Cover Journal of the American Podiatric Medical Association
Journal of the American Podiatric Medical Association
ISSN:
8750-7315
Online Publication Date:
Mar 1997

Unusual presentation of calcaneal osteomyelitis. Twenty-five years after inoculation

RS Rogoff California College of Podiatric Medicine, San Francisco, USA.

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JD Tinkle California College of Podiatric Medicine, San Francisco, USA.

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DG Bartis California College of Podiatric Medicine, San Francisco, USA.

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DOI:
https://doi.org/10.7547/87507315-87-3-125
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An unusual presentation of calcaneal osteomyelitis is described, where-by the infection remained undiagnosed for 25 years. The 36-year-old patient recently sought medical treatment for a reported ankle sprain, but the pain was recalcitrant to conservative care. Further investigation yielded a history significant for stepping on a chicken bone as a child, which entered the inferior lateral heel. Magnetic resonance imaging revealed what plain radiographs did not: a well demarcated lytic lesion in the body of the calcaneus. Intraoperative findings were consistent with an abscess of chronic osteomyelitis. The treatment included incision and drainage, antibiotic beads, and a tricortical bone graft.

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