RESUMO
Primary non-Hodgkin lymphoma of the bone is quite rare, accounting for less than 2% of all lymphomas in adults. We present a unique case of chronic left heel pain in a 34-year-old pregnant woman with a remote history of lower extremity trauma. Unresponsive to conservative treatment, advanced imaging showed an infiltrative soft tissue mass involving the calcaneus and surrounding soft tissues. Biopsy of the area confirmed the diagnosis of Stage I-AE diffuse large B-cell lymphoma. The patient underwent 20 localized radiation treatments to the left heel. Nine years after the diagnosis, the patient remains in remission without signs of disease recurrence. This case report demonstrates that atypical and less common causes of chronic heel pain should be considered in certain clinical scenarios, especially in those unresponsive to conservative treatment.
RESUMO
CASE: This is a case of a 14-year-old female athlete with cuboid syndrome who underwent calcaneocuboid ligament complex reconstruction using a palmaris tendon allograft that was passed through 2 parallel extra-articular dorsoplantar bone tunnels through the calcaneus and cuboid. She returned to high-impact activities within 6 months. Two-and-a-half years postoperative, she continues sports with only minor stints of pain relieved with rest. CONCLUSION: Consensus regarding surgical treatment of cuboid syndrome has not been reached. This case report highlights a successful surgical technique for calcaneocuboid instability with potential for return to sports. We found 2 similar case reports in the literature.