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Initial post traumatic lateral and axial X-rays.
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Lateral and axial X-rays (Fig. 1) revealed undisplaced calcaneal fracture which was treated conservatively and the lesion was not noticed initially.
Follow up lateral and axial X-rays.
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He was followed up in outpatient clinic and the new X-rays (Fig. 2) revealed the presence of pathological fracture with a well-defined osteolytic lesion.
MRI images.
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It was hypointense on T1 and hyperintense on T2 and the findings were suggestive of Giant Cell Tumor (Fig. 3).
Posterolateral surgical approach.
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Macroscopic and microscopic images.
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Histopathological examination revealed multiple bone fragments and the soft tissue infiltrated by multinucleated giant cells, hemosiderin laden macrophages, cholesterol cleft and hemorrhages (Fig. 6).
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