Krapf, Sebastian Wyss, Christian |
author_sort | Krapf, Daniel |
collection | PubMed |
description | INTRODUCTION: Accessory ossicles of the foot are a common finding. Although mostly asymptomatic, they can gain clinical relevance by trauma or stress on the complex biomechanical system of the foot. There are few reports on the entity of symptomatic calcaneus secundarius. Furthermore, the current literature does not address the need for awareness of calcaneus secundarius as a differential diagnosis in cases of persistent posttraumatic ankle pain. CASE PRESENTATION: We present the case of a 51-year-old Indo-European man with a medical history of persistent load-dependent ankle pain over 3 decades. At presentation after an acute ankle sprain, we diagnosed a traumatized calcaneus secundarius. Surgical excision led to a complete recovery. More than 1 year postoperative he is still asymptomatic. CONCLUSIONS: With the presented case and review of the literature we demonstrate the clinical relevance of calcaneus secundarius. Depending on size and alignment, calcaneus secundarius can alter the biomechanics in the subtalar region generating pain at the ankle. If a patient has persistent sinus tarsi syndrome, a painful limited subtalar range of motion or repetitive ankle sprains, then calcaneus secundarius should be considered in differential diagnosis. Likewise when a fracture of the anterior process of the calcaneus or a calcaneonavicular coalition is suspected, calcaneus secundarius should be considered a possible diagnosis by all clinicians confronted with foot and ankle pain. |
format | Online Article Text |
id | pubmed-4456698 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-44566982015-06-06 Calcaneus secundarius – a relevant differential diagnosis in ankle pain: a case report and review of the literature Krapf, Daniel Krapf, Sebastian Wyss, Christian J Med Case Rep Case Report INTRODUCTION: Accessory ossicles of the foot are a common finding. Although mostly asymptomatic, they can gain clinical relevance by trauma or stress on the complex biomechanical system of the foot. There are few reports on the entity of symptomatic calcaneus secundarius. Furthermore, the current literature does not address the need for awareness of calcaneus secundarius as a differential diagnosis in cases of persistent posttraumatic ankle pain. CASE PRESENTATION: We present the case of a 51-year-old Indo-European man with a medical history of persistent load-dependent ankle pain over 3 decades. At presentation after an acute ankle sprain, we diagnosed a traumatized calcaneus secundarius. Surgical excision led to a complete recovery. More than 1 year postoperative he is still asymptomatic. CONCLUSIONS: With the presented case and review of the literature we demonstrate the clinical relevance of calcaneus secundarius. Depending on size and alignment, calcaneus secundarius can alter the biomechanics in the subtalar region generating pain at the ankle. If a patient has persistent sinus tarsi syndrome, a painful limited subtalar range of motion or repetitive ankle sprains, then calcaneus secundarius should be considered in differential diagnosis. Likewise when a fracture of the anterior process of the calcaneus or a calcaneonavicular coalition is suspected, calcaneus secundarius should be considered a possible diagnosis by all clinicians confronted with foot and ankle pain. BioMed Central 2015-06-02 /pmc/articles/PMC4456698/ /pubmed/26033079 http://dx.doi.org/10.1186/s13256-015-0595-7 Text en © Krapf et al. 2015 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Case Report Krapf, Daniel Krapf, Sebastian Wyss, Christian Calcaneus secundarius – a relevant differential diagnosis in ankle pain: a case report and review of the literature |
title | Calcaneus secundarius – a relevant differential diagnosis in ankle pain: a case report and review of the literature |
title_full | Calcaneus secundarius – a relevant differential diagnosis in ankle pain: a case report and review of the literature |
title_fullStr | Calcaneus secundarius – a relevant differential diagnosis in ankle pain: a case report and review of the literature |
title_full_unstemmed | Calcaneus secundarius – a relevant differential diagnosis in ankle pain: a case report and review of the literature |
title_short | Calcaneus secundarius – a relevant differential diagnosis in ankle pain: a case report and review of the literature |
title_sort | calcaneus secundarius – a relevant differential diagnosis in ankle pain: a case report and review of the literature |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4456698/ https://www.ncbi.nlm.nih.gov/pubmed/26033079 http://dx.doi.org/10.1186/s13256-015-0595-7 |
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