Idiopathic Tumour Calcinosis in Foot

Journal of Clinical Orthopaedics | Vol 4 | Issue 2 |  July-Dec 2019 | page: 61-63 | Tarun Verma, Abhishek Mishra, Gaurang Agarwal, Lalit Maini.

Author: Tarun Verma [1], Abhishek Mishra [2], Gaurang Agarwal [2], Lalit Maini [2].

[1] Department of Orthopaedics, Medical College, Baroda and Sir Sayajirao General Hospital Baroda, Gujarat
[2] Department of Orthopaedics, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi.

Address of Correspondence
Dr. Tarun Verma,
Permanent address: C-40, Omkar society, Maneja, Vadodara, Gujarat- 390013


Idiopathic tumoral calcinosis (TC) is a rare disorder characterized by the development of calcified masses within the periarticular soft tissues of large joints like hip, elbow, shoulder, and rarely foot. A variety of conditions causing heterotopic calcifications can mimic this disorder like chronic renal failure, hyperparathyroidism, vitamin D intoxication, milk alkali syndrome, scleroderma etc. Due to similar plain radiograph picture, it can also be confused with synovial chondromatosis. Biochemical, radiological investigations and biopsy are essential to establish the diagnosis. This article describes a case of idiopathic tumour calcinosis around 5th metatarso-phalangeal joint in a 20 years old female. It’s radiographic and MRI features, types and management options are discussed subsequently.
Keywords: Tumour calcinosis; heterotopic calcification; Normophosphatemic; synovial chondromatosis; white paste.


1. Tezelmann S, Siperstein A E, Duh QY, Clark O H (1993) Tumoral calcinosis: controversies in the etiology and alternatives in the treatment. Arch Surg 128: 737–45.
2. Chaabane S, Chelli-bouaziz M, Jelassi H, Mrad K, Smida M, Ladeb M F (2008) Idiopathic tumoral calcinosis, Acta Orthop Belg 74:837–45.
3. Martinez S (2002) Tumoral calcinosis: 12 years later. Semin Musculoskelet Radiol 6:331-39.
4. Rambani R, Dhillon MS, Aggarwal R (2003) Tumoral calcinosis with unusual presentation. A case report. Acta Orthop Belg 69:368–72.
5. Leung Y.Y., Lai R (2011) Tumoral calcinosis: a case report, J. Orthop. Surg. (Hong Kong) 19: 108–12.
6. Henry GI, Teven CM (2012) CASE REPORT idiopathic tumoral calcinosis of the nontraumatic thumb. Eplasty 12:e29.
7. Harkness JW, Peters HJ (1967) Tumoral Calcinosis — Report of Six Cases. J. Bone Joint Surg 49:721-731.
8. Mohamed S, Jong-Hun J, Weon-Yoo K (2007) Tumoral calcinosis of the foot with unusual presentation in an 11-year-old boy: A case report and review of literature. J Postgrad Med 53:247-9.

How to Cite this article: Verma T, Mishra A, Agarwal G, Maini L. Idiopathic Tumour Calcinosis in Foot. Journal of Clinical Orthopaedics July-Dec 2019;4(2):61-63.

(Abstract    Full Text HTML)   (Download PDF)