Orthopaedics Assessment:

Oncology Division
dr. Reza Devianto Hambali
dr. Bugi Priandika
dr.A.S. Marsahala Lumbantobing

Consultants :
Prof. Dr. dr. Darmadji Ismono, Sp.B., Sp.OT(K).
dr. M. Naseh Sajadi Budi Irawan, Sp.OT(K).
dr. Herry Herman, Sp.OT., Ph.D.
dr. Bangkit Primayudha, Sp.OT.
Postoperative Assessment
Mrs.R.,37 y.o.
 Mrs. R, 37.y.o (2021)
History Taking:
Chief complain: lump at left ankle
• 7 months prior hospital admission, the patient
complained of swelling that came after she slipped and
sprain her left ankle when patient running
• Then there was lump with the size of a marble, but grew
bigger as an egg
• Patient feels pain in ankle after physical activities and the
pain reduce while resting
• There is no decrease sensibility on the leg
• History of fever was denied.
• History of lumps elsewhere was denied.
• History of night pain was denied
• 3 months before came to Hasan Sadikin Hospital, patient
seek medical treatment to Advent Hospital , got X ray, CT
scan and FNAB examination

Past Medical History:

• There is no past medical history
Physical Examination
At left calcaneal :
L: Swelling +, wound -, deformity –
F: Tenderness -, distal sensibility normal compared to other side, CRT <2“
M: Limited rom
X Ray (July 2021)
CT-Scan (March 2021)
CT-Scan (March 2021)
CT-Scan (March 2021)
CT-Scan (March 2021)
CT-Scan (Maret 2021)
CT Scan (March 2021)
FNAB (March 2021)
 Microscopic Finding
(illustration)

Goto T, Nemoto T, Okuma T, Kobayashi H, Funata N. Mirrorimage solitary bone

cyst of the humerus in a pair of mirrorimage monozygotic twins. Arch Orthop
Trauma Surg 2008 Dec;128(12):1403-1406.
 Working Diagnosis:

Primary bone tumor at left calcaneal suspect benign

DD/aneurysmal bone cyst, simple bone cyst

Performed:
Core Biopsy + sclerotherapy
Intraop (c-Arm)
 Intraop

Incision design Trochar Insertion

Blood aspiration & sample Sclerotherapy (alcohol 96%)

extraction
Post Op
Thank You