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Symptomatic Heterotopic Ossification in the Plantar Soft Tissue of the Heel: A Rare Cause of Chronic Plantar Heel Pain

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Plantar heel pain is most commonly attributed to plantar fasciitis or calcaneal spurs. Rarely, extra-osseous ossified lesions arising within the plantar soft tissues may present with similar symptoms and pose a diagnostic challenge. We report a rare case of symptomatic heterotopic ossification occurring entirely within the plantar soft tissue of the heel, without any attachment to the calcaneum. Imaging revealed a well-defined ossified lesion within the plantar soft tissue. Surgical excision was performed due to persistent symptoms. Histopathological examination confirmed heterotopic ossification with mature lamellar bone and no evidence of malignancy. This case highlights the importance of considering rare extra-osseous ossified lesions in the differential diagnosis of chronic plantar heel pain.
Title: Symptomatic Heterotopic Ossification in the Plantar Soft Tissue of the Heel: A Rare Cause of Chronic Plantar Heel Pain
Description:
Plantar heel pain is most commonly attributed to plantar fasciitis or calcaneal spurs.
Rarely, extra-osseous ossified lesions arising within the plantar soft tissues may present with similar symptoms and pose a diagnostic challenge.
We report a rare case of symptomatic heterotopic ossification occurring entirely within the plantar soft tissue of the heel, without any attachment to the calcaneum.
Imaging revealed a well-defined ossified lesion within the plantar soft tissue.
Surgical excision was performed due to persistent symptoms.
Histopathological examination confirmed heterotopic ossification with mature lamellar bone and no evidence of malignancy.
This case highlights the importance of considering rare extra-osseous ossified lesions in the differential diagnosis of chronic plantar heel pain.

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